KatieMI BSN, MSN, RN

ICU, LTACH, Internal Medicine

Member

All Content by KatieMI

  1. KatieMI

    Is this the end?

    KatieMI replied to Ambersmom's topic in Nursing Career

    Unpredictable means that I routinely saw acute dialysis RN finishing his or her job of the day and then there came a call of K+ of >8 or something and they had to stay for 4 to 6 hours more and...
  2. KatieMI

    Doctors vs NP's?

    KatieMI replied to FrankRN2017's topic in General Nursing

    I must say that, overall, parrots are awfully smart creatures. At least, they generally get it pretty quickly that if the word was "no", then it was what it was and there would be no bargaining about...
  3. KatieMI

    Is this the end?

    KatieMI replied to Ambersmom's topic in Nursing Career

    Depending on where you are and what is your specialty: - travel, - local staffing agency, - private duty, or - an entirely new field I was exactly in your situation plus two terminations in my CV....
  4. KatieMI

    Doctors vs NP's?

    KatieMI replied to FrankRN2017's topic in General Nursing

    Dear OP, One of the best and most reliable ways to put ANY provider, either physician or mid-level, on high alert and NOT get what you want is to start teaching him how to do his job. It is especially...
  5. KatieMI

    Dislike towards the patient whom I know outside work

    KatieMI replied to ClumsyOne's topic in General Nursing

    If you can step over your feelings and just see a poor human being living quite a miserable life now, please go ahead and do it. Even if he screwed up uour teeth once. Such moments are what make...
  6. KatieMI

    Acute Care Clinical Sites

    KatieMI replied to kaylarn15's topic in Student Nurse Practitioner

    Hospitalist or ER, then non-cardiac specialty floors. I cannot express how extremely important it is for a future NP to get exposed to areas he or she was NOT exposed as an RN. If, as an RN, you have...
  7. KatieMI

    What's the shortest time you stayed at a job and why did you leave?

    KatieMI replied to sweet sunshine's topic in General Nursing

    Speaking about an assignment - one shift. That was unit of my dreams where I couldn't get an interview for good 6 months, was immediately assigned by my temp agency and found it to be a big and...
  8. KatieMI

    Agency per diem

    KatieMI replied to Jan168301's topic in General Nursing

    I did it for quite a while and, honestly, loved it. The key is, you can easily become a very needed and therefore very welcomed person. People know that, if you just get enough of it and walk out of...
  9. KatieMI

    Handling Teratogen while pregnant

    KatieMI replied to Johnsonsky613's topic in General Nursing

    That's might be a good question for your health care provider, but please think about this before you panic: - the patients and their family members NEVER wear gloves, masks or other PPI at all while...
  10. KatieMI

    You don't need RN experience to get an NP job

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

    If you do something to exterminate the current culture of antiintellectualism and lateral violence toward new grads where you work, then you will help to eliminate one of the main factors which pushes...
  11. KatieMI

    You don't need RN experience to get an NP job

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

    You may believe it or not, but one of the qualities highly valued for NPs is, that is to say, ability to be trained exactly the way the provider or practice required. And it is well known fact among...
  12. KatieMI

    Intrusive application questions!

    KatieMI replied to Scorchednurse's topic in Nursing Career

    I kind of understand about OTC meds (they can interfere with drug tests, after all) but for the rest I am speechless. You can EITHER ever be pregnant, or examine your testicles, isn't it so? I think...
  13. KatieMI

    Intrusive application questions!

    KatieMI replied to Scorchednurse's topic in Nursing Career

    I found out that many of these questions are, in fact, optional and nobody cares if they are even answered. I was so pissed off with one recent hospital staff application which asked, among many other...
  14. KatieMI

    FNP/AGNP

    KatieMI replied to RICHJOANNE's topic in Advanced Practice

    Something tells me that isolated islands in California rarely have 40% population living below powerty level. Anyway, I am in Central Michigan and had line of doctors wanting to hire me months before...
  15. KatieMI

    FNP/AGNP

    KatieMI replied to RICHJOANNE's topic in Advanced Practice

    Unfortunately, what you wrote is, while being absolutely correct, is how things should be. I wrote how they mostly are in reality. Nursing organizations may have great ideas in mind but they have...
  16. KatieMI

    How can I help educate floor nurses as a Hospitalist NP?

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

    For floor RN, ice very well may be the higher priority than that BP med. For multiple reasons, starting from that the patient, not you, will fill that HCAPS survey and to otherwise most wonderful idea...
  17. KatieMI

    FNP/AGNP

    KatieMI replied to RICHJOANNE's topic in Advanced Practice

    They wrote approximately the same and stronger about LPNs some 30 years ago. Guess what: LPNs are returning to many hospital systems because they can do 90% of what RNs can do and cost less to provide...
  18. KatieMI

    Mad at myself right now. :(

    KatieMI replied to NurseCard's topic in General Nursing

    In LTACH we sometimed did funny things with vacs. "Circular" dressings, two vacs for one wound, multiple bridges. But wounds are not permanent. They change all the time and what was working one day...
  19. KatieMI

    How do you handle rude comments?

    KatieMI replied to MA Nurse's topic in General Nursing

    I am so sorry for what you and your family is going on (((hugs and a prayer))) I had to share with people parts of my medical history, as I have severe allergies and sometimes I have to explain why I...
  20. KatieMI

    Discharging by Wheelchair

    KatieMI replied to MunoRN's topic in General Nursing

    But: - for some reason, patient was only ambulated to the restroom and back to bed during his entire hospital stay. His RNs routinely had 6 to 8 patients per shift, and CENAs had 10 to 12, so nobody...
  21. KatieMI

    starting IV on same arm as a mastectomy

    KatieMI replied to coletanner123's topic in General Nursing

    Nowadays even radical mastectomy with full dissection is not considered to be contraindication for breast reconstruction. Some of them even preserve nipples, and the results has to be seen and felt to...
  22. KatieMI

    starting IV on same arm as a mastectomy

    KatieMI replied to coletanner123's topic in General Nursing

    First, the author did not make any mistake. See above why. Second, and this is a common mistake indeed, dialysis won't "soak up" fluid from extravascular space. It works only for intravascular volume,...
  23. KatieMI

    Discharging by Wheelchair

    KatieMI replied to MunoRN's topic in General Nursing

    On the one hand, definition of what is considered to be "able to ambulate" can be different between hospital and real life outside it. If patient "ambulates safely" within his room or even within...
  24. KatieMI

    starting IV on same arm as a mastectomy

    KatieMI replied to coletanner123's topic in General Nursing

    There is no scientific evidence that placing peripheral IV on the same side as mastectomy (radical or otherwise) after 20 years can cause lymphedema or any other complication if these complications...
  25. KatieMI

    What Else Can I Do For A Living?

    KatieMI replied to RNCM123's topic in Nursing Career

    Semi-livable job pay is what LPNs and MAs get. Something tells me that the OP makes more than that... quite a bit more. Re. the rest of issue, it is the question of what exactly the OP dislikes so...