KatieMI BSN, MSN, RN

ICU, LTACH, Internal Medicine

Member

All Content by KatieMI

  1. KatieMI

    Do you trust the organ donation process (after recovery of 'brain dead' boy)?

    KatieMI replied to Emergent's topic in General Nursing

    I've dealt with dozens of patients whose families could tell pretty much word by word the very same story sans organ donation part. The truth was that most of those patients had severe residual...
  2. KatieMI

    Robots, automation, and A.I. tech to replace nurses?

    KatieMI replied to DannyBoy8's topic in General Nursing

    Oh, I would like to see it done for... SOME patients. "Thank you for choosing Our Health Center. This is your friendly Electronic Nurse. Help is on the way. Your call will be answered in the order it...
  3. KatieMI

    FNP Oversaturation

    KatieMI replied to brinksta's topic in Nurse Practitioners, NP

    The document is what they wanna things to be and nothing more. AMA can "recommend" whatever but they cannot enforce it. There can be differences in states, and that's what matters, but I guess that...
  4. KatieMI

    FNP Oversaturation

    KatieMI replied to brinksta's topic in Nurse Practitioners, NP

    I'd appreciate some evidence. I know there is limit in anesthesia, but nothing about primary
  5. KatieMI

    FNP Oversaturation

    KatieMI replied to brinksta's topic in Nurse Practitioners, NP

    I wrote quite clearly that there are currently NO limits in number of PAs/NPs one physician can "supervise" IN PRIMARY CARE and it is not likely to change. Therefore, with relative paucity of primary...
  6. KatieMI

    Wearing scrubs home?

    KatieMI replied to Lee_Ryan's topic in General Nursing

    The place I worked in provided scrubs. But I honestly would prefer to buy my own made from good-quality materials and with proper fit istead of "fits-almost-everybody" forever wrinkled stuff. In the...
  7. KatieMI

    FNP Oversaturation

    KatieMI replied to brinksta's topic in Nurse Practitioners, NP

    The problem is, the wast majority of those newly convinced psych/FP docs are not that much likely to stay there. They want (and easily can go) into lucrative areas like applied behavioral analysis,...
  8. KatieMI

    Why does the dialysis blood comes out of arterial shunt and comes back into the veins??

    KatieMI replied to NewRN'16's topic in General Nursing

    ... and that's the way nephrons (the microscopic main structural part of the kidney) actually work. High pressure in artery pushes water and filtrable materials through the membrane till the pressure...
  9. KatieMI

    Hoping for a miracle

    KatieMI replied to Feinhawk's topic in General Nursing

    1).Nothing about miracles here. I had a classmate who could do no lifting for 2 years out of 3, myself who couldn't do home health and more than a couple of others. So... 2). Get a physician's note,...
  10. KatieMI

    Universal Deathcare.

    KatieMI replied to Kyrshamarks's topic in General Nursing

    Rocknurse, THANK YOU! BTW, I like the expression "grief
  11. KatieMI

    Universal Deathcare.

    KatieMI replied to Kyrshamarks's topic in General Nursing

    In the article from the link above, The Guardian, it is clearly seen that the child was nasally intubated. Do you know what it is to be on the tube? I can tell you that it was nice that the Holy...
  12. KatieMI

    Universal Deathcare.

    KatieMI replied to Kyrshamarks's topic in General Nursing

    Actually, I think that private pay system has more options for patients to explore. Most people are just not smart enough to find and use them and not brave enough to accept even the minor...
  13. KatieMI

    Universal Deathcare.

    KatieMI replied to Kyrshamarks's topic in General Nursing

    Because doing so on a child in "semi-vegetative condition" (and with therefore potential for feeling at least pain) would mean torturing the child with absolutely no other prospective except to...
  14. KatieMI

    For new or prospective Psych NPs

    KatieMI replied to Oldmahubbard's topic in General Nursing

    I've seen it happening, and not only with psych meds. Just yesterday I had one A, Ox4 who swore that the "new pill" I ordered made him all new and great, his blood glucose got so much better, his...
  15. KatieMI

    Adult-gerontology NP vs FNP

    KatieMI replied to KellyBSNRN18's topic in Student Nurse Practitioner

    1). Authonomy: severely state and situation dependent. Very severely indeed, although it is something you at least can do something with. After a while, I mean. 2). Respect: hmmmm, how about that...
  16. KatieMI

    Maintaining Patent Venous Access in Hypercoagulable State

    KatieMI replied to bgxyrnf's topic in General Nursing

    There are data that adjusted dose coumadin works at least for cancer patients:...
  17. KatieMI

    Maintaining Patent Venous Access in Hypercoagulable State

    KatieMI replied to bgxyrnf's topic in General Nursing

    For PIV: NS 20- 50 cc/h round the clock and no irritating solutions pretty much solves the problem. Believe me or not, for such patient 22g in small peripheral vein with KVO NS is better than PICC....
  18. KatieMI

    Skin Breakdown on the Patient Who Refuses to Turn

    KatieMI replied to moosie_poo's topic in General Nursing

    I had one time family stating that patient "was not talked enough into thinking about it". I won't give any details because the case was a really, really big deal, but that statement died almost upon...
  19. KatieMI

    Skin Breakdown on the Patient Who Refuses to Turn

    KatieMI replied to moosie_poo's topic in General Nursing

    Unfortunately, doing anything physical with a human being against his/her will, for whatever intentions, MIGHT be qualified as battery. So: 1). Document, document, document. Every 2 hours, verbatim....
  20. KatieMI

    What's your best catch?

    KatieMI replied to beekee's topic in General Nursing

    Normal scrotum is silent. Patient (male) who complain on pain, first colics, then constant and increasing on the one side of abdomen low quadrant, sometimes radiating to groin, WBCs up, may be fever,...
  21. KatieMI

    What's your best catch?

    KatieMI replied to beekee's topic in General Nursing

    Too many of them to list. Retroperitoneal hematomas, spinal ischemia on paralyzed patient, incarcerated wall scrotal hernia (I had to auscultate scrotum for that and the patient asked, in astonishment...
  22. KatieMI

    Sepsis protocols causing a future superbug??

    KatieMI replied to Alexx_xox's topic in General Nursing

    Welcome to the wonderful world of Advanced Practice Nursing, my friend :) Do your assessments, ask questions, seek answers, get Lange's patho, pharm, micro and biochem books (yes, they are for med...
  23. KatieMI

    Sepsis protocols causing a future superbug??

    KatieMI replied to Alexx_xox's topic in General Nursing

    It is so amazingly patient-specific that I spent an hour convincing ER PA-C and then attending that patient with terminal liver cirrhosis, hepatorenal syndrome, afib with RVR in 180 on amio drip, huge...
  24. KatieMI

    Empolyment without Hepatitis B Vaccine

    KatieMI replied to TheSuperDad's topic in General Nursing

    You do not have to sign "declination waiver" or anything else if you have medically justified contraindications to a vaccine. Everything you need is well - written doctor's note, preferably a...
  25. KatieMI

    Sepsis protocols causing a future superbug??

    KatieMI replied to Alexx_xox's topic in General Nursing

    JKL33, the problem is, mentioning "infection", or better yet "sepsis", brings more $ through billing. Even if it is only "suspicion". So, we surelu can hope. But that's about all-mighty