KatieMI BSN, MSN, RN

ICU, LTACH, Internal Medicine

Member

All Content by KatieMI

  1. KatieMI

    What are some of the most ridiculous requests you have heard?

    KatieMI replied to Joe V's topic in General Nursing

    Sometimes we get patients who lived with no other soul around. Older gentleman, found unconscious by mail carrier, found to have a large stroke, ICU, vent, LTACH. He is barely awake, unable to tell...
  2. KatieMI

    Obstetric clinical hours

    KatieMI replied to Lyale4ka79's topic in Nurse Registration

    Well, they may have this paper somewhere but they definitely do not have to produce it to anyone. California BON is well known for "incidents" like yours. Go to couple of local nursing programs's...
  3. KatieMI

    Chinese births in U.S. hospitals?

    KatieMI replied to Plumrose15153's topic in General Nursing

    There are ways to keep mothers here, but they are either potentially beneficial for the US (H1, F1, J1 - all for current and future high level specialists), or take a whole lot of money (which, in...
  4. KatieMI

    Chinese births in U.S. hospitals?

    KatieMI replied to Plumrose15153's topic in General Nursing

    I know about multiple agencies in Miami, LA and NYC which advertize births in US hospitals for Russian women. The whole thing costs around $25000 in case of uncomplicated L&D. The reasons for that...
  5. KatieMI

    Really need some advice. How do I decide between PA and NP? Or not going back at all?

    KatieMI replied to Kbrown03's topic in General Nursing

    Which NP program wants 7 years of bedside with 4.0 GPA? Just genuinely interested, because I went through a whole lot of them, including top-notchers like UofMichigan and UofChicago, and it was quite...
  6. KatieMI

    Ten ways to halt drug diversion

    KatieMI replied to Emergent's topic in General Nursing

    IMHO, "registered collection" is quite effective and way less bothersome for nurses (although way more expensive, too, due to costs of tests/analysis). No sign-offs, no dealing with Pyxis, nothing -...
  7. KatieMI

    Unhealthy habits/Facebook posts from friends/family that make you :( ?

    KatieMI replied to ClaraRedheart's topic in General Nursing

    It was right there. You just STOLE it from my mouth!
  8. KatieMI

    Question on liver disease pt, MAP, and lactate level

    KatieMI replied to zacarias's topic in General Nursing

    MAP of 50 CAN be OK, especially if it is mostly b/o low diastolic pressure (90/45 gives MAP 57). Of course, it doesn't mean that "everything is OK" - it means that the patient has advanced liver...
  9. KatieMI

    "Nurse Bedside Shift Report" Survey

    KatieMI replied to kangoshichie's topic in General Nursing

    ... which is: - never there; - in total denial for the last 10 years asking everyone when The Mother will be finally fix'ed up; - partially there and asking you to wait for Cousine Mary who wants to...
  10. KatieMI

    "Nurse Bedside Shift Report" Survey

    KatieMI replied to kangoshichie's topic in General Nursing

    Number one, I was intubated and unable to communicate, much less participate in anything. I could write, but paper/pen must be offered and physically held by someone for quite a while. Only my...
  11. KatieMI

    Disclosing Hep C status to patient's husband?

    KatieMI replied to EllaBella1's topic in General Nursing

    There is a thing named "family meeting" for such cases.I bet it is not only one, and probably even not the biggest issue on the
  12. KatieMI

    "Nurse Bedside Shift Report" Survey

    KatieMI replied to kangoshichie's topic in General Nursing

    Double
  13. KatieMI

    "Nurse Bedside Shift Report" Survey

    KatieMI replied to kangoshichie's topic in General Nursing

    Well, if patient is not comfortable with that, then it must be absolutely justified not to do bedside report. Otherwise, what sort of customer service we're going to provide?? (rolled eyes and horror...
  14. KatieMI

    "Nurse Bedside Shift Report" Survey

    KatieMI replied to kangoshichie's topic in General Nursing

    I absolutely agree. Sorry. When I was in ICU after L&D, my husband had to go to the very top of the chain of commands to stop that done in my room. Even half sedated, I couldn't stand it. The...
  15. KatieMI

    Question on liver disease pt, MAP, and lactate level

    KatieMI replied to zacarias's topic in General Nursing

    In order to elevate oncotic pressure you need to get albumine level close to normal, 3,5 to 5.5 g/dl. For prevention of postparacentesis circulatory disfunction (which is the case describes) dose is...
  16. KatieMI

    I'm here for the patients

    KatieMI replied to EaglesWings21's topic in General Nursing

    I honestly do not believe that so many visitors are actually confused. They have needs that are, according to them, legitimate and important. VERY inportant, much more than anything else in existing...
  17. KatieMI

    Funding for continuing education expenses?

    KatieMI replied to MKS8806's topic in General Nursing

    There are tons of free or costing as little as $20 - 30 online CE resources with more than enough of (mostly, silly stupid) stuff to satisfy any State's Boards, if the goal is to pass the license...
  18. KatieMI

    Question on liver disease pt, MAP, and lactate level

    KatieMI replied to zacarias's topic in General Nursing

    The patient just lost huge amount of EXTRACELLULAR fluid (ascitis). Therefore, her body tried to "compensate" by shifting fluid from intracellular/intercell spaces, but due to lack of oncotic pressure...
  19. KatieMI

    A nurse with a speech impediment

    KatieMI replied to Nurse_Tickles's topic in General Nursing

    While 6 months of RN job, LTC and being ADN in a saturated BSN market can cause career impediment, nowadays anything else which sticks out of cookie-cutter shape can be bad enough to preclude hiring....
  20. KatieMI

    ER rushing patients to the floor

    KatieMI replied to freckles23's topic in General Nursing

    Because ER's job is to stabilize and transfer appropriately, and that's what they are doing. Justdoingtheirjobs. Where I am, same thing happens also with OR/PACU, diagnostics and others, with...
  21. KatieMI

    What could've been done

    KatieMI replied to RNattie's topic in General Nursing

    There are not many things you can do in such situations but here are a few I like: - VSs before and right after ambulating the patient and reaction on exercise with SaO2 in process (providing you know...
  22. KatieMI

    Eating Their Young

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

    I am glad that you have positive experience. Unfortunately, it doesn't mean it is the same for others. I was bullied, with following long term sequela for my health. The one thing we all can do to...
  23. KatieMI

    Panic attacks following never event.

    KatieMI replied to Iamgroot29's topic in General Nursing

    If things came to the point of interfering with your basic physiologic functions (sleep, nutrition, rest), then it is the time for medical help. Up to and including sick leave, if necessary. EAD can...
  24. KatieMI

    WILTW 1/1/17 New Onset Workflow

    KatieMI replied to LadyFree28's topic in General Nursing

    I accidentally discovered, and therefore learned this week that Bloody Mary mix (sans vodka) can be used as oral rehydration solution if you got several people with severe stomach flu 30.000 feet...
  25. KatieMI

    How to annoy irritating Drs.

    KatieMI replied to Avid reader's topic in Nursing Humor

    Dear Avid reader, If by any chance you ever contemplate going back to grad school, I would strongly suggest changing job well before it or finding a program which provide preceptors. Otherwise,...