KatieMI BSN, MSN, RN

ICU, LTACH, Internal Medicine

Member

All Content by KatieMI

  1. KatieMI

    Asked to Move to Another Floor?

    KatieMI replied to aurora119's topic in General Nursing

    If you were told what were the concerns, areas of improvement and what to do, then just do your very best, follow directions and give yourself at least a year to grow and learn. If not: - call your...
  2. KatieMI

    nurse call response times in Ontario hospitals

    KatieMI replied to fizzydrinks's topic in Patient Safety Issues

    I am so sorry for what you are going through... still, I wonder: do I understand this correctly that you or someone else, presumably not your father, and able-bodied, was sitting for 30 minutes till a...
  3. KatieMI

    nurse call response times in Ontario hospitals

    KatieMI replied to fizzydrinks's topic in Patient Safety Issues

    J I am a nurse, too, and, BTW, a sworn enemy of following policies for policies' sake. Such as performing orientation and delirium screens once a shift on patients with GCS of 4 (yep, I know people...
  4. KatieMI

    solumedrol IV

    KatieMI replied to enfermeratobe's topic in General Nursing

    1). Solumedrol must be given over specified period of time as prescribed by provider. It really depends on circumstances but in "acute" situations generally load has to be given over 1 - 2 hours. If...
  5. KatieMI

    nurse call response times in Ontario hospitals

    KatieMI replied to fizzydrinks's topic in Patient Safety Issues

    Dear OP, I am so sorry to sound bitter but your vent is a classic example of "concerned relative holding onto that last straw" syndrome. Which is not at all uncommon (where I work, at least 90% of...
  6. KatieMI

    Dr. complaint

    KatieMI replied to Kavikziggy77's topic in Patient, Colleague Relations

    To begin with, your job and your license are both safe. Completely so. You did what is within your scope of practice and nothing else. Now, let me explain the view from the other side: ER docs are,...
  7. KatieMI

    Attention nurse bullies... and victims!!

    KatieMI replied to Xtina, BSN, RN's topic in Patient, Colleague Relations

    Xtina, check your PM,
  8. KatieMI

    Domestic Violence: Nurse As Abuser?

    KatieMI replied to Ruby Vee's topic in General Nursing

    Once upon a time, still back in my home country, one of my responsibilities was to participate in a team which was investigating child abuse. Mind you, it was in country where a few lashes or public...
  9. KatieMI

    Trying to wrap my brain around this one...

    KatieMI replied to smf0903's topic in General Nursing

    DI presents with hypernatremia ONLY when access to water is restricted. If patient is allowed to drink, sodium concentration will, eventually, decrease due to
  10. KatieMI

    Trying to wrap my brain around this one...

    KatieMI replied to smf0903's topic in General Nursing

    If things looked like you described, it is poliuria with decreased concentration. Causes could be many, from insipidus (yes, lithium causes similar condition) to psychogenic polydipsia (common;...
  11. KatieMI

    Get depressed with my situation...

    KatieMI replied to micstn's topic in General Nursing

    This is a sort of thrashy daily report I encountered in one place. The name of the "nurse of the day" (the BFF of NM, by pure accident) was prominently posted for everyone to enjoy and adore. OP, to...
  12. KatieMI

    In fear of losing my license.

    KatieMI replied to Newgrad665's topic in General Nursing

    Everybody is afraid to lose license because everybody everywhere spreads total crap of misinformation about it. I understand that Practice Acts are not an easy sort of reading and that many of them...
  13. KatieMI

    working all hours and no days off

    KatieMI replied to oneofakind1's topic in General Nursing

    You have no idea what really is going on in the life of that nurse. She claims that she is a workaholic, but it very well may be only the part of the truth... or no thruth at all, and management may...
  14. KatieMI

    Narcan pens for kids to use on parents?

    KatieMI replied to Emergent's topic in General Nursing

    I had to teach my little one at the age of 6 how to shoot mom with Epipen and what to do if she goes into anaphylaxis. It was an absolutely, profoundly heart-tearing experience for both of us. I...
  15. KatieMI

    cathflo error

    KatieMI replied to heyimnewhere's topic in General Nursing

    Alteplase (which is Cathflo) dose for stroke, for example, is 0.9 mg/kg. 4 mg for >350 lbs is not enough for anything. Alteplase does not cause DIC. It is an enzyme which only works on...
  16. KatieMI

    Ugh...the price of Epi pens! WWYD

    KatieMI replied to CoffeeRTC's topic in General Nursing

    So, do you want to say that using a drug which was PRESCRIBED to another human being is a felony only because that particular pill or bottle was not prescribed to you, even if you both have...
  17. KatieMI

    Ugh...the price of Epi pens! WWYD

    KatieMI replied to CoffeeRTC's topic in General Nursing

    AFAIK, $100, even multiplied by 2 without coverage, is still less than $386 for one generic Epipen pack. And carrying amps and needles is sure less convinient but it is WAY cheaper, and, as you are...
  18. KatieMI

    How to deal with energy parasites?

    KatieMI replied to CaffeinePOQ4HPRN's topic in General Nursing

    Yep, it is just adult life. Borders are working when they are set up and uphold, and nobody is supposed to do that for you. Reg. needy patients/families, there was recent discussion about how to make...
  19. KatieMI

    Ugh...the price of Epi pens! WWYD

    KatieMI replied to CoffeeRTC's topic in General Nursing

    1). AdrenalClick . Essentially the same thing, only costs $100 and has non-withdrawing needle. 2). Canadian online pharmacies. Do not be afraid to use them, although you will have to shop around and...
  20. KatieMI

    Social Class and Nursing

    KatieMI replied to AllOfMyWat's topic in General Nursing

    Should I and my husband remain in the country we both were born, we would be paupers. Here, after some solid efforts, we're in top 15% by overall income as a family, and could fare even better should...
  21. KatieMI

    So, what's it like?

    KatieMI replied to CardiacDork's topic in General Nursing

    I worked in both, and encountered other nurses working in both, and can tell that environment is absolutely place-dependent. Some of my MSN classmates told that they are prohibited from doing blood...
  22. KatieMI

    Does segregation exist in hospital settings

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

    CARPETED floors in ICU?? Those families should be hungry for inheritance.... I hardly can imagine the better breeding ground for bugs. I once happened to be in a very, very posh little hospital on...
  23. KatieMI

    Conflict with Charge - 6 Month Review

    KatieMI replied to Roggae's topic in General Nursing

  24. KatieMI

    How to politely tell a patient "do it yourself"

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

    Merlwhen, This is it. I'm not allowed to do that. Period. End of discussion. Those forever miraculous THEY just don't let you do (whatever). You wish you could help but there are THEY. I'm going to...
  25. KatieMI

    How to politely tell a patient "do it yourself"

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

    Universal one: "I am so sorry but I cannot do it". Give a somewhat plaucible reason: you're doing some task, you need to finish X, Y, Z, you do not know the doctor, you're not familiar with practice,...