KatieMI BSN, MSN, RN

ICU, LTACH, Internal Medicine

Member

All Content by KatieMI

  1. KatieMI

    How to tell between Mobitz II and 3rd degree heart block

    KatieMI replied to Irving's topic in General Nursing

    Standard ACLS strips: https://acls-algorithms.com/rhythms/second-degree-heart-block-type-2/ https://acls-algorithms.com/rhythms/complete-heart-block/ 1). 3 degree QRS is ALWAYS brady (6 or less...
  2. KatieMI

    English As A Second Language

    KatieMI replied to Santa Monica's topic in General Nursing

    You might want to see the rest of the world one day, my friend, of which you evidently know not what you do not know. You also would benefit from exposing yourself to areas which do not belong to...
  3. KatieMI

    Question to Catholic nurses

    KatieMI posted a topic in General Nursing

    Elderly patient in acute care, very sick, A,Ox4. Catholic chaplain tied up somewhere else, so a volunteer from Chaplain's office comes. This guy was NOT a priest (wore no robes, no badge). The...
  4. KatieMI

    Brick & Mortar NP Programs- are they no longer a thing?

    KatieMI replied to EKTheRN's topic in Student Nurse Practitioner

    Look for big names. John Hopkins and University of Michigan/Ann Arbor are still mostly in-class, for one example. Just keep in mind that such programs cost accordingly and that many of them still do...
  5. KatieMI

    Black Sheep...time to leave?

    KatieMI replied to ThePrincessBride's topic in Patient, Colleague Relations

    Oh, why I never was in your unit? We would have many lovely talks for sure. Really, I was in exactly that place for years and never cared for it. I have very atypical set of interests for someone...
  6. KatieMI

    Could Not Make It Through The Orientation Of My First Job

    KatieMI replied to frenchxtoast's topic in General Nursing

    "Acute" LTACH is med/surg on high dose steroids and not a place I would recommend for start. "Subacute" (also known as "acute rehab") is a possibility. Figure out what exactly you struggle with and...
  7. KatieMI

    No Respect.

    KatieMI replied to CardiacDork's topic in General Nursing

    The thing is, families behave this way not because they feel comfortable and reassured but because of fear, anxiety and total, complete lack of understanding of what really is going on. There is a...
  8. KatieMI

    No Respect.

    KatieMI replied to CardiacDork's topic in General Nursing

    Absolutely. Just please do not remove the Life Vest because family "wanted" the patient to have bed bath right away. (yes, I saw it done by someone who passed
  9. KatieMI

    English As A Second Language

    KatieMI replied to Santa Monica's topic in General Nursing

    When YOU, with your Southern Texan speech (which would, at best, go as "weird" up North) would made to go to that "pronunciation class" after moving to Boston, MA, then and only then I or any other...
  10. KatieMI

    No Respect.

    KatieMI replied to CardiacDork's topic in General Nursing

    (sarcasmometer is ringing up) Oh, yeah. Forget about the fact that the patient just came off the table. Forget that she has a plastic contraption holding an artery which would totally exsanginate her...
  11. KatieMI

    What HARD truth have you learned once you became a nurse and/or CNA?

    KatieMI replied to DesiDani's topic in General Nursing

    1). **** happens. 2). Life IS NOT fair, and not gonna be. 3). There are things you can't buy, can't win and can't afford to lose. And sometimes you got only one chance to choose between
  12. KatieMI

    No Respect.

    KatieMI replied to CardiacDork's topic in General Nursing

    It did not started yesterday and going on well beyond medical field. Just ask someone who works in retail or hospitality industry. I see more causes for it than the ubiquitous "customer is always...
  13. KatieMI

    Living Will Tattoo

    KatieMI replied to jeastridge's topic in General Nursing

    This happens because people do not trust doctors. And, honestly, they have their reasons. In today's legal climate, I am surprised that docs finally honored the will of the patient. Hospital lawyers...
  14. KatieMI

    Question about "unchart" options

    KatieMI replied to TexasRN89's topic in General Nursing

    It is a question to your IT department, but in majority of EMR programs such event would be marked as "was changed by (user) (date time)". Usually only the last checked option is saved and archived,...
  15. KatieMI

    Bowel programs for clients with G tubes on continuous feeds.

    KatieMI replied to Alyssagilliam26's topic in General Nursing

    Bowel program on continous feed is exactly the same as for bolus feed. It might need to be more intence, but only for the reason of relatively low fiber and free water content in all formulas (if you...
  16. KatieMI

    Do Nurse Practitioners get drug tested?

    KatieMI replied to Emergent's topic in General Nursing

  17. KatieMI

    Do Nurse Practitioners get drug tested?

    KatieMI replied to Emergent's topic in General Nursing

    If NP (or any other provider) is not hired by facility, then there has to be a separate agreement between this facility and the practitioner's employer stipulating things such as drug testing, who is...
  18. KatieMI

    Made a fool of myself to board of nursing rep

    KatieMI replied to Lemon Bars's topic in General Nursing

    Once you hit the real nursing world and stay there for a few months, it all will make sense for you. It doesn't matter where you'll spend these few months - from high-tech ICU to ALF, it will happen....
  19. KatieMI

    English As A Second Language

    KatieMI replied to Santa Monica's topic in General Nursing

    People can become "interpreters" or "translators" and be hired to assist non-English speaking patients and families, translate for international medical teams, etc. They can be simultaneously hired...
  20. KatieMI

    English As A Second Language

    KatieMI replied to Santa Monica's topic in General Nursing

    This was one of the assignments within "nursing ethics/professionalism" segment of an MSN/DNP cluster programs (not my former, but I was one of "subjects" and naturally wondered about results): Solve...
  21. KatieMI

    English As A Second Language

    KatieMI replied to Santa Monica's topic in General Nursing

    Now, imagine that. You are just hired as a nurse. It may be your first job, or may not be, but it is still a big transition. You know that you MUST fit in the existing camaderie, and you better...
  22. KatieMI

    What Do You Think? Can You Be A Nurse If You Can't Do Bedside Care?

    KatieMI replied to Kooky Korky's topic in General Nursing

    Nurse Navigator is a type of personalized case manager. Navigators help patients who face long and complicated treatments (in this case, breast cancer) to learn where to get particular care they...
  23. KatieMI

    English As A Second Language

    KatieMI replied to Santa Monica's topic in General Nursing

    Brownbook, it completely OK to let others know if you do not understand their speech. It is also completely OK to let others know that you have hearing problems. It takes two (to tango) to...
  24. KatieMI

    A Feminist Approach to the Opioid Epidemic

    KatieMI replied to Issaiah1332's topic in General Nursing

    The author clearly never in his/her life saw a single one of those "poverless, obedient" patients who will do literally whatever it takes to wheedle more "good pills" from a provider, who is the...
  25. KatieMI

    English As A Second Language

    KatieMI replied to Santa Monica's topic in General Nursing

    Unfortunately, it is not "going over board". Long ago, people were shamed and being forced to apologize for being born females, for having dark skin and for going into different church. Now we...