KatieMI BSN, MSN, RN

ICU, LTACH, Internal Medicine

Member

All Content by KatieMI

  1. KatieMI

    Not entering vital signs in pt chart per MD orders...

    KatieMI replied to Sadie2016's topic in General Nursing

    1). A physician cannot tell you how to do your NURSING job. You are doing yours like he is doing his. Next time, just politely refuse. "I am sorry, sir, but I can't do this, it's my job. Please write...
  2. KatieMI

    That wasn't cool

    KatieMI replied to Ashtimus Prime's topic in General Nursing

    I'll sure let my husband know it, so that when his research group go to Cambridge to meet with Sir Steven Hawking they give this esteemed scientist a good laughing time. And I'll sure let it all be...
  3. KatieMI

    CRNA After Discipline

    KatieMI replied to berkemeier's topic in Certified Registered Nurse Anesthetist, CRNA

    Where I am, people with drug disciplines 10+ years old cannot get into FNP programs. I do understand that everyone of us can make a mistake and get into trouble. But that's the fact: being any kind...
  4. KatieMI

    Am I overreacting?

    KatieMI posted a topic in Nursing Professionalism

    I will keep things as much to the point as possible here and not able to provide more exact details due to sensitive nature of the event. I was in common area of a health care facility of which I am...
  5. KatieMI

    Communication Discrimination

    KatieMI replied to WinterLilac's topic in Patient, Colleague Relations

    BTW, NaDaNurss is absolutely right. If a "functionally illiterate" person (that meaning someone who has difficulties to read on Grade 4 level and unable to understand what is written in an ordinary...
  6. KatieMI

    Realistic explanation of CPR

    KatieMI replied to Kteichow's topic in General Nursing

    I pull them aside, sit down, may be even get some coffee and tell, with all honesty: - CPR in life and CPR in "Grey's Anatomy" have nothing to do with each other. - CPR helps to start the heart back...
  7. KatieMI

    Call Light Happy Resident....help please?

    KatieMI replied to DefmamaNurse's topic in General Nursing

    1). Psych consult ASAP. 2). Convince PCP who cares for her to either reconsider her pain/sedative meds or request consult of someone who is better at that. She is getting pretty much hospice-leve...
  8. KatieMI

    Forget financial aid if youre an adult over 50

    KatieMI replied to martymoose's topic in General Nursing

    Get a PRN position in a local agency. You have your RN already, and these positions make no difference for ADN or BSN. They pay $40+/hour, so one shift should cover almost a whole credit hour' cost....
  9. KatieMI

    Help. No pay for orientation and buy their uniform?

    KatieMI replied to HappyCNA's topic in General Nursing

    If "non-slip" is everything that needed, Dr. Sholls from Walmart for $20 works pretty well. On the other hand, shoes which give serious protection for ligaments go within $80 - 100 at least, not...
  10. KatieMI

    Pick up the Chocolate?

    KatieMI replied to Avid reader's topic in General Nursing

    Since what time "The Guardian" became a peer-reviewed periodical? It all sounds cool, only one problem is that there is no such thing as "retired cell" in human body. Maybe with exclusion of female...
  11. KatieMI

    What makes you say/think "it was a good shift?"

    KatieMI replied to quazar's topic in General Nursing

    1). Nobody died (except that guy on comfort care, but he just quetly slipped away, with no pain and with his kids sitting near and holding his hands). 2). Everybody was happy (within reasons) 3)....
  12. KatieMI

    Help. No pay for orientation and buy their uniform?

    KatieMI replied to HappyCNA's topic in General Nursing

    Yep... they name it "work", I am expected to be paid for it, regardless of what it in fact might be. The author could do good for many by making one small call in her state's friendly Department of...
  13. KatieMI

    Sweet, Honey

    KatieMI replied to LikeTheDeadSea's topic in School

    Well, it looks like "honey" is now an accepted equivalent for personally addressing an unknown female of any age under pretty much any but some very official circumstances... I quietly hate it but I...
  14. KatieMI

    Help. No pay for orientation and buy their uniform?

    KatieMI replied to HappyCNA's topic in General Nursing

    I would just VERY politely let them know that I just got some completely new and unexpected circumstances in my life that absolutely preclude me from working in that particular place at that...
  15. KatieMI

    Board of Nursing Investigations

    KatieMI replied to Bopsha's topic in General Nursing

    The truth is, practically every breathing person can complain to every regulatory board or similar organization for whatever reason, however stupid it might be. I was once reported to BON by a patient...
  16. KatieMI

    Study nursing in the Philippines or in US?

    KatieMI replied to pizzaislyf's topic in Pre-Nursing Students

    Statistics, biomedical engineering, pharma (all three are going to be good money and a lot of jobs available), chemistry, biochem, laboratory science, medical technology. Bit closer to medicine but...
  17. KatieMI

    ;( Just got accepted into NP school but I am hep b positive

    KatieMI replied to Imsadrightnow's topic in Student Nurse Practitioner

    Dear OP, Your "surface" antibody titer (which is what the school is looking, anti-HB-s) CAN be positive even after being infectef if you enter "natural immunity" stable condition. It also can be...
  18. KatieMI

    Study nursing in the Philippines or in US?

    KatieMI replied to pizzaislyf's topic in Pre-Nursing Students

    1). Study nursing or medicine (or any other profession which requires professional license, for that matter) in the country you are going to live. It is a rule of immigration written by human blood...
  19. KatieMI

    ;( Just got accepted into NP school but I am hep b positive

    KatieMI replied to Imsadrightnow's topic in Student Nurse Practitioner

    The testing is not done so that you won't infect anyone else. It is done so that you won't be able to sue the school claiming that you got it while there.
  20. KatieMI

    Jumping in with a MAJOR career change!

    KatieMI replied to Riverwader's topic in General Nursing

    This is all great and good. But I would advice caution. Extreme caution, that is. CNA is one of the lowest on the totem pole, least paid, most physically and mentally demanding jobs. It is wearing, in...
  21. KatieMI

    When Your Patient is an Addict...How to Deal

    KatieMI replied to Nurse Beth's topic in General Nursing

    Precisely so. 1 mg of dilaudid IVP Q2H PRN for "pain" (no other parameters) is an order which practically chases the pain. It can be ok for "naive" patient who has no other pain issues but not for...
  22. KatieMI

    When Your Patient is an Addict...How to Deal

    KatieMI replied to Nurse Beth's topic in General Nursing

    Because you may know something what the person who wrote the order doesn't, for one instance. Patients may conceal the fact that they are using out of shame or fear or just assume that they will be...
  23. KatieMI

    When Your Patient is an Addict...How to Deal

    KatieMI replied to Nurse Beth's topic in General Nursing

    One part of the problem with addicted patients having legimate sources of pain is that most acute care physicians are not well familiar with principles of pain management for this category of...
  24. KatieMI

    When Your Patient is an Addict...How to Deal

    KatieMI replied to Nurse Beth's topic in General Nursing

    First, it is a classical example of not ADDICTION, but ABUSE (i.e. using substance with a purpose other than assumed therapeutic action). Second, you have no idea what this elderly lady occupies...
  25. KatieMI

    Communication Discrimination

    KatieMI replied to WinterLilac's topic in Patient, Colleague Relations

    1). I was a new grad, trying to kill everybody and everything with kindness, accept contstructive criticism with grace, never to be defensive, etc., etc. So, no, I never told her (and anybody else...