KatieMI BSN, MSN, RN

ICU, LTACH, Internal Medicine

Member

All Content by KatieMI

  1. KatieMI

    Allergy IV's?

    KatieMI replied to VanessaTitoyan's topic in General Nursing

    Even leaving "detoxification" question alone: Fact #1: Soybean lechitin (the stuff added in pretty much every item with longer shelf life here in US and which makes lives of folks allergic to soy so...
  2. KatieMI

    Allergy IV's?

    KatieMI replied to VanessaTitoyan's topic in General Nursing

    I wrote right above what Essentiale is. Mix of soy-based phospholipids and some lipid soluble vitamins. Basically, same thing as soybean oil, and expected effects are just physically not
  3. KatieMI

    Allergy IV's?

    KatieMI replied to VanessaTitoyan's topic in General Nursing

    1). You were not in vein and pushed the drug SQ. 2). Essentiale is a junk snake oil type thing. For those who do not know, it is pretty much solution of phospholipide, not unlike a diluted lipids...
  4. KatieMI

    How to deal with a bully patient?

    KatieMI replied to DesiDani's topic in General Nursing

    I am not for it at all, of course, but in many (not all - but definitely many) places which depend on temporary staff it is just part of the business. It was one rude discovery I'd made very soon...
  5. KatieMI

    How to deal with a bully patient?

    KatieMI replied to DesiDani's topic in General Nursing

    Because I've been there and done that. When I was an agency nurse, it was the name of the game in 4 out of 5 facilities I was sent
  6. KatieMI

    What struggles did you go through to eventually become a nurse? Share your story.

    KatieMI replied to alieu4's topic in General Nursing

    2000: came to USA with foreign med degree 2002: USMLE 97/99/99 Things looked good 2003: health catastrophy. Long story short, 2.5 years of fighting for my daughter's life, every minute of it, with not...
  7. KatieMI

    How to deal with a bully patient?

    KatieMI replied to DesiDani's topic in General Nursing

    Because getting assignments nobody else wants to work with is what travelers, float pool and temp staffing agency RNs are there for. You are not paid more for your beautiful face when you sign up for...
  8. KatieMI

    Interview, reference check..did I get duped?

    KatieMI replied to Dogeared's topic in General Nursing

    The manager could go on vacation. They could find someone else. The HR could close the position without hiring anyone. They could sieve things down to two candidates and ask them both for references,...
  9. KatieMI

    Recent patient drunkenly kills motorist

    KatieMI replied to MilieuRN's topic in Psychiatric

    Ruby Vee, The thing is, we only have power to change ourselves. Not even our children. Just accept it as a fact of life - YOUR life, not others'. It takes certain level of life's wisdom to come to...
  10. KatieMI

    Blood comparability

    KatieMI replied to BKingRn's topic in General Nursing

    "because it is a POLICY!!!" 'because we ALWAYS do it this way here" "because we NEVER do it this way here" "because THEY do it but WE don't" "because you ask too many questions"
  11. KatieMI

    Blood comparability

    KatieMI replied to BKingRn's topic in General Nursing

    The answer is NO. The problem is, each and every dose of FFP, platelets, PRBCs and any other blood products (yep, including human albumine) can contain trace amount of host antibodies. Once product...
  12. KatieMI

    Denentia, pain, and ckd

    KatieMI replied to Shubbell's topic in General Nursing

    Is the gal still "full code"? The PA works under M.D. licence... did you contact the doctor? Does family know about patient declining? What do they think about hospice? Can your LTC do hospice care?...
  13. KatieMI

    B&M vs Online

    KatieMI replied to Owlgal's topic in Student Nurse Practitioner

    Positives of high quality online programs: - no early morning/late evening drives, parkings, etc. Can be quite a plus for those living in the middle of nowhere and with biweekly drive 2 hours one way...
  14. KatieMI

    Antagonistic NP Article

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

    Dear BostonFNP, I am pretty much sure that the whole article is written by a person who has no idea about advance practice nursing and about medicine at all. Humans get 90% of information through...
  15. KatieMI

    New Grad to NP program?

    KatieMI replied to RNICU09's topic in General Nursing

    Full time FNP program takes at least 30 hours/week studying/clinicals/classes which is compatible with work, but most commonly not full time. Some (usually better) programs ask students to sign a...
  16. KatieMI

    Antagonistic NP Article

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

    - an NP "announces being a doctor"? - all NPs are doctorate prepared? - MRI found paraparesis being result a "side effect of medication"?? Gosh, I am burning of curiosity - what that might be? Easily...
  17. KatieMI

    I Have a question

    KatieMI replied to 111170's topic in General Nursing

    Not gonna happen with a postop patient whose wounds/dressings must be professionally accessed and changes recorded and reported. Where I am, we actually see such requests pretty often, with family...
  18. KatieMI

    Respect For Nurses

    KatieMI replied to RNGummy40's topic in General Nursing

    "Huney, does it has anything to do with the business?" (in sarcasm-soaked yet oh-so- polite tone; watch a few old-time movies if you don't know how to say it THAT way) :) Then no tip. Problem solved....
  19. KatieMI

    Alternative to compression stockings

    KatieMI replied to LouLou22's topic in General Nursing

    Plantar fasciitis sleeves from Walking company (better be fitted first time in store, then bought on Amazon) and calf compression sleeves ($10 or so on Walmart.com, or same good 'ol
  20. KatieMI

    I Have a question

    KatieMI replied to 111170's topic in General Nursing

    Only one thing I could suggest is to find private nursing agency and request male nurses for private duty. Some (not all) hospitals allow it. It will take a good few weeks to to arrange and quite a...
  21. KatieMI

    Recognition of illness/condition by smell?

    KatieMI replied to Misstika's topic in General Nursing

    DKA (and other kinds of severe metabolic acidosis with hypermetabolism): "nail polish" like, unpleasant "chemical" smell, mostly from mouth. Liver failure: strange, very unpleasant sweetish smell,...
  22. KatieMI

    Does LTC experience typically count as Med-Surg when applying for Med-Surg?

    KatieMI replied to Chadmasters's topic in General Nursing

    FNP programs typically look for NURSING experience, within which pretty much everything under the Sun counts as the same. I am doing pretty high ranked program which requires at least 1 year of...
  23. KatieMI

    Anxious Vent patient - looking for alternative therapy

    KatieMI replied to NextGen's topic in General Nursing

    Is she on weaning protocol? What vent setting she spends most of the time AND coughs mostly? (these two are different things usually) Is she still intubated or she is trached? If trached, does she...
  24. KatieMI

    Can't find a job after receiving a reprimand

    KatieMI replied to Perry85's topic in General Nursing

    1). Short term staffing agencies working with LTCs/SNFs. If, and ONLY if you have enough assurance in yourself as a nurse and open for real challenges, though. These agencies work with the worst SNFs,...
  25. KatieMI

    Forever a LTC/Rehab Nurse?

    KatieMI replied to purplegal's topic in General Nursing

    1. When you transfer patient to acute, be very friedly and very useful with ER staff. 2. Do the same with "outside" nurses who go into your LTC. Dialysis is one popular example, as HD companies...