KatieMI BSN, MSN, RN

ICU, LTACH, Internal Medicine

Member

All Content by KatieMI

  1. KatieMI

    Sepsis protocols causing a future superbug??

    KatieMI replied to Alexx_xox's topic in General Nursing

    According to my source above, SIRS is dead and not existing anymore. Re. fluid overload - oh, yes, man. At least third of my hospital census since January consists of people with classic set of CHF,...
  2. KatieMI

    Manager said something covertly racist

    KatieMI replied to sugarmagnolia3's topic in General Nursing

    With that being said: assuming you and your peers play this role play. You are learning how to approach patients in need of social support services. The three final roles chosen for the play happen...
  3. KatieMI

    Sepsis protocols causing a future superbug??

    KatieMI replied to Alexx_xox's topic in General Nursing

    Good questions :) Sepsis should be defined as life-threatening organ dysfunction caused by a dysregulated host response to infection. Septic shock should be defined as a subset of sepsis in which...
  4. KatieMI

    Personal Hygiene: An Era Gone By

    KatieMI replied to Brenda F. Johnson's topic in General Nursing

    There are, actually, "resorts" targeting asthma/COPD patients as well as chronic pain patients to this days. I go every year in Ouray, CO specifically for salt caves combined with hot pool. That plus...
  5. KatieMI

    Personal Hygiene: An Era Gone By

    KatieMI replied to Brenda F. Johnson's topic in General Nursing

    There are a few ones I would like to print out and distribute among patients and nurses (as well as doctors). With reinforced mandatory reading aloud Q12h daily till understanding of pathophysiologic...
  6. KatieMI

    If an IM injection goes subcutaneous what can happen?

    KatieMI replied to MaryRN123's topic in General Nursing

    1). Unless your patient is cachectic or a bodybuilder, 90+% of "IM" injection go SQ. 2). Abscess can happen with both SQ and IM injections. Also, nothing gives 100% guarantee that they don't happen....
  7. KatieMI

    Sepsis protocols causing a future superbug??

    KatieMI replied to Alexx_xox's topic in General Nursing

    It does, and providers are well aware of it. It leads to much more negative sequela than just creation of "superbugs" NEJM - Error As a matter of fact, wide application of ANY screening...
  8. KatieMI

    Patient complaint to charge: pt refused test but states that it was done?

    KatieMI replied to newnurse2014's topic in General Nursing

    1). Some hospitals, and some units within hospitals, normally have more demanding clientelle than others. For the future reference, think twice before accepting a job in a place which makes "customer...
  9. KatieMI

    Enabling Family and Friends

    KatieMI replied to Emergent's topic in General Nursing

    I'd seen in wives >> husbands, husbands >> wives, children >> parents, brothers/sisters >> siblings and in all other possible combinations. The factors affecting it are too...
  10. KatieMI

    Are CNAs allowed to call family members about impending deaths?

    KatieMI replied to chaki's topic in General Nursing

    I confirm the reality of situation. ALFs and private care houses in poor/rural areas employ CENAs or even "caregivers" with no licenses and zero education (and no written policies as well, BTW) and...
  11. KatieMI

    Whenever I start missing bedside nursing. . .

    KatieMI replied to Camino77's topic in General Nursing

    Oh, I just need to wait for another call about INR 2.5 (target 2 to 3, stable coumadin dose) dutifully reported to me at 4 AM because "it is a critical value and iamjustdoingmyjob". Night hospital...
  12. KatieMI

    Can mishandling morphine or controlled substance cause a false positive?

    KatieMI replied to neuron's topic in General Nursing

    Unless you licked your fingers or, say, picked your nose with them, I would say no way in the world due to pharmacology. Opioids - all of them - are difficult to absorb through intact skin. That's why...
  13. KatieMI

    Patients Say the Darnedest Things - WIN $250! Nurses Week Contest 2018

    KatieMI replied to Brian S.'s topic in General Nursing

    Not actually saying but something written on thank-you note the patient gave to NM. It went approximately like this: thank you, nurses (names) for providing excellent service for me. I couldn't expect...
  14. KatieMI

    Charge Nurses Who Micromanage

    KatieMI replied to YumCookies's topic in General Nursing

    "Oh, THANKS!! Now, I've got x and y, I will need (this and that) for z, and I would REALLY appreciate if you can help me with (whatever to get her out of the point where you are - calling a doctor is...
  15. KatieMI

    Is bedside nursing really that bad?

    KatieMI replied to ivyleaf's topic in General Nursing

    This is not question about being "bad" or not. It is a question of your future value as advanced specialist, and, whatever specialty you are going into, this value is determined by your level of...
  16. KatieMI

    Can nurses live a luxurious life?

    KatieMI replied to Aa1Bb2Cc3's topic in General Nursing

    We fly in Europe (and everywhere else) two or three times a year for a few days. Is it
  17. KatieMI

    Things I have apologized for lately

    KatieMI replied to Alex_RN's topic in General Nursing

    It does, although not directly. Not all providers have access to these systems. But, yeah, it is possible and it gets done. It never stops to amuse me when after all those stories about missing...
  18. KatieMI

    Inappropriate Conversations in the Workplace

    KatieMI replied to Shookclays's topic in General Nursing

    I heard and was a target of inappropriate conversations in every single workplace I 'd been so far (being an immigrant and a Jew makes me easy target, I think). I did everything in spectrum from...
  19. KatieMI

    The pain scale has been harmful

    KatieMI replied to Emergent's topic in General Nursing

    Craving is not a problem by itself. It was here, and will be here doesn't matter what - that's why there were not a single civilization on the Earth do far which wouldn't use drugs of some type. The...
  20. KatieMI

    The pain scale has been harmful

    KatieMI replied to Emergent's topic in General Nursing

    Welcome to reality, everyone. The problem is, lay people got in around 2000 what they now for second generation think to be "theirs". They know they have right to demand treatment, they know how to...
  21. KatieMI

    The detail I missed that set my day on the wrong foot

    KatieMI replied to ellisjl's topic in General Nursing

    I had once a pair of silk pajamas which was navy in color and similar with the facility's uniform. So, one beautiful dark winter morning I came in wearing scrub top and those pants and had to run in...
  22. KatieMI

    Nurses cannot perform miracles

    KatieMI replied to EaglesWings21's topic in General Nursing

    and "To enter a patient's room with plans of any kind is like expect every person you meet to become your best friend" Just do not do it. Know what you need to do there, and have your plans A, B and C...
  23. KatieMI

    Patient going to send nurse to Concentration Camps??

    KatieMI replied to Kayauhs's topic in General Nursing

    Are you happy, are you satisfied? How long can you stand the heat? Out of the doorway the bullets rip To the sound of the beat Another one bites the dust Another one bites the dust And another one...
  24. KatieMI

    Adults who prefer wearing diapers

    KatieMI replied to Emergent's topic in General Nursing

    "My little precious baby" syndrome (kind of Munhauzen by proxy) possibly combined with mild developmental delay. I was specifically warned about this condition during my long journey as nano-premee...
  25. KatieMI

    Patient going to send nurse to Concentration Camps??

    KatieMI replied to Kayauhs's topic in General Nursing

    This is why I stopped discussing any personal topics with patients and families. My birthplace, my accent, where is my family, who is my husband, how many kids - I am sorry, sir/ma'am, I DO NOT WANT...