KatieMI BSN, MSN, RN

ICU, LTACH, Internal Medicine

Member

All Content by KatieMI

  1. KatieMI

    Customer Service

    KatieMI replied to deefizzle's topic in General Nursing

    I have a strong feeling that it is going to happen rather soon. Prescription drugs' abuse takes too many lives to go unnoticed, and "customer satisfaction" is one, if not the most important, driver...
  2. KatieMI

    Pulse oximetry reading conundrum

    KatieMI replied to greatgateway523's topic in General Nursing

    Not likely with completely healthy person (and whoever is experiencing oxygen hunger is far from "healthy" at that particular moment). The process is not DESATURATION. Desaturation is when O2 leaves...
  3. KatieMI

    Pulse oximetry reading conundrum

    KatieMI replied to greatgateway523's topic in General Nursing

    Yawn is, essentially, a very deep breath. So, yeah, it increases oxygen saturation for a few seconds. What is described by OP is named "too warm a finger". Barring subtle deterioration, the most...
  4. KatieMI

    Not your normal tattoo thread

    KatieMI replied to ixchel's topic in General Nursing

    From personal experience (allergy/anaphylaxis): - first place first responders ALWAYS search is MediAlert (bracelet or necklace) - second place, wallet card. Optimally, in an exterior pocket or...
  5. KatieMI

    Enoxaprin and bruises

    KatieMI replied to brownbook's topic in Patient Medications

    Lovenox has nothing to do with INR, to begin with. It has different mechanism of action, and bruises at the point of injection is an expected side effect. It is not about being overweight and...
  6. KatieMI

    Over 30 Years Later, We're Still Talking About Workplace Mistreatment

    KatieMI replied to compassionresearcher's topic in General Nursing

    I wrote it before and I can repeat: AMA and other "regulatory agencies" can produce as many recommendations, policies, schmolicies, pacts, memos, etc. as they wish. They have to spend members' monies...
  7. KatieMI

    CNA scope of practice issue on my unit

    KatieMI replied to nurseredd's topic in General Nursing

    According to my observations, "it is not within my scope of practice" should be read as "I heck do not want to do it, whatever the reason" in like 8 cases out of
  8. KatieMI

    New Nurse Exhausted from Extremely Long Shifts? Help?

    KatieMI replied to KellySpencer800's topic in LPN, LVN Corner

    Why do you have to go at 5 AM and leave past midnight? If it is "doubling", set limits as above. If it is your charting, tying loose ends, etc., then you even more have to put accents on developing...
  9. KatieMI

    Agency Nurses Have No Rights?

    KatieMI replied to AGaston's topic in General Nursing

    What I eventually figured out, the key is to complain before the other side gets a chance to do it. First make sure patient is stable, then immediately call division supervisor, and write a note while...
  10. KatieMI

    Agency Nurses Have No Rights?

    KatieMI replied to AGaston's topic in General Nursing

    Are you sure that you wouldn't be written up after voicing your concerns in the role of staff RN in THAT place? There got to be reasons why they have to fill shifts with agency staff, and the most...
  11. KatieMI

    Subtle deterioration on the floor

    KatieMI replied to Lev's topic in General Nursing

    Well, in some places they are officially the same. In two hospitals I worked before and in one I'd mentioned in my previous post Rapid Responce Team was to be called according to certain vitals'...
  12. KatieMI

    How do you pass time on your "weeknight?"

    KatieMI replied to nURse_dEZi's topic in General Nursing

    Freaking grad school, whole d*** two weeks till new semester. Got to start reading into it now. Couple of work-related educational projects I involved myself into Teen at home, with all that it...
  13. KatieMI

    The most important question to ask a doctor.

    KatieMI replied to missmollie's topic in General Nursing

    I once cared for a patient with "locked-in syndrome". He was totally paralyzed, on tubefeeding. Everything he could move was his eyes and he communucated by opening them for "yes" and closing for...
  14. KatieMI

    Subtle deterioration on the floor

    KatieMI replied to Lev's topic in General Nursing

    ... and also asking for an order is one thing, but overcoming a schmolicy which says that monitors' settings cannot be changed is totally another one. I had to sign AMA from ER less than a month ago...
  15. KatieMI

    Subtle deterioration on the floor

    KatieMI replied to Lev's topic in General Nursing

    Please kindly let it be known to that monitor which was ringing like crazy for hours for patient's normal HR of 35 to 40. To just go there and re-program the darn thing was against some schmolicy....
  16. KatieMI

    Subtle deterioration on the floor

    KatieMI replied to Lev's topic in General Nursing

    This, too. The admission/transfer coordinators must be RN with at least good 5 years of bedside experience instead of someone marking checklists. And, BTW, float pool needs to include the most...
  17. KatieMI

    What Nobody Told You About Graduate School

    KatieMI replied to nurselyfe4115's topic in General Nursing

    This is precisely why I chose online program. No more whining classmates with no study skills progress since kindergarten. No "study groups" and no "group projects". No social skills involved,...
  18. KatieMI

    Subtle deterioration on the floor

    KatieMI replied to Lev's topic in General Nursing

    The problem is, signs and symptoms of deterioration are many, individual and can be difficult to detect. One cannot reliably detect decrease in urine output over, say, 4 hours unless patient has...
  19. KatieMI

    Organ Donation Organization Unethical

    KatieMI replied to dangerous1's topic in General Nursing

    Where I work, we are absolutely prohibited from discussion anything pertaining to possibility of donation with patient or family. If they ask, we have to answer directly that there will be a special...
  20. KatieMI

    What do you do to volunteer and give back?

    KatieMI replied to traumaRUs's topic in General Nursing

    I am involved with support group for families with kids living with severe allergies. When children are diagnosed, parents usually become crazy terrified about how they got to live now, how to travel,...
  21. KatieMI

    PTSD

    KatieMI replied to Emergent's topic in General Nursing

    Emergent, I totally shared your belief till one beautiful day I faced the fact. I got PTSD and fibromyalgia, both within a week or so. Trust me, I am not a weakie. And I was not gang-raped or robbed...
  22. KatieMI

    Organ Donation Organization Unethical

    KatieMI replied to dangerous1's topic in General Nursing

    Not my statement, but no problem. I saw surgeries and procurements, both more than I ever cared for. Both do not look good. Nobody told anyone, neither before surgery nor before procurement, that the...
  23. KatieMI

    Organ Donation Organization Unethical

    KatieMI replied to dangerous1's topic in General Nursing

    It is lucky you never saw what forencics do, as well as what happens behing funeral homes' doors. I saw a full embalming once in my life. After that I was for quite some time under impression that,...
  24. KatieMI

    Organ Donation Organization Unethical

    KatieMI replied to dangerous1's topic in General Nursing

    Dangerous1, I still do not get it. Was the family forced to attend the second and third meeting, or they were merely asked? Did they say clearly that they not only oppose donation but also do not want...
  25. KatieMI

    Should mean people be allowed to be mean at work?

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

    People who make others cry and terrorize their colleagues should not be allowed near other people till they change THEIR OWN "attitude" and learn what they were expected to master in kindergarten. In...