KatieMI BSN, MSN, RN

ICU, LTACH, Internal Medicine

Member

All Content by KatieMI

  1. KatieMI

    Can my Professor be wrong?

    KatieMI replied to Healer#1's topic in Nursing Student Assistance

    BTW, when you treat your DKA and such, your patient gets low potassium not as much because of duress as by the mechanism I described, and also because by giving insulin you push more of it into cells....
  2. KatieMI

    Can my Professor be wrong?

    KatieMI replied to Healer#1's topic in Nursing Student Assistance

    Buddy, POTASSIUM STAYS WITHIN THE CELLS (as long as they are whole), so, if you throw something to increase your osmolarity in plasma (it can be sodium, glucose or something else - that is not...
  3. KatieMI

    Dialysis question?

    KatieMI replied to Pharmahaulic's topic in General Nursing

    Propofol has very quick and predictable metabolism. Although its t 1/2 can be anywhere between 1.5 and 30 hours, it is metabolized mostly by liver glucoronization, which is quick process which...
  4. KatieMI

    Dialysis question?

    KatieMI replied to Pharmahaulic's topic in General Nursing

    Propofol metabolism is too quick to make dialysis useful. Benzos are weakly dialisable. They all cross brain-blood barrier pretty quickly, so HD would only wash out molecules still not bound by...
  5. KatieMI

    Fired from my first RN job after only 2 weeks.

    KatieMI replied to Mountainrnbsn's topic in First Year After Licensure

    Something tells me that the preceptor, manager and educator will all tell that the OP was asking 1.4555783 more question/unit of time than any new grad they ever heard of, that she was not the best...
  6. KatieMI

    Why nurses don't want to talk to a ward psychologist?

    KatieMI replied to manjar's topic in General Nursing

    1). Re. everybody being excited about psychologist available: something tells me that it was a cool idea which stemmed directly from administration and no one ever asked bedside nurses if THEY would...
  7. KatieMI

    Hate my new hospital culture 2 days in, is it me?

    KatieMI replied to FatsWaller's topic in General Nursing

    I made an observation that camaderie, work culture, nursing autonomy and interprofessional relationships are frequently (not always) better in the most busy, tough places caring for large numbers of...
  8. KatieMI

    Why nurses don't want to talk to a ward psychologist?

    KatieMI replied to manjar's topic in General Nursing

    In hospitals, walls got ears. There is almost 110% possibility that whatever a nurse says will be one day used against her. I worked with clinical psychologist for years after I got PTSD as a result...
  9. KatieMI

    Seeking Advice: Direct Entry Blues

    KatieMI replied to mk989's topic in Nurse Practitioners, NP

    Count your blessings if your workplace allows you to do NURSING job and develop skills. In my NP class there were several students who worked in a teaching hospital where nurses were not allowed to...
  10. KatieMI

    Seeking Advice: Direct Entry Blues

    KatieMI replied to mk989's topic in Nurse Practitioners, NP

    Bedside nursing can play any role at all in preparation of a new grad NP for functioning on a provider level only if the new grad happened to work in the same enviroinment, with the same physicians,...
  11. KatieMI

    Are anti-vaccine people conspiracy theorists generally?

    KatieMI replied to Emergent's topic in General Nursing

    Honestly, I'd seen discussions of just such level or even below it on SDN. Just because we are nurses doesn't mean we're automatically have more or better critical thinking and information management...
  12. KatieMI

    Are anti-vaccine people conspiracy theorists generally?

    KatieMI replied to Emergent's topic in General Nursing

    MunoRN, THANK YOU for a great way to explain the subject! With your permission, borrowed and put to good use
  13. KatieMI

    Are anti-vaccine people conspiracy theorists generally?

    KatieMI replied to Emergent's topic in General Nursing

    Because the amount of blood that is needed to transmit the virus is tiny to non-observable, and because the number of people infected with it is estimated as anywhere between 800000 and 2.2 mln. The...
  14. KatieMI

    Are anti-vaccine people conspiracy theorists generally?

    KatieMI replied to Emergent's topic in General Nursing

    If you really want an "open-minded" provider, look for an experienced NP. MDs/DOs, during their training, see and deal with all the "worst case scenarios" one can think of. After they get out of...
  15. KatieMI

    Legal elderly abuse

    KatieMI replied to Steve123's topic in General Nursing

    Need in IV hydration and preop workup justify inpatient admission. If you take a closer look at medications elderly patients get, you'll find that almost every single person over age of 70 receives at...
  16. KatieMI

    Mitochondrial disorders?

    KatieMI replied to Pharmahaulic's topic in General Nursing

    Immediate, global interruption = quick death. That's how cyanides work. Tissue-specific interruption - can stay alive for a while or have almost normal total life expectancy, but altered organs...
  17. KatieMI

    Gift for Preceptor

    KatieMI replied to Joelle66's topic in General Nursing

    If preceptor likes some specific thing, then something connected with it. One of my preceptors was a hunter, and he got a gift card for a local outdoor sports store. If not, then something generally...
  18. KatieMI

    Possible reactions from your patients if suggested alternative pain relief

    KatieMI replied to DesiDani's topic in General Nursing

    I visited today a fairly large local craft/small private enterprize show. Among 100+ stalls there were at least 15 offering various non-pharm options for pain relief, from ointments and salves to...
  19. KatieMI

    Are anti-vaccine people conspiracy theorists generally?

    KatieMI replied to Emergent's topic in General Nursing

    The latter would, within limitations, answer the question "if mandating vaccine for HCWs would do any difference". If we want to answer the question "if vaccination of HCWs would do any difference",...
  20. KatieMI

    Are anti-vaccine people conspiracy theorists generally?

    KatieMI replied to Emergent's topic in General Nursing

    1). Pretty much no one working nowadays in American healthcare has a luxury to speak with patients for hours in a row. That's just the fact of life, sorry. 2). When we, healthcare providers, say that...
  21. KatieMI

    Are anti-vaccine people conspiracy theorists generally?

    KatieMI replied to Emergent's topic in General Nursing

    I just love when study authors declare that "RCT is needed" when, as they should understand, there can be no RCT, ever, done. To get study power high enough to allow for calculations which would be...
  22. KatieMI

    Are anti-vaccine people conspiracy theorists generally?

    KatieMI replied to Emergent's topic in General Nursing

    Some preventable diseases are all but eradicated in the United States of America. But people come in the United States from all around the world, including countries where vaccination policies are...
  23. KatieMI

    Are anti-vaccine people conspiracy theorists generally?

    KatieMI replied to Emergent's topic in General Nursing

    Count me in, too! Spoiled my new $80 pants on
  24. KatieMI

    Are anti-vaccine people conspiracy theorists generally?

    KatieMI replied to Emergent's topic in General Nursing

    I just afraid to imagine now how these nurses can treat a science-smart new grad dreaming of a CRNA or NP program. Truly, anti-intellectualism is becoming a sad reality of American
  25. KatieMI

    Are anti-vaccine people conspiracy theorists generally?

    KatieMI replied to Emergent's topic in General Nursing

    I dare because I am immunosupressed person, and that happened because many years ago, one beautiful day, some mom back in Soviet Union decided to "use her rights" and not give her kid a shot to...