KatieMI BSN, MSN, RN

ICU, LTACH, Internal Medicine

Member

All Content by KatieMI

  1. KatieMI

    Low stress job vs more challenging job vs higher income??

    KatieMI replied to Tony1790's topic in Nurse Practitioners, NP

    There is a thing about NP trade: - NPs skills, experiences and "views" of patients, by nature of our trade, are limited. By itself, it is not a problem as 90% of cases in every given specialty come...
  2. KatieMI

    Punitive culture

    KatieMI replied to pink panther's topic in General Nursing

    Run outta there BEFORE mass exodus begins, not after it already started. You've got only one life, and it is not to be wasted on nuts. And every subject of the exodus which ensues is pretending on a...
  3. KatieMI

    Nurses don't do their 3 med checks?

    KatieMI replied to OsceanSN2018's topic in General Nursing

    Correct. It all, to certain degree, depends on what is going on and by whom. That aforementioned guy with terminal COPD/CHF can be brought in ER from ECF with chief complain on "lethargy" or "AMS"...
  4. KatieMI

    What can I actually do about safe-staffing levels? Resources?

    KatieMI replied to SmallTownLPN's topic in General Nursing

    One thing that works if used consistently: Get every difficult-to-manage, whiny, needy patient and family spoken with approximately like this: - we are SO MUCH caring about your mom - we could do SO...
  5. KatieMI

    He Wanted to Practice Satanism for the Baby

    KatieMI replied to Shookclays's topic in Ob/Gyn

    Not even close to many strange things I observed. There are just three simple rules: - families can do/ask whatever; - if what they want is impossible, tell them so; - if what they want is...
  6. KatieMI

    "Safe Injection Houses"- What's This?

    KatieMI replied to Sarah Matacale's topic in General Nursing

    Many of them beg, prostitute themselves and use cheap, low-qualty drugs which kill them quicker and more painful. Real hard vore addicts will do pretty much anything to avoid police because being in...
  7. KatieMI

    Did you contract anything from a patient?

    KatieMI replied to RNrhythm's topic in General Nursing

    Flu (despite of using PPE) MDR MRSA (which looked like classic sore throat case till cultures came back) Asthma/allergy Long time ago in my wild youth years there were rubella and pertussis. I also...
  8. KatieMI

    "Safe Injection Houses"- What's This?

    KatieMI replied to Sarah Matacale's topic in General Nursing

    Canada and Europe have extensive experience with "safe houses". Apparently, people responsible for socialized medical care know their math better. Leaving alone discussion about "lives saved" alone...
  9. KatieMI

    NG Tube NPO

    KatieMI replied to vxxen's topic in General Nursing

    Entirely depends on situation. It is a very common mistake, of both providers and RNs, of missing life-supporting meds, sending patients into withdrawals, unpredictable reactions of receptors, etc....
  10. KatieMI

    Jobless FNP

    KatieMI replied to Nicola301975's topic in Nurse Practitioners, NP

    1). Limiting yourself to one narrow specialty in the beginning of the career is not a good idea. Especially if everything you are apparently gonna do is to sign scripts. 2). NEVER believe what the...
  11. KatieMI

    Lack of "customer service" as beneficial factor for chronic disease process?

    KatieMI replied to KatieMI's topic in General Nursing

    Medicare is only one, and not the main sourse of money for hospitals. If certain admissions would lead to direct and significant loss of $$$$, they just wouldn't happen, this way or another. If these...
  12. KatieMI

    Failed my drug test and I'm pregnant

    KatieMI replied to ianurse's topic in General Nursing

    There are one-use substance-specific test systems which take less than 30 min. They are widely available and used extensively in outpatient specialty settings. They cost $$$ and, if a "breach of...
  13. KatieMI

    Lack of "customer service" as beneficial factor for chronic disease process?

    KatieMI replied to KatieMI's topic in General Nursing

    Another fresh from the fields observation of detrimental effect of "customer service" I see for management of inappropriate use of highly addictive substances. I live in area which is hit hard by...
  14. KatieMI

    Lack of "customer service" as beneficial factor for chronic disease process?

    KatieMI replied to KatieMI's topic in General Nursing

    One hospital I know tried home follow up program for CHF patients in attempt to prevent re-admissions. Two years later, the program is a little more than dead. Part of the problem was that it was 1)...
  15. KatieMI

    Lack of "customer service" as beneficial factor for chronic disease process?

    KatieMI replied to KatieMI's topic in General Nursing

    Best description of Disney Magic World I've ever seen. Those who so far were lucky to keep away of it - beware. It is really just
  16. KatieMI

    Lack of "customer service" as beneficial factor for chronic disease process?

    KatieMI replied to KatieMI's topic in General Nursing

    Well, stopping smoking CAN cost quite a bit. Many poor quality insurance plans do not cover patches, gums and Chantix, and this stuff costs more money than cheap cigarettes. I am interested in only...
  17. KatieMI

    Failed my drug test and I'm pregnant

    KatieMI replied to ianurse's topic in General Nursing

    She was tested on standard 8 or 10 panel because she had symptoms of possible abruption or simply because her local ER tests everybody by policy. That is not a mystery and I wrote in my above posts...
  18. KatieMI

    Failed my drug test and I'm pregnant

    KatieMI replied to ianurse's topic in General Nursing

    No problem, I am too insanely
  19. KatieMI

    Is aspirin a blood thinner?

    KatieMI replied to ChloeLissa's topic in Patient Medications

    Technically, the only sort of thing which makes blood "thinner" - i.e. less concentrated than it was before/ is NS, LR, D5W and so forth. These solutions technically dilute blood for a while, thus...
  20. KatieMI

    Failed my drug test and I'm pregnant

    KatieMI replied to ianurse's topic in General Nursing

    Cocaine is not a "cause" of abruption. It is as much etiologic factor as obesity in pathogenesis of cancer (yep, we all know that being obese increases risks of breast, colon and other cancers quite a...
  21. KatieMI

    Lack of "customer service" as beneficial factor for chronic disease process?

    KatieMI replied to KatieMI's topic in General Nursing

    I am pretty sure that neither you, nor any of your family members come to hospital to show a whole list of orders written on paper with melodramatic demand that "that's what I WANT to be done for me...
  22. KatieMI

    Failed my drug test and I'm pregnant

    KatieMI replied to ianurse's topic in General Nursing

    You may like it or not, but that's how it done in real life. Abruptio is a difficult diagnosis (ultrasound is pretty much the only one diagnostic modality and it comes false negative frequently...
  23. KatieMI

    Lack of "customer service" as beneficial factor for chronic disease process?

    KatieMI replied to KatieMI's topic in General Nursing

    Funny you mentioned Superbowl. I was driven close to screaming yesterday by endless calls begging me for "something quick acting for anxiety" (read:Ativan IV) for every person on census who was not on...
  24. KatieMI

    Failed my drug test and I'm pregnant

    KatieMI replied to ianurse's topic in General Nursing

    Elevated BP in pregnant patient + light spotting + contractions >> abruptio?? >> automatic UDS for cocain and other stuff associated with this condition. It is standard of care covered by...
  25. KatieMI

    Lack of "customer service" as beneficial factor for chronic disease process?

    KatieMI replied to KatieMI's topic in General Nursing

    The problem is, opinions of anonimous forum participants won't count much. If our credentials could be somehow verified (which is the question to Our Dear and Most Respected Moderators), at least well...