KatieMI BSN, MSN, RN

ICU, LTACH, Internal Medicine

Member

All Content by KatieMI

  1. KatieMI

    How To Recover From Near Rock Bottom...

    KatieMI replied to Snowana's topic in General Nursing

    1) some people just have a kick with kids and parents. Some just appear not to have it. It is just a fact of life, and it is OK. 2) there are a lot of sub-perceptions and stereotyping in nursing, and...
  2. KatieMI

    Epinephrine error

    KatieMI replied to katie4593's topic in General Nursing

    BTW, Epipen and similar injectors work more IM than SQ. They have pretty long needles designed to go through snow pants if necessary, and the "jab" presses against the fat, delivering the drug deeper....
  3. KatieMI

    Epinephrine error

    KatieMI replied to katie4593's topic in General Nursing

    0.5 mg IV dose of Epi is standard EU protocol for SEVERE (anaphylaxis with shock or impending respiratory arrest, NOT just facial edema) allergic reaction with easy IV access. It does cause all the...
  4. KatieMI

    Rehab, feeding tubes, & constipation

    KatieMI replied to CrunchRN's topic in General Nursing

    Among other things.... 1). Make D*** sure that laxatives are in fact given. Cleaning of patients is a heavy task and in some facilities staff quietly witholds laxatives. Sorry to say that, but I've...
  5. KatieMI

    Never changed maiden name to married name

    KatieMI replied to LilNurseMelissa's topic in General Nursing

    Just a P.S. to OP: Once you get a Court order to change your name, ask for a whole lot of certified copies right then and there. About 20 of them would be about right. Tell that you have to change...
  6. KatieMI

    Touching Pills

    KatieMI replied to Captain_k's topic in General Nursing

    I really think that all those "reproductive hazards" and so forth perceived from theoretical possibility of inhaling/touching/being otherwise exposed to medications are overblown way out of the common...
  7. KatieMI

    Never changed maiden name to married name

    KatieMI replied to LilNurseMelissa's topic in General Nursing

    As a matter of fact, every US citizen is completely free to change his or her first, last or middle name or all of them at any point of life and for whatever reason. There will not be any actions on...
  8. KatieMI

    Emmergency

    KatieMI replied to Abednego's topic in General Nursing

    Antitetorifice equine serum (antitoxin for passive postexposure prophylaxis) is not used in developed world since at least 1970th and not available in the USA for the last 40 years. Human tetorifice...
  9. KatieMI

    doea nursing cause health problems?

    KatieMI replied to Jay1900's topic in General Nursing

    Here you go: Medscape: Medscape Access [Night shift work and cancer risk: a literature review]. - PubMed - NCBI (literature review - plenty of sources)....
  10. KatieMI

    Hospice Nurses is my Wife getting lowballed

    KatieMI replied to Vraktar's topic in General Nursing

    Either: 1) get another job to fill that week off, or 2) say the DON "no" and continue to look. It is that simple. I would definitely look for more details before accepting a job with on call...
  11. KatieMI

    Research patient or see patient first?

    KatieMI replied to RNingBSNing's topic in General Nursing

    You are there to treat patient, not chart or numbers. Therefore, whatever is written there is important only in conjunction with patient's condition. Two guys, same age, med/surg, both have Hb 7.0....
  12. KatieMI

    Heartbroken (long winded-sorry!)

    KatieMI replied to Fatsacktommy's topic in General Nursing

    I do understand where you coming from, but here is the fact, unfortunate as it is: - your management lied into your face. Cold-bloodedly, calmly and consciously. That's how it is named in English: a...
  13. KatieMI

    MD was angry I questioned him.

    KatieMI replied to ella2990's topic in General Nursing

    This should be printed, nicely framed and hung over every nursing
  14. KatieMI

    Considering DNP. Am I koo-koo?

    KatieMI replied to Scottishtape's topic in General Nursing

    1). This is not about experience. It is about YOU. 2). What do you want to do, in the process and after you are done? If you just want to be a clinician, DNP as it stands right now adds minimal...
  15. KatieMI

    MD was angry I questioned him.

    KatieMI replied to ella2990's topic in General Nursing

    You did what you should do. Just for the future reference: HIGH potassium causes bradycardia (that's how IV shot execution works), not low potassium. Potassium of 3 is usually not low enough to cause...
  16. KatieMI

    Stubborn CNA in ICU

    KatieMI replied to AnnoyedNurse's topic in General Nursing

    You can educate all you want and present all the evidence you want, but here is the fact: one CNA for 18 mostly incontinent, critical care patients can do very little indeed. What she does may not be...
  17. KatieMI

    DNP should be the Minimum Entry Practice

    KatieMI replied to nqe9650's topic in General Nursing

    Upteenth time in a row: if Master's prepared nurses, who are wastly outnumbering DNPs, are so poorly prepared, how comes that study upon study shows that as a pooled body, NPs provide equal or better...
  18. KatieMI

    Gross Things Patients Do

    KatieMI replied to bluegeegoo2's topic in General Nursing

    Oh, my. I thought that the "talk" about a baby crawling on the floor and playing with dirty linens in C. diff room was enough, but the Oscar goes to yours for
  19. KatieMI

    Gross Things Patients Do

    KatieMI replied to bluegeegoo2's topic in General Nursing

    I am an avid baker with particular passion toward wild yeast sourdoughs. So, when I happen to meet my "colleagues", talks naturally tend to turn toward starters, sponges and flour mixes. That happened...
  20. KatieMI

    New assignment problem

    KatieMI replied to WestkyRN's topic in General Nursing

    First, thank you so much for your service! Second, no, they most probably won't turn a bad eye on you for this alone. Nurses are moving between departments all the time for all kinds of reasons, so...
  21. KatieMI

    Too many screening questions?

    KatieMI replied to Emergent's topic in General Nursing

    Sorry for going off topic but yeah, new MSN/FNP is here. Boards, new job, and everything else are coming right
  22. KatieMI

    Too many screening questions?

    KatieMI replied to Emergent's topic in General Nursing

    Looks like we
  23. KatieMI

    Too many screening questions?

    KatieMI replied to Emergent's topic in General Nursing

    You do not care for the answer, just about the fact of it. Iamjustdoingmyjob, classic edition. I do not blame ER nurses for doing that, though - unfortunately, we all have to play the same game. Last...
  24. KatieMI

    Too many screening questions?

    KatieMI replied to Emergent's topic in General Nursing

    The problems with that are: 1) how are you going to make sure that those shocking answers indeed represent a problem, and 2) what are you going to do next, especially in quite specific climate of...
  25. KatieMI

    Improve the care I give.

    KatieMI replied to puckrj's topic in General Nursing

    Although none of us was there to see it, I would dare to suggest that it could be worthy idea for you to bring your NM your 2-week note ASAP and try to find a place where nurses are not treated as...