KatieMI BSN, MSN, RN

ICU, LTACH, Internal Medicine

Member

All Content by KatieMI

  1. KatieMI

    Should nursing pay remain modest?

    KatieMI replied to Longleggedstar's topic in General Nursing

    That ol' good time, skies were bluer, and water was wetter, and nursing was nurserier. Nothing new about it. Otherwise, I totally agree with Commuter. There are not many proven ways to attract...
  2. KatieMI

    Nursing a prejudiced Pt.

    KatieMI replied to Avid reader's topic in General Nursing

    Well, we all are "prejudiced" to certain degree. We have our, rational or not, likes and dislikes, things that makes us more or less comfortable simply because we are all alive and different. But we...
  3. KatieMI

    Nursing a prejudiced Pt.

    KatieMI replied to Avid reader's topic in General Nursing

    "The guy from xxx-b seems to be concerned with caregivers' race... you 'now... that type of guy again... yep, only Americans, only Whites.... well, I am just concerned about what kind of review he...
  4. KatieMI

    final warning

    KatieMI replied to srercg6's topic in Nursing Professionalism

    How the heck that nurse got to know all that in so little time and presumably being so busy? I am in my current place for more than two years, and I have no idea who of my coworkers is remarried or...
  5. KatieMI

    Nursing a prejudiced Pt.

    KatieMI replied to Avid reader's topic in General Nursing

    If at all possible, I would refuse that assignment in the future, and let the Powers and other nurses know why. Idiots (and, IMHO, rasism is a hallmark of, saying this politically correct way, very...
  6. KatieMI

    final warning

    KatieMI replied to srercg6's topic in Nursing Professionalism

    And if a nurse thus unceremoniusly discarded like trash just for "not fitting" and "social issues" will spread the news about her mistreatment wide enough and far enough, then your unit, and...
  7. KatieMI

    Cdiff and handwashing

    KatieMI replied to edbed25's topic in General Nursing

    Until you avoid touching anything with your freshly washed hands, there should not be a problem. The isolation is "contact", meaning there has to be a contact between surfaces. But, IMHO, the...
  8. KatieMI

    transition from PA to NP

    KatieMI replied to kkkrrr's topic in General Nursing

    Accelerated MSN programs can take less than 2 years if your prerecs are accounted for. The latter thing maybe a little tough sell because of so much time passed (high ranking schools usually want...
  9. KatieMI

    final warning

    KatieMI replied to srercg6's topic in Nursing Professionalism

    From my personal experience, in such situation there is only one thing that has to be done: immediate resign and medical leave for any time that remains. Doing so doesn't change anything in terms of...
  10. KatieMI

    Order that says "Don't call MD for pain meds"?

    KatieMI replied to Summers3's topic in General Nursing

    Acetaminophen (Tylenol) works by different mechanism which has nothing to do with suppressing inflammation. It is even not considered to be NSAID, actually. And it is way easier to correct "high risk...
  11. KatieMI

    Order that says "Don't call MD for pain meds"?

    KatieMI replied to Summers3's topic in General Nursing

    Actually, writing down who is doing what under which circumstances (within limits of common sense) AND making it all known and followed that way is the one kind of policy which is really useful. I...
  12. KatieMI

    Order that says "Don't call MD for pain meds"?

    KatieMI replied to Summers3's topic in General Nursing

    Normally, tylenol works good enough for non-major bone fractures AND for "naive" patients.The doctor might have more information about the patient than you had, and/or his own history of opioid Rx...
  13. KatieMI

    Don't write an order like this

    KatieMI replied to Leonardo Del Toro's topic in General Nursing

    Get how much -0.5 MG or 0.25 MG? From my own collection of real written orders: - encourage abstinence from ETOH - encourage defecation - 1000 cc NaCl 0.9% IV quick push (sans "bolus") - 0.5 mg...
  14. KatieMI

    I have to have heart surgery...now what???

    KatieMI replied to itsalexk's topic in General Nursing

    As far as I get it, the surgery will be semi-elective. So, you probably have a couple of months to settle things down, first of all with yourself and second with your employer. As soon as YOU get...
  15. KatieMI

    Never chart this

    KatieMI replied to Emergent's topic in General Nursing

    "Nasty" is an opinion. "Patient is non-cooperative with treatment, demands increased doses of Dilaudid to be given as quick IV push, uses foul words and racial slur toward personnel, refuses to wear...
  16. KatieMI

    Stuck up RN?

    KatieMI replied to Mr. Nightingale's topic in General Nursing

    Ok. So, we have at least THREE interconnected problems here: 1). Traumatic job experience. It is a common thing, and more serious than most people think of. The loss of self-esteem bullying causes is...
  17. KatieMI

    Anyone know what rights we have on a federal level regarding being abused by patients?

    KatieMI replied to TonnyaLPN's topic in General Nursing

    There is one, although not "federal" rule. It is named "voting with your feet". When nurses quit their jobs en masse AND let the Powers know why, AND spread the information about intolerable working...
  18. KatieMI

    prescription drug addiction

    KatieMI replied to shedevilprincss's topic in General Nursing

    Ecme12, Hugs and
  19. KatieMI

    prescription drug addiction

    KatieMI replied to shedevilprincss's topic in General Nursing

    When I was in rehab in 2003, there was no talk about drugs because I was nursing mom. In two weeks, my husband acquired a good set of English obscenities from my RRT and PT as they tried to get me...
  20. KatieMI

    prescription drug addiction

    KatieMI replied to shedevilprincss's topic in General Nursing

    THIS. Also, would be nice to finally kill "customer service" paradigm, which leads in part to overprescribing addictive substances. Our "host" hospital, which, basically, has nothing too exiting to...
  21. KatieMI

    What disease could it be? I need help in reading lab values.

    KatieMI replied to NurseEnvision's topic in General Nursing

    125/115 is NOT even close to stable BP, if it is not your misprint. With 30-around y/o female the picture looks like systemic inflammatory process (LE as the first differential -yes, LE can be with...
  22. KatieMI

    prescription drug addiction

    KatieMI replied to shedevilprincss's topic in General Nursing

    Big Pharma - yes, absolutely. Joint commission - probably not that much. Remember -when the question of the "fifth vital sign" came up, there were still talks about preemies "so underdeveloped that...
  23. KatieMI

    prescription drug addiction

    KatieMI replied to shedevilprincss's topic in General Nursing

    Jen, sorry... Try to get a doctor from a large academic hospital, if you can. People there tend to think a little more outside the
  24. KatieMI

    prescription drug addiction

    KatieMI replied to shedevilprincss's topic in General Nursing

    The addiction pretty often starts as acute management when narcs and other drugs with high addiction potential are given for no good enough reason. The thing is, pain relief 30-40% (i.e. to 4/10 from...
  25. KatieMI

    prescription drug addiction

    KatieMI replied to shedevilprincss's topic in General Nursing

    Well, that sounds great in theory. But what exactly do you want your anesthesia team to do if you, once in a while, need a surgery? Not a wisdom tooth pull. Not even an I&D. A real thing, your...