KatieMI BSN, MSN, RN

ICU, LTACH, Internal Medicine

Member

All Content by KatieMI

  1. KatieMI

    Ask A Stupid Question . . . .

    KatieMI replied to Ruby Vee's topic in General Nursing

    Fresh from the fields: I got a call about necessity to return to office to repeat a medical test. The office RN offered the time the same day 30 min ahead. I politely told her that at that moment I...
  2. KatieMI

    Ask A Stupid Question . . . .

    KatieMI replied to Ruby Vee's topic in General Nursing

    O.M.G.
  3. KatieMI

    Ask A Stupid Question . . . .

    KatieMI replied to Ruby Vee's topic in General Nursing

    Oh, please do not get me started... "Can he has sexual relations with me with this thing in?" (patient with permanent Foley, otherwise brain dead for a good year) "But WHAT it mean in terms of...
  4. KatieMI

    Phlebotomy refusing to draw

    KatieMI replied to Lame's topic in General Nursing

    It is CLABSI as well as pretty much hunting for space within one single human being. I often take care of patients who have to have: 1) access for HD (if it is extremity fistula, it effectively bumps...
  5. KatieMI

    Phlebotomy refusing to draw

    KatieMI replied to Lame's topic in General Nursing

    That's another thing. If the very same short antecubital branch is accessed proximally, there can be increased risk of extravasation, mixed-up results because the remnants of heparin seeping from the...
  6. KatieMI

    Phlebotomy refusing to draw

    KatieMI replied to Lame's topic in General Nursing

    Antecubital vein is connecting branch between basilic (which becomes brachial) and cephalic DEEP vein systems. Flow from it has little to do with superficial veins used for drawing blood. It is why...
  7. KatieMI

    On that call light every 5-10 minutes

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

    Well, sometimes it is not QUITE lying but just... exaggeration. A bit of it. One time, I pulled the concerned relative aside and told, like it was the greatest secret ever: - that we are trying to...
  8. KatieMI

    Don't be an Autobot

    KatieMI replied to Emergent's topic in General Nursing

    It will indeed swing the other way, early or later. My question is: how many people must die before that
  9. KatieMI

    G tube to gravity drainage

    KatieMI replied to Vtachy1's topic in General Nursing

    To the Foley bag. Reinforce connection with silk tape if there is no special connector. To the main question - plenty of poor fellas in just the same circumstances (chronic upper GI ileus/obstruction,...
  10. KatieMI

    Burnout in transition to FNP

    KatieMI replied to rehric00's topic in General Nursing

    I hear what you say. I am pretty much at the same spot (graduating in August 2017) and quietly starting to get tired of my current job. No clear reason for that - I work only one, at most two, shifts...
  11. KatieMI

    New nurse here. Questions about PRN intervals and "HIPAA spooking"

    KatieMI replied to Axmann, RN, BSN, NREMT-B's topic in General Nursing

    Or they just enjoy making fun of students and scaring them out of their
  12. KatieMI

    RN Specialty to different NP Specialty

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

    Happens so often that it is pretty much the norm. Quite a few people from my class who apparently tried their damnedest to enter L&D with no success (for some reason, it is a particularly hard to...
  13. KatieMI

    Don't be an Autobot

    KatieMI replied to Emergent's topic in General Nursing

    Yep, we all are, to certain degree. "Do to others what you want to be done toward yourself" works the other way too: I was treated well by them, so now I got to treat them well, too . You can name...
  14. KatieMI

    Don't be an Autobot

    KatieMI replied to Emergent's topic in General Nursing

    But you are interested in interpreting standard scales correctly, don't you? Do you think that just blindly writing down the responce and acting according to that responce is the right way to do it?...
  15. KatieMI

    Don't be an Autobot

    KatieMI replied to Emergent's topic in General Nursing

    Trust me, they know. Where I am (LTACH) scripting is not existing but in our "host" facility (with which we share most of the services, so patients constantly being exposed to both) it is hammered in...
  16. KatieMI

    Your First PRN Job

    KatieMI replied to Nurse3242's topic in General Nursing

    From what I know, better look for local. Mine was local and rather small, almost mom-and-pop business. They were providing staff for LTCs for years and only started to work with acute care/LTACH...
  17. KatieMI

    Your First PRN Job

    KatieMI replied to Nurse3242's topic in General Nursing

    10 months after starting first job. At that point I lost my first nursing job (yes, NETY), and was terminated from the second one (yes, more NETY plus xenophobia). I was feeling like total wreck, and...
  18. KatieMI

    Dosage calculation Help!

    KatieMI replied to Calhoungirl24's topic in Nursing Student Assistance

    150mg /50 mg =3. 1 ml - 50 mg =>> 3 ml - 150 mg 3 ml + 4.5 ml = 7.5 ml, which still contain those 150 mg of drug 150mg /7.5ml = 20 mg/ml P.S. is that what's named "advanced" drug calculations...
  19. KatieMI

    Chinese births in U.S. hospitals?

    KatieMI replied to Plumrose15153's topic in General Nursing

    Nope. Visitor status and even most incomplete immigration status (like "applied and waiting for application for political asylim to be accepted") are two VERY different things. Visitors cannot legally...
  20. KatieMI

    Chinese births in U.S. hospitals?

    KatieMI replied to Plumrose15153's topic in General Nursing

    These women do not break any law. They enter with tourist visas, stay their allowed time and come back. As long as they do not break any laws in between these points, nobody should care what they are...
  21. KatieMI

    Can nurses do more for patients coming from ECFs with stage III pressure ulcers?

    KatieMI replied to Axmann, RN, BSN, NREMT-B's topic in General Nursing

    Unfortunately, that's the truth. Sometimes, especially in population of patients with high risk of trophic changes (malnourished, CHF/CRF, morbidly obese, paraplegic/quads, etc) pressure ulcers...
  22. KatieMI

    Can nurses do more for patients coming from ECFs with stage III pressure ulcers?

    KatieMI replied to Axmann, RN, BSN, NREMT-B's topic in General Nursing

    ECF = Extended Care Facility (most commonly long term care but sometimes also rehab and others). Nurses there usually know perfectly well how to prevent and treat pressure ulcers. But when you have...
  23. KatieMI

    Can nurses do more for patients coming from ECFs with stage III pressure ulcers?

    KatieMI replied to Axmann, RN, BSN, NREMT-B's topic in General Nursing

    If family is there and involved: teach them the proper care (turning, etc) and encourage to demand it after discharge. They may want to go to the LTC and have a talk with DON. If the talk proves to...
  24. KatieMI

    Dosage calculation Help!

    KatieMI replied to Calhoungirl24's topic in Nursing Student Assistance

    You got 5 mg/2 ml. You need 10 mg, therefore you need 2 such doses (10/5=2), so you need 4 ml. 1 mg/1 ml = > 10 mg/10 ml. You already got 4 ml, so you add 10 - 4 =6 ml of diluent You got 1 mg/ml....
  25. KatieMI

    Chinese births in U.S. hospitals?

    KatieMI replied to Plumrose15153's topic in General Nursing

    This is your opinion. There is also the law which says otherwise and if you do not like it, then in this country it is up to you to attempt a change. Good luck with that. I personally wonder why...