KatieMI BSN, MSN, RN

ICU, LTACH, Internal Medicine

Member

All Content by KatieMI

  1. I would not RECOMMEND the generic drug (at least as an RN). But I most definitely WILL explain that, although there can be subtle individual differences in speed of adsorbtion (and therefore start of...
  2. KatieMI

    Accepting gifts from patients?

    Where I am, small things like thank you cards, candy, homemade sweets, little Christmas ornaments, etc. are allowed. I got a book one time and had to go to management, but there was no problems. If...
  3. Just don't forget about cleaning up some traches, especially infected and eroded ones. Also, about sticking needles into someone for ABGs, oropharyngeal suction of patients with advanced periodontitis...
  4. From what I know: - working with cancer patients 90+%, many of them terminal - limited scope of practice - VERY limited knowledge, unless they did/do something else - limited employment (as that's...
  5. 3.9 so far. Only because of one professor who declared that she just doesn't think that any Master's student can ever get "A" in her class (which was 100% pure fluff, BTW, and thus delivered final...
  6. With 11 to 14 graduate level credits/semester and 14 to 20+ clinical hours, 2 12-hour shifts/week most of the time. It can be done. But it
  7. Same problem here. "Acute" LTACH with many unstable patients. Only one satisfactory solution I came to after almost 3 years there is to do it myself, because 1) I can educate CNAs till loss of my...
  8. KatieMI

    BSN straight to NP or gain work experience

    Going through RN on the way to NP makes sense for those who never had any direct patient care experience and no health care experience in general. BTW, it is much better to go through BSN nowadays -...
  9. KatieMI

    Family Google expert, MD

    Level one: Wikipedia Community College grad: - heh... can you'guys just FIX'ED that? My mom's heart, I mean? Some pill or... that device that pushes it... somehow... like in that movie... Graves'...
  10. KatieMI

    Family Google expert, MD

    Level one: Wikipedia Community College grad: - heh... can you'guys just FIX'ED that? My mom's heart, I mean? Some pill or... that device that pushes it... somehow... like in that movie... Graves'...
  11. I would do it again, but I would be d***ed if there would be one single day of bedside. Would prefer $50000 in student debths and go directly to
  12. KatieMI

    Come On People, How Stupid Are You??

    The right answer on the question "can some people be REALLY THAT stupid?" is always "YES" BTW, IMHO, it is better to hold hydralazine for BP over parameter than to give it at the same time as...
  13. KatieMI

    Contacted multiple times for same empty shift

    I got such call for help yesterday and promptly told that I won't make it for that shift even if I wished to do so because my flight was some 6 hours later, over 2 time zones, plus 100+ miles drive...
  14. KatieMI

    Scheduling harassment

    If you stop responding and explaining, they will eventually get the message. Turn off the phone if calling is something that bothers you. It might help to make a legend about some time-consuming...
  15. KatieMI

    SNF

    I think that we need to get the elderly back to the place they occupied not so long ago. Keepers of traditions and wisdom. Backbones of families. Unquestionable support and loyalty. I am traveling...
  16. KatieMI

    NP refusing to write meds?

    Prescriptions for meds, to be taken home or not, should be written by a provider who knows what he or she is doing, first and foremost. The nowadays universal reality of PCPs and FNPs writting scripts...
  17. KatieMI

    Confused about FNP and CAGS

    CAGS = what was once named "postmaster certificate". Yes, a FNP who do this type of program can be considered whatever is written on the certificate. Women's Health, Peds, Acute, whatever. It is a...
  18. KatieMI

    Chores

    I do not mind getting trash out once in a while, especially, say, after unsuccessful code so that the things would be cleared up quicker and we would let the grieving family in. But if I would be told...
  19. KatieMI

    Does anyone else ever envy their patients?

    Who in the world prohibits you from declaring yourself bed-bound for one day if that is what you just want? Send kids to grandma and dog to kennel and go
  20. BTW, it is true that you may not list any degree that is not pertinent to nursing. Only one trouble is that your undergrad program will be contacted and they may be asked to report your GPA you came...
  21. 1). Find a university/program which will accept you as you are. AFAIK, they are most common among mid-range brick-and-mortar or for-profit online programs. One I know is Wayne State University,...
  22. KatieMI

    CVICU step down vs. LTACH

    I would also go for CV step down. LTACHs ("acute", not rehab) usually have harsher enviroinment and sicker patients and require more experience to feel comfortable
  23. KatieMI

    What nursing task do you loathe???

    Being held as physicians' private secretary of a sort. "Tell Dr. X that I want this and that done, but before that call Dr. Y and ask him to schedule trache if he still wants it done; otherwise, call...
  24. 1). It is not a "virus". It is a bacteria, a "bug", if you like. 2). Positive skin test means that your body and the Tb bug met each other. Nothing less, nothing more. It DOESN'T MEAN you got Tb...
  25. KatieMI

    Short staff=neglect?

    In any facility, including LTC, if things come to the level that you feel as not able to provide safe care for your patients, the best way is to tell the Powers that you've got life too and will work...