KatieMI BSN, MSN, RN

ICU, LTACH, Internal Medicine

Member

All Content by KatieMI

  1. KatieMI

    Nurse, clean up aisle 5 (rant)

    KatieMI replied to cleback's topic in General Nursing

    When one is in ICU and has two patients, that's ok. If one is floating in medsurg and has assignment of seven, that'll be another story. Personally, I never understand that. Unless one uses strict...
  2. KatieMI

    Patient family vs. patient

    KatieMI replied to bryson.holbrook's topic in General Nursing

    There is one wonderful phrase in nursing I learned long ago on this forum: - I am so sorry but THEY do not let me/allow me to do (whatever it is) In 99 cases out of 100 there comes no question of who...
  3. KatieMI

    Hypotension protocol

    KatieMI replied to bryson.holbrook's topic in General Nursing

    Thank you, guys (blushing
  4. KatieMI

    Hypotension protocol

    KatieMI replied to bryson.holbrook's topic in General Nursing

    The fact is: there must not be such thing as "hypotension protocol". At all. Whatsoever. Under no circumstances. "Hypotension" is too relative thing and it has too many possible causes to be managed...
  5. KatieMI

    Sleeping in the Closet?

    KatieMI replied to adventure_rn's topic in General Nursing

    If lack of darkness is your problem, here is one solution for you: Amazon.com: Sleep Mask for Woman & Man KAMOSSA Upgraded Contoured 3D Eye Mask Eye Cover For Sleeping, Total Darkness Sleeping...
  6. KatieMI

    Nurses and promoting better rates of vaccination

    KatieMI replied to jeastridge's topic in General Nursing

    And what is even worse, education received by the majority of MDs/DOs/allied health providers (since I passionately hate term "mid-level") doesn't prepare them, either. Even when they technically know...
  7. KatieMI

    Nurses and promoting better rates of vaccination

    KatieMI replied to jeastridge's topic in General Nursing

    And this is what pushes people wrong way immediately. They do not care for a sec about "benefits for the world's entire population". They do not even know what it means. They care for only one thing...
  8. KatieMI

    Nurses and promoting better rates of vaccination

    KatieMI replied to jeastridge's topic in General Nursing

    "this vaccine can help prevent (disease). The disease might lead to (list of horrors). The risks of vaccine are (even worse sounding list of horrors)" I do not tell that we need to lie and just tell...
  9. KatieMI

    Nurses and promoting better rates of vaccination

    KatieMI replied to jeastridge's topic in General Nursing

    What we can do is to abandon that awful scripted language. And then just speak with people. General public doesn't understand what "risks", "benefits" and so forth are. After being exposed to this...
  10. KatieMI

    How easy is it to get TB?? Help!

    KatieMI replied to Epona's topic in General Nursing

    It is easy to get EXPOSED. It is way less easy to get actual Tb. NEJM still cites 10% risk of active disease after confirmed contact with following change of PPD to positive from confirmed negative:...
  11. KatieMI

    Will my license be at risk?

    KatieMI replied to Elmstreet209's topic in General Nursing

    Even if family member is DPOA, it doesn't mean that he or she must be notified about every little thing. If an action is covered under "consent for treatment" and doesn't need separate consent, then...
  12. KatieMI

    Will my license be at risk?

    KatieMI replied to Elmstreet209's topic in General Nursing

    This is not about being A, Ox 3 and making needs known. It is about being able to make his or her own medical decisions. Either patient is "competent" to make such decisions, in which case he's free...
  13. KatieMI

    Will my license be at risk?

    KatieMI replied to Elmstreet209's topic in General Nursing

    No. There will be no restrictions on your
  14. KatieMI

    LTACH nurses

    KatieMI replied to YUKONrn's topic in Long Term Acute Care

    As a former "acute" LTACH RN, I would suggest the following: - access, assess, assess! You are working with VERY sick people. When they go south, they do it fast (I was so much on my toes while...
  15. KatieMI

    Hospice care

    KatieMI replied to Liz1968's topic in General Nursing

    I saw it multiple times. One guy, who was in HD for years before deciding to stop it and let nature take its course ate three supersized meals a day from the worst fast food joints I knew. The first...
  16. KatieMI

    Multiple CNA's refusing assigned task

    KatieMI replied to Dawnkeibals's topic in General Nursing

    That being said... I saw more than once CNAs being abused by patients for quite a while without anybody else noticing it. In quite a few such cases, patients "behaved" and controlled themselves with...
  17. KatieMI

    Preparation for Grad School

    KatieMI replied to medic1969's topic in Student Nurse Practitioner

    - if you have nothing else to do with your life: get the books you'll need for the first semester and start reading. It will save you some sanity later on, especially if your program uses that...
  18. KatieMI

    The NP who can't function in the role

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

    IMH(umble)O, the problem is that many NPs (and PAs as well) never lose that narrow-mindedness which comes with type of education they get, associated with permanent fear of missing or not documenting...
  19. KatieMI

    Staff Retention Policies

    KatieMI replied to Positive_Outlook's topic in General Nursing

    I was disciplined more than once for catching things everyone else missed (like retroperitoneal bleed) and for performing physical exams the way they intended to be. I was told that it should be more...
  20. KatieMI

    Most Pressing Issues in Nursing Today

    KatieMI replied to pmcgrady's topic in General Nursing

    Homework
  21. KatieMI

    Staff Retention Policies

    KatieMI replied to Positive_Outlook's topic in General Nursing

    There should not be "training for excellence". Management gets enough and more of them, with results most of us know too well on our own skins. What should be in place is the same criteria applied to...
  22. KatieMI

    Staff Retention Policies

    KatieMI replied to Positive_Outlook's topic in General Nursing

    So, some management genius is thinking that the prospective of not working holidays after 15 years would surely and right today emplore people to join, stay and bear all the following holidays for 15...
  23. KatieMI

    Picture of wound?

    KatieMI replied to Glycerine82's topic in General Nursing

    No idea what "Figure 1" is, but one can upload and therefore make visible to whole world pretty much anything and everything on Facebook short of quite limited list of things. And for private emails...
  24. KatieMI

    Indications for Naltrexone?

    KatieMI replied to hppygr8ful's topic in General Nursing

    Impulsive eating disorders (since 1990th for bulimia, in and out of fashion but making comeback recently), impulse control disorders, neuropathic pain, fibromyalgia, Crohn's, MS and autoimmune...
  25. KatieMI

    Sexual harassment and management not stepping up

    KatieMI replied to Boopdeedoop's topic in General Nursing

    Get out of there as soon as possible and take doctor's note for remaining time. Sitting without job for a little while is way better than having PTSD flare up. It is not "normal" but there are places...