KatieMI BSN, MSN, RN

ICU, LTACH, Internal Medicine

Member

All Content by KatieMI

  1. KatieMI

    It is a broken system - rant

    Four principles of medical ethics are wonderful things when they are used in correct way. Pushing patient with very limited life expectancy toward aggressive chemo with known severe side effects and...
  2. KatieMI

    What is the grossest thing that's happened to you???

    Fishing for a piece of diamond necklace in open abdominal wound with several open large and small bowel fistulae projectively spilling content all over, with two CENAs holding half-cut off pannus...
  3. KatieMI

    Is it fianally time to retire NETY?

    Yet, new grads (as well as "new" hires and "new" in specialty nurses) seem to be more affected by "lateral violence" (Lateral Violence in Nursing and the Theory of the Nurse as Wounded Healer) Every...
  4. KatieMI

    Is it fianally time to retire NETY?

    Following this "logic", I proudly cast my vote for retiring "domestic violence". I never experienced it, and, according to my observations, it is termed incorrectly. It should instead be named...
  5. Tell her in clear English that you've got life going and work only the days you are scheduled. No exclusions, no wiggle room, no conditions. Done. BTW, it works nice with Powers as
  6. KatieMI

    AEDs in the Wild?

    The question is: what is going to happen after that first shock is delivered? Do these people also have access (and know how to place/use) IV, fluids, pressors, BP monitoring, etc., etc.? If not, then...
  7. Agree with Macawake. Shouldn't we also let them know that we do not have to rest, sleep, pee, etc., etc., and I personally am here for them 24/7/365? I tell people the truth, and even more so if they...
  8. Dear OP, nobody here says that you are not smart. You are just not ready for colleg-level coursework, that's it. If you can say that glucose + glucose = maltose, it doesn't mean that you understand...
  9. You are probably not going to like what I'll say but I'd seen so many people struggling through the same situation that I repeat: - your dreams/wishes/dedications/hard work/other excellencies taken...
  10. KatieMI

    I need a loan but can't get a cosigner

    If you only need those $7500 with that kind of credit score, pretty much only one viable option would be to ask your relatives. Otherwise, things just are what they are: you can't afford this program...
  11. KatieMI

    CNM vs WHNP vs Having Both

    CNM with no previous experience fresh from BSN?? Oh, good Lord And, yeah, some of CNMs I spoke with would like to try things like urology, incontinence or fertility clinics but, for obvious reasons,...
  12. Psychotic and suicidal patient doesn't lose her human rights just because she is psychotic and suicidal. Safety is important, but so is human dignity, and being not allowed something that represents...
  13. KatieMI

    CNM vs WHNP vs Having Both

    From my contacts with both durign the last semester... - CNMs: do deliveries, school is more pointed, more rigorous and more difficult to get into, they are generally more busy (lots of calls,...
  14. KatieMI

    Is this reasonable or just over the top?

    This is one of the "studies" with one of the higher citation index for the subject: http://journals.lww.com/nursing/Fulltext/2015/08000/Bedside_shift_report__Implications_for_patient.20.aspx and...
  15. KatieMI

    Is this reasonable or just over the top?

    IMHO, it is WAY over the top. Starting with waking the patient up, and with everything that follows. The good news: if everybody (and I mean that:every single nurse in the unit) will either 1) clock...
  16. KatieMI

    acute care vs. long term care

    Little Demented Old Lady. A type who is frequently looking very frail and benign but in reality extremely difficult to manage due to long list of medical and mental conditions aggravated by extreme...
  17. KatieMI

    acute care vs. long term care

    I've been in both and honestly can say that either field has its own quirks and demands. You don't enjoy patients changing quickly; would you rather like to be a personal servant that LDOL from XXX...
  18. KatieMI

    Too Many Nurse Practitioners?

  19. 1). PAs (just as primary care physicians) may have as little as one rotation (4 to 6 weeks) dedicated to mental health through the whole training period. 2). What is more importantly, the accents of...
  20. KatieMI

    Wearing secular head coverings?

    Dear Oregon, the thing is, in so many places being a nurse automatically means living by the written word, doesn't matter how absurd it might be. There is a chance that you'll end up in a place where...
  21. KatieMI

    call MD if HR <60

    Oh, the fun and pleasure to see my fellow nurses going bananas after seeing my BP 83/45 (yeah, my low normal, no pads are needed, just tell me where your coffee machine is, and let's make it hot...
  22. KatieMI

    Workplace Harassment forced me to resign

    We both have no idea what actually happened with the OP. I had experienced harrassment with my nursing jobs too, and what I learned was a bit different. Yes, it is not illegal to be a jerk, but when a...
  23. KatieMI

    Workplace Harassment forced me to resign

    Not completely correct: Can an RN sue her nurse manager for defamation? | Nurse.com Blog (please note that is is not some money-hungry lawyer blog but a place which provides CE for RNs). I do not say...
  24. KatieMI

    Too Many Nurse Practitioners?

    In my personal experience, "bedside nursing" can be valuable for future NPs only if it implies what it should - assessments, certain degree of autonomy, critical thinking and coordination of care. The...
  25. KatieMI

    Workplace Harassment forced me to resign

    I do not support the idea of comparing workplace violence, however bad, with Holocaust as well... That being said, workplace violence continues because the perpetrators feel pretty much invincible....