KatieMI BSN, MSN, RN

ICU, LTACH, Internal Medicine

Member

All Content by KatieMI

  1. You also see that the moon gets up in the sky every time after the sun goes down, as countless generation of humans did for the last 100000 years. It still doesn't mean that the moon comes up BECAUSE...
  2. Just to let you know, there are plenty of people like myself. The road to medical practice for foreign medical grads in this country is so excrutiatingly difficult that many people just do not have...
  3. KatieMI

    Non opioid pain options

    ER enviroinment is not well-suited for any type of pain management except acute pain caused by more or less clear pathology. It is especially so in our times of "customer satisfaction" madness and ER...
  4. Get your passport, go to Toronto science centre, sit there for a while. I recommend the hands-on room near temporary exhibitions' wing. Listen what parents there say and do if the problem seems that...
  5. It took me quite a bit of energy to make it absolutely clear that I was not, and never will be, interested in anything any close to politics, meetings, policies and schmolicies. Clinical /technical...
  6. I f people REALLY feel so hard for an issue, they usually do not bend that easy. They find jobs, they move, they immigrate, they fight, after all. Look what is going on in Ontario, Canada and their...
  7. THIS. I am pretty much sure that it is an issue of "every square must be marked" and, maybe, it would be fine to write like "N/A", then in comment section "patient coded at (time), please see code...
  8. KatieMI

    FNP Clinical Settings

    FNPs can do everything, including minor surgeries, and that includes derm and plastics small stuff. I could do as many warts' cuttings, biopsies, spider angioma burns, etc. as I would like in an...
  9. KatieMI

    NP Career Questions

    Partial responce: Shadowing and ​graduate programs What is the best way to find a shadowing or volunteer opportunity? None, unless you have personal contact AND the facility allows it. Which...
  10. KatieMI

    FNP Clinical Settings

    Derm and plastics do hire NPs, but not right after school. You'll likely have to start in Primary practice office, where a fair number of small derm procedures (biopsies, excisions, sometimes even...
  11. KatieMI

    Now what??

    While they play being honest at the time of that particular assignment, nothing prevents them from putting you under microscope and with target on your back at the rest of it. Truly, honestly, I would...
  12. KatieMI

    High Flow Oxygen

    Had this pretty often when I was in LTACH. If NGT didn't stay there forever, it worked just fine as long as the patient could breathe with his nose. If within 96 hours or so there was no alternative...
  13. If you only once see that half-eviscerated woman asking her oncologist "why did you treat me if you knew that I MIGHT be suffering like this to the end of my life?" or a 5 years-old writing, in a huge...
  14. Recently in Australia, parents lost their rights to receive goverment child support subsidies if they refuse vaccinations. It worked as a miracle. Parents of 200000+ kids suddenly forgot about their...
  15. For example, to prevent papilloma virus - induced anal cancer, which is not screenable, spreads early and has 5 years survival of 50 - 70% in case of diagnosis at stage I, which is rare. Survival...
  16. According to my own purely anecdotal observations, many anti vaxxers are just deeply disquiet about multiple life issues which may not have anything to do with vaccinations. Anti-vax movement provides...
  17. KatieMI

    Dr. denigrates NPs, cites low IQ etc

    He is anesthesiologist in Florida, where CRNAs are not "independent" and accountability theoretically falls onto MD/DO provider: CRNA Independent Practice Map | NCSBN Otherwise, it is yet another...
  18. KatieMI

    I went to work with a black eye

    Just to clarify things - mandatory reporting requirements of domestic violence varies widely through states, in three of them there are no mandatory screenings to this day (except for suspected...
  19. I am foreign MD who converted to nursing here. If you have general nursing diploma from Ukraine (not "akusherka", "feldsher" or something, but "medsestra obshchei praktiki"), you can go through CGNFS...
  20. KatieMI

    Arterial vs Venous Pressure

    There are no big veins around radial artery, and this is not groin or AC fossa where these two things run close together. In the wrist, if it is pulsating, it is in artery. ABGs in venous and arterial...
  21. KatieMI

    What if I'm the Bully?

    The above proves that you are NOT a bully. You can trust me in that
  22. KatieMI

    What if I'm the Bully?

    I do not feel that the described example was "bullying". It might be less than "polite", but it was not "bullying". "Bullying" would look somewhat akin to this: - you found that bag, then came to...
  23. KatieMI

    Nurses and bullies...

    While I am a convinced supporter of the point of view about prevalence of bullying and lateral violence in modern American nursing being so high that it should be considered a cultural norm, I might...
  24. KatieMI

    With a MSN, why do I need a BSN?

    They also might not do so for legal reasons. An NP-prepared person who passed the Boards in many states is considered possessing knowledge and skills (and, therefore, liable for applying or...
  25. There are multiple patients who demand home care just in order to be wiped and cleaned every day because that's what "they always do for me while I am in hospital". As well as multiple people in the...