KatieMI BSN, MSN, RN

ICU, LTACH, Internal Medicine

Member

All Content by KatieMI

  1. KatieMI

    HATE bedside nursing

    KatieMI replied to Clueless in CA's topic in General Nursing

    1). Please do not jump for NP. If you really feel the way you wrote it, the NP pathway is going to make it all much worse. Area of concentration won't make any difference. 2). Get a piece of paper...
  2. KatieMI

    How to reject a weekend assignment from staffing company

    KatieMI replied to hapham3693's topic in General Nursing

    "I am so sorry, at this time I cannot safely accept this assignment" That's it. Offer to bring them a note from your Ob/Gyn should any questions
  3. KatieMI

    Can RN's function as Sleep Technologists?

    KatieMI replied to Lanntis's topic in General Nursing

    "Technicians" usually do more purely monitoring and data collection functions or they run "technical" part of the job (prepare work area and machines, hook/unhook patients, etc). They (again, usually)...
  4. KatieMI

    CNA 11 Years need your help

    KatieMI replied to L.P.CNA's topic in General Nursing

    I witnessed a case when I was covering SNFs. The patient had independent income and was an avid collector. As it happens in SNFs, patient grew closer with some staff members and gave them his card to...
  5. KatieMI

    CNA 11 Years need your help

    KatieMI replied to L.P.CNA's topic in General Nursing

    Nowadays, not only pretty much every health care facility, agency or organization has a policy prohibiting every and any contract, real or virtual, between clients and employees outside of workplace,...
  6. KatieMI

    Jobs during NP school.

    KatieMI replied to QuestionableTimes's topic in General Nursing

    One idea I seriously contemplated was acute dialysis. It takes up to 6 months to get independent with it but it is technical, cool, requires good grip of pathophysiology and pharma and well suited for...
  7. KatieMI

    NP school, did you pull a loan or paid in cash?

    KatieMI replied to Sam. W's topic in Nurse Practitioners, NP

    Paid out of pocket. Calculated that 1 PRN shift in agency was equal of roughly 0.75 of contact hour, and I just kept doing them till I had enough cash set aside, took about 1,5
  8. KatieMI

    Nurse performs a nursing action off the clock. What are the repercussions?

    KatieMI replied to guest1110906's topic in General Nursing

    Chare, there are the whole bunch of NPs (as well as PAs and MDs) right now, myself including, laughing out loud on this discussion. Remembering so many times when one was "just passing by" and then...
  9. KatieMI

    Nurse performs a nursing action off the clock. What are the repercussions?

    KatieMI replied to guest1110906's topic in General Nursing

    (meanwhile, putting the kettle on) popcorn or cookies,
  10. KatieMI

    Question about prescriptions

    KatieMI replied to MarkMyWords's topic in General Nursing

    If you are in pain NOW, go to ER. Not in urgent, but in ER. If the situation is just prospective and you are afraid of what might happen, politely tell your PCP once that the procedure can be "not...
  11. KatieMI

    Where to go as a nurse if you dont want to work with patients at ALL?

    KatieMI replied to guest1074618's topic in General Nursing

    I and the topic's author are both from the USA. Here research nurses routinely enroll subjects, educate about trials, collect questionnaires and other such paperwork, access them before meds...
  12. KatieMI

    Where to go as a nurse if you dont want to work with patients at ALL?

    KatieMI replied to guest1074618's topic in General Nursing

    CRAs work with patients all the time, just so you
  13. KatieMI

    Where to go as a nurse if you dont want to work with patients at ALL?

    KatieMI replied to guest1074618's topic in General Nursing

    Quality control, IT, SNF surveyor (possibly?) Utilization control, medical reviews for insurance Especially utilization... IMHO, the best job if you just plain hate everyone at all, plus unlimited...
  14. KatieMI

    Nurse tips for critical thinking

    KatieMI replied to Adrans's topic in General Nursing

    If you are going to start to develop your critical thinking skills for real, it WILL slow you down for a while. It is a trained skill, not something one born with. While, and for the very real, there...
  15. KatieMI

    Question about prescriptions

    KatieMI replied to MarkMyWords's topic in General Nursing

    It might be so in the book, but oversight rules are so strict nowadays that it is very common for PCPs to prescribe short term courses of controlled substances after (and before as well) procedures....
  16. KatieMI

    Age vs Years Nursing

    KatieMI replied to Erika Patterson's topic in General Nursing

    Almost 47, 6 years nursing per se but in medical field with interruptions from 1991. In all different qualities from essentially secretary to nurse to attending, then again nurse, then back to...
  17. KatieMI

    DNP NECESSARY????

    KatieMI replied to TheFuture09's topic in Doctoral Nursing Degrees

    I work in a academic teaching hospital and, before all that jazz with COVID19 had started, always was more than welcome to get a PA or NP student to precept. I could teach them all the real stuff of...
  18. KatieMI

    Why In today’s society do nurses still have to pay for our RN license renewals

    KatieMI replied to Kymmylala's topic in General Nursing

    Plus, all those folks working at Boards do it not on volunteering basis. The Boards proper, surveyors, licensing per se, they all want their salaries plus State workers benefits. Those $$$ come from...
  19. KatieMI

    Finding a job with pending accusation

    KatieMI replied to aspirationpneumonia's topic in General Nursing

    I had patients in restrains and on Bipap quite a few times, both as a bedside nurse and as provider. Sometimes this is only one thing that can be done if "as much sedation as you need but just enough...
  20. KatieMI

    What was your first AGACNP job?

    KatieMI replied to kdawnz's topic in Nurse Practitioners, NP

    3 to 4 of years of bedside in a well-run diverse unit (or widely diversified experience, at least two specialties avoiding ones with set routines such as elective Ortho surgery; Within these years,...
  21. KatieMI

    What was your first AGACNP job?

    KatieMI replied to kdawnz's topic in Nurse Practitioners, NP

    So... I am one, anything wrong with
  22. KatieMI

    Genuine question that I know is going to make me sound like a TERRIBLE nurse...

    KatieMI replied to pinkdoves's topic in General Nursing

    Many of docs in fact are too. But there are two things: - when they see "the whole pucture", they see a very different one."Thinking as a doc" and "thinking as a nurse" at times looks like...
  23. KatieMI

    Genuine question that I know is going to make me sound like a TERRIBLE nurse...

    KatieMI replied to pinkdoves's topic in General Nursing

    You do have a choice. You can ask providers about parameters to call, and, if they so prefer, place a corresponding order. Calling them in reasonable AM hours and just letting them know numbers...
  24. KatieMI

    Genuine question that I know is going to make me sound like a TERRIBLE nurse...

    KatieMI replied to pinkdoves's topic in General Nursing

    Reversal of INR which is 0.1 over target was inappropriate by itself. And, of course, reversal of INR of 5.3 with relatively normal liver function and without active bleeding and with huge risk of...
  25. KatieMI

    Genuine question that I know is going to make me sound like a TERRIBLE nurse...

    KatieMI replied to pinkdoves's topic in General Nursing

    4 units of FFP, double dose of vit K IV. The patient was more or less stable on LVAD; he developed DIC during plasma