KatieMI BSN, MSN, RN

ICU, LTACH, Internal Medicine

Member

All Content by KatieMI

  1. KatieMI

    Bradycardic STEMI

    KatieMI replied to miamiheatrn's topic in Emergency

    1. External pacer. 2. Fluids and pressors (dobutamine) 3. if really, really going south.... code, ACLS brady protocol. Although I doubt atropine would work - there got to be conduction system in heart...
  2. KatieMI

    What's Rude?

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

    Nursing and not: asking about my personal life first thing after saying "hi". How many kids, why I do not have more, where I come from, how it turned to be, how long I am married, where is my family,...
  3. KatieMI

    showering: before or after work

    KatieMI replied to peachypurple's topic in General Nursing

    Before and right after. And a few times I drop into gym on my way home because I just felt like it - when patient with CRE/MDRSA pneumonia accidentally blew his trache away and it and a piece of...
  4. KatieMI

    Family Nurse Pracitioner vs. Nursing Education

    KatieMI replied to auson16's topic in General Nursing

    I would call any decent school which is close enough for you and has both FNP and MSN/Ed programs and make appointment with admission officer. These guys are surprisingly honest regarding job...
  5. KatieMI

    Forced to get flu shot or wear a mask

    KatieMI replied to nurse0614's topic in General Nursing

    Go to any pediatrician or GP. There are options, including "supervised shot" (given in the office or ER with patient sitting there for 2 hours) and premedication with antihistamine, or intradermal...
  6. KatieMI

    Forced to get flu shot or wear a mask

    KatieMI replied to nurse0614's topic in General Nursing

    I got flu shot in 2006 on my other "medical field" job. In an hour or so, the place of shot developed grapefruit-size edema which was itching like ****. Since I have h/o severe allergic reactions and...
  7. KatieMI

    Lovenox administration

    KatieMI replied to GoanO's topic in Patient Medications

    I doubt it is a homework. It is a situation I encountered innumerable times, when mindless following policies and schmolisies made up by someone's private opinion leads, in the best case, to...
  8. KatieMI

    Lovenox administration

    KatieMI replied to GoanO's topic in Patient Medications

    Funny thing is, Canadian edition od Davis drug book allows SQ administration of Lovenox anywhere. Davis's Canadian Drug Guide for Nurses® - April Hazard Vallerand, Cynthia A Sanoski - Google Books...
  9. KatieMI

    Standards for admission: Should they be more universal?

    KatieMI replied to AutumnApple's topic in General Nursing

    Lower acuity doesn't automatically mean "more independent". Just the opposite, patients who are perfectly able to perform ADLs and more but refuse to literally move their fingers usually happen to be...
  10. KatieMI

    Am I wrong for thinking that this APRN was wrong?...

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

    Every single time a nurse administers a drug, he/she should think about following questions, in addition to "right 5 or 6": - what I give it for? - what I have to watch for now? - when I have to watch...
  11. KatieMI

    Forced to get flu shot or wear a mask

    KatieMI replied to nurse0614's topic in General Nursing

    I see usually about a dozen of GBS patients every flu season. Guess what? I work in LTACH which specializes on difficult vents/weans. BTW, the VERY wast majority of them were not vaccinated, got flu,...
  12. KatieMI

    Forced to get flu shot or wear a mask

    KatieMI replied to nurse0614's topic in General Nursing

    Same story. Ended with intradermal
  13. KatieMI

    You know the shift is gonna be a hot mess when ...

    KatieMI replied to CardiacDork's topic in General Nursing

    - what is the JP for? - It is supposed to be for "x" but let me make sure later... - what he is going on CT/MRI/etc. for? - I do not know... - since what time the pressure going down? - hmmm......
  14. KatieMI

    ADN to FNP (MSN)...most efficient route?

    KatieMI replied to NEMurse95's topic in Student Nurse Practitioner

    IMHO, 1). Graduate, pass NCLEX, get a job 2). Work for at least a year 3). When you start to feel comfortable, locate RN to BSN program associated with Master's/DNP program of your choice (same...
  15. KatieMI

    nonverbal pt and "helpful" sister

    KatieMI replied to db54's topic in Long Term Acute Care

    1) ask sister why she thinks it is that important. Listen to her arguments. Then explain why some of them are wrong - if they indeed are. 95% chances that once upon a time someone, probably SLP,...
  16. KatieMI

    As EpiPen Prices Skyrocket, Nurses Suggesting Patients Use Syringes

    KatieMI replied to DoGoodThenGo's topic in Patient Medications

    No, you cannot. Adrenaline is chemically unstable drug and standard syringe is too breakable. This is leaving alone problem of
  17. KatieMI

    Question for Geriatric/LTC Nurses...Elderly Immigrants

    KatieMI replied to imenid37's topic in General Nursing

    Call you congressman, make an appointment and write down an extremely heart-tearing letter. This might help. But in general terms, ICE makes no exceptions for non-critical medical reasons. They are...
  18. KatieMI

    Can I pursue becoming a physician assistant w/ suspended nursing license?

    KatieMI replied to njnursenessa's topic in General Nursing

    It is not "probably", it is close to 100% possibility. Even moving across the country and changing both first and last names will not help. Attempts of "switching fields" are common among abusers of...
  19. KatieMI

    Can I pursue becoming a physician assistant w/ suspended nursing license?

    KatieMI replied to njnursenessa's topic in General Nursing

    Yes, it WILL, (not even "can"). It is pretty much the only one subject medical and nursing boards regularly exchange information on: suspended licences. Especially if anything drug-related was...
  20. KatieMI

    Patient greeting cards - How do you sign them?

    KatieMI replied to tsm007's topic in General Nursing

    Are you not busy enough to even think about
  21. KatieMI

    As EpiPen Prices Skyrocket, Nurses Suggesting Patients Use Syringes

    KatieMI replied to DoGoodThenGo's topic in Patient Medications

    If it were so, Epipen wouldn't be needed and a good kick under one's behind would suffice. If anaphylaxis develops, the organism goes into super-uber-panic mode immediately, just like it responds on...
  22. KatieMI

    As EpiPen Prices Skyrocket, Nurses Suggesting Patients Use Syringes

    KatieMI replied to DoGoodThenGo's topic in Patient Medications

    They died. In 70th, over half of kids who survived first anaphylaxis did not make it over age of 18. Those who made it were bound to their own homes. Most were either homeschooled or separated from...
  23. KatieMI

    As EpiPen Prices Skyrocket, Nurses Suggesting Patients Use Syringes

    KatieMI replied to DoGoodThenGo's topic in Patient Medications

    I wouldn't be as much worried for contamination (after all, injectors are designed to shoot a quite a large needle through the clothes and non-cleaned skin, and possible minor infection is the last...
  24. KatieMI

    DNP Fluff

    KatieMI replied to Malenurse1235954's topic in Doctoral Nursing Degrees

    Templates for APA and MLA papers by Reference Point Software $30, this software formats the paper as you write. Problem
  25. KatieMI

    As EpiPen Prices Skyrocket, Nurses Suggesting Patients Use Syringes

    KatieMI replied to DoGoodThenGo's topic in Patient Medications

    There are Canadian online pharmacies and generic AdrenalClick for $100- 140. Although I totally agree that people in Mylan Pharma lost their last shreds of shame long ago but looks like this time they...