KatieMI BSN, MSN, RN

ICU, LTACH, Internal Medicine

Member

All Content by KatieMI

  1. KatieMI

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    KatieMI replied to Nurse Beth's topic in General Nursing

    There should not be "override" function on Pixes to begin with. Only "name analyzer" (for example, type "versid" and machine suggests only "versed" and "midazolam"). It is not that incredibly...
  2. KatieMI

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    KatieMI replied to Nurse Beth's topic in General Nursing

    Again, this is a part of the problem. Nurse(s) in question were not "uncaring". They care deeply about alleviating patient's anxiety which they perceived as significant enough to demand quite a potent...
  3. KatieMI

    As seen on TV

    KatieMI replied to JBMmom's topic in General Nursing

    "Casino Royale" where James Bond self-shockes himself into
  4. KatieMI

    nurse for 15 years and I feel like a fraud

    KatieMI replied to bananabutter's topic in General Nursing

    So, you feel like you have knowledge and want to use it but not being under pressure and going your own tempo. No problem! Nursing has plenty of places like this. - research (some), mentioned already...
  5. KatieMI

    Sitting in the Catbird Seat

    KatieMI replied to Davey Do's topic in General Nursing

    Right today. When I stood in front of a sicky sick and gettin' sicker human being and everybody around was scared their pants down. And I ****** knew what it was, what to do and what will happen...
  6. KatieMI

    What do you do when your instructors are useless?

    KatieMI replied to Lpn2014's topic in LPN to RN

    So you do think some people are born with critical and clinical thinking? Like, they say "mommy" first time and right after that operate with differentials from then on? In this case, there's news...
  7. KatieMI

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    KatieMI replied to Nurse Beth's topic in General Nursing

    They should... as all drugs for every patient in "special list" (for example, severe allergies). I had meds contaminated with substances I am allergic to several times. Every time there was an...
  8. KatieMI

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    KatieMI replied to Nurse Beth's topic in General Nursing

    Drugs are ultimately filled by pharm techs. They, frankly, have not much more education than people who sell shoes or flip burgers. Someone who went through at least 2 years of rigorous science-core...
  9. KatieMI

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    KatieMI replied to Nurse Beth's topic in General Nursing

    Except that patient apparently spent all those 30 min in "hold room" monitored by tech sitting somewhere else and camera waiting for tracer distribution. She was not under scanner at that time. And,...
  10. KatieMI

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    KatieMI replied to Nurse Beth's topic in General Nursing

    Actually, a very new nurse who is still painfully aware of her limitations would be, IMH (umble)O, LESS likely to blatantly go ahead and override one drug of which she had little idea about to another...
  11. KatieMI

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    KatieMI replied to Nurse Beth's topic in General Nursing

    Because when you respond to one of these hysterical calls about "patient needing something for something RIGHT AWAY", the impression you get is that the patient is about to go psychotic out of anxiety...
  12. KatieMI

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    KatieMI replied to Nurse Beth's topic in General Nursing

  13. KatieMI

    Pts who insult you?

    KatieMI replied to 2018nurseandbeyond's topic in General Nursing

    I took into wearing maxi skirts at work recently and just found out that one good thing about them is that I do not risk making them wet when
  14. KatieMI

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    KatieMI replied to Nurse Beth's topic in General Nursing

    Bing, bing, bing! Beeper goes on... Hi, doctor Jones! This is Mary, nurse from XX. I take care of the lady from ###. She is on hold transfer from ICU to Floor, just waiting for her PET to be done......
  15. KatieMI

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    KatieMI replied to Nurse Beth's topic in General Nursing

    That's what I wrote in one of my previous messages. Although for vec there are only two main factors: total muscle mass and really, really low renal function (main metabolite is renally excreted and...
  16. KatieMI

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    KatieMI replied to Nurse Beth's topic in General Nursing

    0.08 - 0.1 mg/kg. Or approximately 1 standard reconstituted vial of 10 mg for anyone weighting 70 to 100 kg (165 to 220 lbs). Full paralysis in 3 to 5 min with impossibility to breathe without...
  17. KatieMI

    How do I become stronger clinically?

    KatieMI replied to alexamasan's topic in General Nursing

    Free Medscape Emedicine. Uptodate, if your facility has it for free. Even good 'ol Wiki, for the beginning. Read about every. single. thing you do not understand or want to know more. Key is...
  18. KatieMI

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    KatieMI replied to Nurse Beth's topic in General Nursing

    2 mg vec was way below loading and truly lethal dose. But we do not know so many details. People usually do not have intraparenhymal brain bleeds just out of the blue sky. An elderly, already weakened...
  19. KatieMI

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    KatieMI replied to Nurse Beth's topic in General Nursing

    Re. rush to get things done, that's because not only RNs are suffering from a disease named "being task oriented". Unit secretaries, techs, schedulers and even quite a few physicians are obcessed with...
  20. KatieMI

    Boomerang Coworkers

    KatieMI replied to Davey Do's topic in General Nursing

    Once upon a time, there was a bog where frogs were living happily. All frogs except one, that's it. That one frog was deeply and permanently dissatisfied with everything and everybody. "That's just...
  21. KatieMI

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    KatieMI replied to Nurse Beth's topic in General Nursing

    BTW, another, and seriously strange thing: Patient was getting, as far as I understand, PET brain scan. PET is super-functional and super-acute thing as related to brain. It is possible to tell if a...
  22. KatieMI

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    KatieMI replied to Nurse Beth's topic in General Nursing

    No job description for someone who holds the job? Really? In USA, 2017?? In a large academic hospital??? Nurse working in ICU (although without job description - see above) has no idea about drugs...
  23. KatieMI

    "He just wanted to know..."

    KatieMI replied to KatieMI's topic in Nursing Professionalism

    You are forgiven :) But I am glad that you read. It is kind of interesting that within one country regional differences in psychology and attitudes can be more significant than differences between,...
  24. KatieMI

    "He just wanted to know..."

    KatieMI replied to KatieMI's topic in Nursing Professionalism

    Well, I just wanted to be nice and helpful and open, just like some here suggest. The result was not something to persuade me to
  25. KatieMI

    "He just wanted to know..."

    KatieMI replied to KatieMI's topic in Nursing Professionalism

    I already wrote that: the nurse approached me in person because she wanted to move her own kid in another school and asked me if we are really that happy with our schools, how to get there, etc. It...