KatieMI BSN, MSN, RN

ICU, LTACH, Internal Medicine

Member

All Content by KatieMI

  1. KatieMI

    Conflict with Charge - 6 Month Review

    KatieMI replied to Roggae's topic in General Nursing

    THIS. Get outta there ASAP before something
  2. KatieMI

    Helpful (?) (!) Advice for burns

    KatieMI replied to Kitiger's topic in General Nursing

    Oh, where do I start... One time, I and my pals were having a picnic and coffee pot got accidentally overturned over one guy's leg. He yelled bloody murder, and then another guy just pulled his...
  3. KatieMI

    As EpiPen Prices Skyrocket, Nurses Suggesting Patients Use Syringes

    KatieMI replied to DoGoodThenGo's topic in Patient Medications

    This is what I am afraid of. Epinephrine is a very effective thing... in fact, it is deadly effective, and for no means "safe" one. It can kill as easy as save a life, especially if used by untrained...
  4. KatieMI

    racist patients

    KatieMI replied to Rn 1979's topic in Patient, Colleague Relations

    Oh, yeah. The first thing after I open my mouth to say "hi". Where I came, why I came, HOW I did it (try to describe immigration process in just one sentence), how many kids, how many husbands, etc....
  5. KatieMI

    racist patients

    KatieMI replied to Rn 1979's topic in Patient, Colleague Relations

    I faced the same more times than I can count. Bad thing is that the Powers almost uniformly supported the rasism/xenophobia in the name of the Holy Customer Service. Good thing, though, is that, once...
  6. KatieMI

    Be Our Guest

    KatieMI replied to BabyFood26's topic in General Nursing

    It is a common occurence in LTACH. I have to refuse, doesn't matter what, because of my allergies. But other nurses gracefully accept the stuff and whoever wants it, is welcome to breakroom. On the...
  7. KatieMI

    Evolution of the Nurse Cape?

    KatieMI replied to amyday's topic in General Nursing

    Catch a train one day and go to London. There is a wonderful museum of Florence Nightinghale there. Also, visit Minnewaters in old Bruges, Belgium. They have another excellent nursing myseum there,...
  8. KatieMI

    School nurse delays giving epi pen

    KatieMI replied to kidzcare's topic in School

    Oh, yeah. Full spectrum there, from "get off your special horse, the world is not here to cater for special needs" to "Epipen is safe for a newborn". We recently got a poor one LOL who happened to...
  9. KatieMI

    Describing patients by race/ethnicity

    KatieMI replied to Emergent's topic in General Nursing

    Noting patients race/ethnicity is absolutely mandatory for providers as for now and will become even more important in the near future. One may like or hate it but for reasons we do not know yet those...
  10. KatieMI

    School nurse delays giving epi pen

    KatieMI replied to kidzcare's topic in School

    Not a school nurse but a severe allergy sufferer here, and... 1). parents were totally uninformed about what allergy is and what it implies. It is questionable to use antihistamine before or after...
  11. KatieMI

    Do you still have energy to cook after a 12 hour shift?

    KatieMI replied to chunkalunk's topic in General Nursing

    I made 12 h shifts a reason for my then 12 y/o girl to learn how to cook simple things. We started from chicken with skillet sauces, and gradually progressed to roast chick with potatoes and such, and...
  12. KatieMI

    Teaching Patients "A Lesson"

    KatieMI replied to purplegal's topic in General Nursing

    Sounds like a classic example of lack of teamwork, leadership and communication for me. We have just such patients all the time. They are well-known, as well as their quirks, reasonable or not....
  13. KatieMI

    Peg tube med

    KatieMI replied to stressed317's topic in Patient Medications

    Tamsulosin should not be given through PEGs and Js because microcaps which are inside should not be crushed for correct adsorbtion profile. Ask providers to substitute either doxazocin (Cardura) or...
  14. KatieMI

    Been worked for 7months but sill making IV mistakes..

    KatieMI replied to GE90's topic in General Nursing

    OP, next time just think: - you are pushing the fluid in where? Of course, in the patient as a whole. - if you are pushing it in the whole patient, then why only one hand must get puffy instead of...
  15. KatieMI

    PAD question; nerves in blood vessels?

    KatieMI replied to Plumrose15153's topic in General Nursing

    No, nerves are not getting "irritated" by muscle movements. Instead, they are rather being tricked into percepting very multiple results of hypoxemia and inflammation (elevation of lactate level, for...
  16. KatieMI

    Bed Bugs

    KatieMI replied to NurseEmmy's topic in General Nursing

    Temp based elimination can be achieved by stripping off all your clothes and all other belongings straight into dark-colored container and then sealing it and leaving it on the driveway in the middle...
  17. KatieMI

    Pulse Oximetry 'venous pulsations'

    KatieMI replied to greatgateway523's topic in General Nursing

    Where I work (chronic critically sick population) the term was accidentally coined by nurses drawn to desperation by constant ringing caused by different unsignificant factors causing falsely low...
  18. KatieMI

    Pulse Oximetry 'venous pulsations'

    KatieMI replied to greatgateway523's topic in General Nursing

    Yes, you are right. The device needs good arterial circulation to work properly, and so putting it too tight makes reading unreliable. It should sit just right - not too loose, not too tight, - and it...
  19. KatieMI

    Do Rn's miss having Lpn's in the hospital setting?

    KatieMI replied to Finestnurse, Lpn's topic in Patient, Colleague Relations

    I can imagine things running smoothly in a very stable environment. I worked with LPNs in rather "acute" SNF (it was actually more rehab than anything else, with many IV stuff to be given). If...
  20. KatieMI

    What's Rude?

    KatieMI replied to Ruby Vee's topic in Patient, Colleague Relations

    Especially when you run out out of the room to grab yet another bag or something else, and the first thing you see coming back is that relative, wandering aimlessly around and asking everybody and you...
  21. KatieMI

    What's Rude?

    KatieMI replied to Ruby Vee's topic in Patient, Colleague Relations

    Just to let you know - non-organic and some organic produce, especially fruits, are covered with thin layer of food-grade synthetic vax so that they will not lose water too quickly. It prolongs shelf...
  22. KatieMI

    What's Rude?

    KatieMI replied to Ruby Vee's topic in Patient, Colleague Relations

    I was seriuosly asked today about "a cup of organic oolong tea with some organic brown sugar and a thin slice of organic devaxed lemon". Was incredibly hurting both for my nursing conscience and my...
  23. KatieMI

    Thinking about PhD... where to begin?

    KatieMI posted a topic in Post Graduate Students

    I am currently in Master's FNP program and starting to think what to do next besides, of course, work as an NP. That alone won't be enough for me. My program has a particular professor who made her...
  24. KatieMI

    Bradycardic STEMI

    KatieMI replied to miamiheatrn's topic in Emergency

    Oh, yeah. But someone still needs to ask about it. And I bet that the ER doctor who did not yelled "pacer and crash cart here now!" in the first place omitted that question as well My forever...
  25. KatieMI

    Bradycardic STEMI

    KatieMI replied to miamiheatrn's topic in Emergency

    In this situation (unstable patient BECAUSE of low heart rate), the problem is NOT the AMI itself, but rather what it does (it effectively kills heart's command center, that is to say, and without it...