KatieMI BSN, MSN, RN

ICU, LTACH, Internal Medicine

Member

All Content by KatieMI

  1. KatieMI

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

    KatieMI replied to NurseEnvision's topic in General Nursing

    Ok, so, you have a guy with symptoms of 1) renal injury, which can be explained by long-standing diabetes (he might be Dx recently but in fact have it for decade before) ( urinary protein and anemia);...
  2. KatieMI

    Nursing Boards control of Nurses

    KatieMI replied to Cougar1113's topic in Nursing Professionalism

    Something I wouldn't do, ever, and not only for free speech (silencing it is bad, but explaining what and how you really wanted to say before Boards is even worse). Simply, being a nurse, one has way...
  3. KatieMI

    What Do You Keep in Your Car for Emergencies?

    KatieMI replied to anitalaff's topic in General Nursing

    Gloves, a bottle with aspirin 325 mg pills (renewed yearly), Exedrin (same), 1 pack of chewable glucose pills, Chlorox desinfection wipes. My own kit: 2 AdrenalClicks, 2 standard epinephrine amps,...
  4. KatieMI

    FNP.. Decisions, Decision

    KatieMI replied to Ariel_89's topic in Student Nurse Practitioner

    As it was said just above, the agade with DNP goes on since 2004 and it is still just a "recommendation", not mandatory for anyone. The similar agade about "eliminating" LPNs is going on for the last...
  5. KatieMI

    I GOTTA KNOW!!!!!

    KatieMI replied to qaqueen's topic in General Nursing

    Polyethylene (one kind of it). The matherial which is in short supply right now is polyethylene granules. Reg. "losing mold", it is urban legend. I doubt that there is that holy "mold" anywhere at...
  6. KatieMI

    Inane scripting

    KatieMI replied to Jedrnurse's topic in General Nursing

    Some time ago, a new dialysis nurse who before that was working peacefully with my patient turned toward me while I was doing something in the room and asked, rather innocently: - so, you just came...
  7. KatieMI

    I GOTTA KNOW!!!!!

    KatieMI replied to qaqueen's topic in General Nursing

    Because every time one wants to fly with something out of "normal", it is better to call air company beforehead if a possibility of being bumped out of the flight is not included in travel plans. The...
  8. KatieMI

    NG Tube Suctioning

    KatieMI replied to Whelan's topic in General Nursing

    OK, let's think. CONTINUOUS suction is needed when: 1) there is a lot of stuff; 2) the stuff is coming out continuously, 3) when the area sucked must be practically empty at all times but organ wall...
  9. KatieMI

    I GOTTA KNOW!!!!!

    KatieMI replied to qaqueen's topic in General Nursing

    No idea. Depends on what they are made from, but accounting for the fact that they will be used as urinals from now on in some places, then it wouldn't be a big surprise. In 2003, when we were about...
  10. KatieMI

    I GOTTA KNOW!!!!!

    KatieMI replied to qaqueen's topic in General Nursing

    Yup, it is real. It is caused by current shortage of manufacturing materials due to simultaneous temporary closure of several large raw plastics manufacturing plants (which have to be refurbished,...
  11. KatieMI

    What do you do at your workplace to still feel the spirit of Christmas?

    KatieMI replied to NurseEnvision's topic in General Nursing

    Except that there is "sinus tachy", "sinus brady", "sinus tachy/brady", "sinus rhythm with block", "wandering sinus" and quite a few of othes. Some of them can be "normal", some are always...
  12. KatieMI

    What do you do at your workplace to still feel the spirit of Christmas?

    KatieMI replied to NurseEnvision's topic in General Nursing

    Christmas decorations everywhere - we encourage families to bring their own... sometimes it gets a bit out of hand, sort of. The Powers organize at least one Christmas dinner for staff with...
  13. KatieMI

    Tips for cleaning up loose, watery diarrhea?

    KatieMI replied to shellbeach's topic in General Nursing

    FlexiSeal should be the last resort. Weakness of sphincter, ulcers, clogs (well, it is supposed to be flushed qshift but things can fall through cracks, you know), thrombosis of internal hemorrhoids...
  14. KatieMI

    need help

    KatieMI replied to albertnurse's topic in General Nursing

    You may want to 1) check your old school status (it could change since your graduated), call their alumni office if it exists and ask if they can advice something, and 2) call Florida Board of...
  15. KatieMI

    Does working at a small hospital make me less of a nurse?

    KatieMI replied to Jaellys's topic in General Nursing

    "Less than a nurse" sounds quite like "just a little bit pregnant" for
  16. KatieMI

    Terminated

    KatieMI replied to sdugan07's topic in General Nursing

    Yeah, but it will let to avoid black mark of "termination" anyway. And everyone knows nowadays that "not eligible to rehire" alone means close to nothing in our days of "right to work". After...
  17. KatieMI

    Inane scripting

    KatieMI replied to Jedrnurse's topic in General Nursing

    What I just can't stop wondering is if someone REALLY think that people must enjoy that mechanical pleasanties exchange? In LTACH, where I work and where there is just no place for such things, as it...
  18. KatieMI

    Inane scripting

    KatieMI replied to Jedrnurse's topic in General Nursing

    "Did you experience something wonderful today?" The patient smirked and answered most heartily: "sure, honey, I DID FINALLY S*** today!" The poor nurse (from our host facility, where staff is driven...
  19. KatieMI

    Discharge Teaching on PICC line/OPAT

    KatieMI replied to LJOHRrn's topic in Long Term Acute Care

    We recently had just such a case: a patient from VERY underserved area went home with PICC line and antibiotics. The drugs (as well as solutions, lines, etc) were to come from pharmacy but the nearest...
  20. KatieMI

    Terminated

    KatieMI replied to sdugan07's topic in General Nursing

    Same story happened with me... TWICE. Eventually, I figured out that if they cannot live with someone near being too smart, then too bad for them, not for me. I found a place where I was, and is,...
  21. KatieMI

    Terminated

    KatieMI replied to sdugan07's topic in General Nursing

    THIS. (except one thing... they may not tell you why the meeting is needed, covering under "we just got to have a talk", or they may lie. I was once called under premice "to speak about promotion to...
  22. KatieMI

    Terminated

    KatieMI replied to sdugan07's topic in General Nursing

    While I do not understand what exactly happened, there are couple of things for future reference: 1) never, EVER trust anybody from administration. Period. These guys are not your friends. 2). Never,...
  23. KatieMI

    NURSING SHOES!!

    KatieMI replied to Cherry7496's topic in Scrubs, Uniforms, Gear

    Mine thing is The Walking Company (shoes, insoles and sleeves). But wherever you go, make sure to mention that you are going to WALK and STAND a lot, not run, and take at least a good hour to test...
  24. KatieMI

    Could I be sued for neglect or lose my license over this?

    KatieMI replied to Ccinct's topic in Geriatric, LTC

    You did the two main things right: 1) you advocated for the patient to the very limits of what you could do, and 2) you were well within your scope of practice. That's, basically, the point. You did...
  25. KatieMI

    When Your Doctor Doesn't Listen

    KatieMI replied to Nurse Beth's topic in General Nursing

    Then I think. If 90% chance failed, then it is the time to go look out for zebras. ASA allergy, polyps (most common), atypical GERD, bulimia/"retrograde sinus aspiration syndrome", foreign body,...