KatieMI BSN, MSN, RN

ICU, LTACH, Internal Medicine

Member

All Content by KatieMI

  1. KatieMI

    Attending MD complained to my supervisors about me...am I a bad nurse?

    KatieMI replied to pinkdoves's topic in General Nursing

    Nursing education is not what most of providers routinely do (there are some rare exclusions like myself). Providers usually have load anywhere from 10 to 12 to over 50 patients. They may not have...
  2. KatieMI

    Maryville FNP or any other FNP program

    KatieMI replied to BSNtofutureFNP's topic in Student Nurse Practitioner

    What I do know is Maryville got my phone a month ago and since this they are calling EVERY SINGLE DAY, multiple times. I blocked their phone but they still call and litter with their "personal...
  3. KatieMI

    Sending patients to ER

    KatieMI replied to jmathe23's topic in Nurse Practitioners, NP

    I always did that. ER people appreciated it because otherwise they very likely would be stuck with clinic/SNF "report" on the level "oh, I do not know anything about him but I was told that they just...
  4. KatieMI

    NP programs with a speciality in pain management

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

    There is no such "speciality" for NPs. FNPs and AGPC-NPs are routinely hired and employed in "pain clinics" but never (or almost never) allowed to do procedures. They do routine physicals and write...
  5. KatieMI

    Misconceptions/truths about specialities

    KatieMI replied to vintage_RN's topic in General Nursing

    ICU nurses: evil, arrogant, know-it-all techy jerks Acute HD: 20 min working, then 4.5 h sitting on your butt playing with your phone while being paid overtime for that SNF nurses: bottom level,...
  6. KatieMI

    Racism and Covid-19: The Unmasking of Two Pandemics

    KatieMI replied to Stacy Winters's topic in General Nursing

    The problem is, those who manage to get out of "minority poor" do whatever it takes to lose all connection with the level of people who feel rasism and discrimination the most. And once they reach...
  7. KatieMI

    Do Not Resuscitate - An Inconvenient Truth About Our Healthcare System

    KatieMI replied to Skwidward's topic in General Nursing

    Just so you know - they were administrators of that SNF. I met with several priests who work in a Catholic health system when I had to present cases for ethical committee. Most of them,...
  8. KatieMI

    The overwhelming process of choosing an NP program and Return on Investment

    KatieMI replied to Crookshanks24's topic in Student Nurse Practitioner

    If you just moved and work PRN anyway, give yourself a year or a little longer, pick up more shifts (or find another PRN job) and set the additional money aside. It is very realistic to finance 50% or...
  9. KatieMI

    Racism and Covid-19: The Unmasking of Two Pandemics

    KatieMI replied to Stacy Winters's topic in General Nursing

    There is also quite a thick level of xenophobia and anti-immigrant attitudes, both among nurses and public. Both are condoned and in some places receive tender loving care under premice of "complete...
  10. KatieMI

    Which Job for the Long Road?

    KatieMI replied to Apple_Gel's topic in General Nursing

    Actually, just working there. One will need a review of full med/surg + wounds+ elements of ICU + respiratory, which is not
  11. KatieMI

    Which Job for the Long Road?

    KatieMI replied to Apple_Gel's topic in General Nursing

    LTACH is a golden place for learning skills and developing critical thinking and time management. I'd say it that really "acute" LTACH is better in this sense than many ICUs. But if you do not want to...
  12. KatieMI

    Medication error wrong patient

    KatieMI replied to Student Rpn's topic in General Nursing

    Well, if you administer something IM, unless your patient has low fat index (practically, a young athlete or underweight/cachectic) or if you go gluteal, quite a high % actually end up as SQ. I saw...
  13. KatieMI

    Medication error wrong patient

    KatieMI replied to Student Rpn's topic in General Nursing

    As someone wisely said not long ago on this very forum, there are two kinds of nurses: those who did medical error at least once and those who didn't do it yet. I did exactly that once as a nurse and...
  14. KatieMI

    Difficulty with respiratory issues as a new grad?

    KatieMI replied to Audacioustank's topic in General Nursing

    You will question your "simple assessment skills" to the end of your professional life. I do it too, all the time ? You do not have to hear, or feel, absolutely the same as another person. That...
  15. KatieMI

    Nursing School and Career with Back Problems

    KatieMI replied to person115's topic in General Nursing

    I would say either consider direct ABSN to MSN/DNP/PhD with no plans to work bedside in any capacity, or find some other way to serve humankind. The risk of severe back injury with unpredictable...
  16. KatieMI

    Difficulty with respiratory issues as a new grad?

    KatieMI replied to Audacioustank's topic in General Nursing

    The thing is, people with COPD and some other pathologies can wheeze all the time. It doesn't mean they need "respiratory treatment" every time you hear wheezing. Your job at this point is to learn...
  17. KatieMI

    Is 6 times a day too many to visit a favorite patient who isn’t on your caseload?

    KatieMI replied to SilverBells's topic in General Nursing

    It is never verboten to care for a patient while remaining what you are: a professional doing what you are there for professionally. We can and, IMH(umble)O, must preserve a human touch and emotions...
  18. KatieMI

    Is 6 times a day too many to visit a favorite patient who isn’t on your caseload?

    KatieMI replied to SilverBells's topic in General Nursing

    Silly question: - if that client eats and drinks "only" with the TS, does it mean that TS works 7 days a week to complete her 6 daily visits? If so, aren't her management aware about huge amount of...
  19. KatieMI

    Asked to give an anesthesia medication

    KatieMI replied to laurencsmile's topic in General Nursing

    On med-surg floor and everywhere else. for patients when central acting of atropine is not desirable. Psychosis/delirium/bradycardic DT (it happens), for one example. Robinul is s huge molecule which...
  20. KatieMI

    Asked to give an anesthesia medication

    KatieMI replied to laurencsmile's topic in General Nursing

    1) this is not "anesthesia" medication. This is a medication you do not know. BUT: 2) it is just basic clinical logic: if you gonna administer something acutely affecting heart in any way, you must...
  21. KatieMI

    NPs - Tropical Medicine

    KatieMI replied to Jessica Chichester's topic in Nurse Practitioners, NP

    Actually, what she is doing during missions comes as close to physician's work as it can be. Licensing, scope or practice and such matters much less in the field. We compared her responsibilities...
  22. KatieMI

    Using Nursing Theory in Practice?

    KatieMI replied to mooseRN's topic in Student Nurse Practitioner

    Nursing theory is commonly known as "fluff" by a reason. Forget it next moment after exam. Spend your time on patho, pharma and clinicals, you'll need
  23. KatieMI

    NPs - Tropical Medicine

    KatieMI replied to Jessica Chichester's topic in Nurse Practitioners, NP

    I know one NP who specializes in tropical medicine. She belongs to Christian religious mission group. She told her story started from several missions on Haiti, then she signed up for Nurses Without...
  24. KatieMI

    When Your Preceptee is a Know-it-All

    KatieMI replied to Nurse Beth's topic in General Nursing

    Their issue was that they thought if they were doing bedside for X years and knew what written in some stupid policy, they therefore may stop thinking and just follow the said policy and everything...
  25. KatieMI

    When Your Preceptee is a Know-it-All

    KatieMI replied to Nurse Beth's topic in General Nursing

    Sorry, no. They were not. With all