KatieMI BSN, MSN, RN

ICU, LTACH, Internal Medicine

Member

All Content by KatieMI

  1. KatieMI

    Feeling like you're complicit in the addiction problem...

    Some of them stay long enough. Some stay frequent enough. Some of them are more susceptible. And some experience opioid-induced pain, which, in turn, is dutifully treated by more opioids because it...
  2. KatieMI

    Feeling like you're complicit in the addiction problem...

    When I was working in ICU, I mostly followed the path of "being the only nurse". Luckily for me, my current area permits much more freedom. When I establish strong enough conract with the patient AND...
  3. KatieMI

    got fired/terminated

    "As time went by, we discovered certain subtle discrepancies in our views and perceptions of (insert specialty of your choice) nursing which were, in all our good faith in each other, somewhat...
  4. KatieMI

    got fired/terminated

    @Horseshoe, it is all correct before things get to real business of lawsuit. For example, "opinions are generally protected" as long as they are based on something, and that "something" is timely and...
  5. KatieMI

    got fired/terminated

    @dishes: While I agree that agency work is not the best choice, and especially for a new grad, it is just one way to dust off and work things out. There are agencies which are risky and careless and...
  6. KatieMI

    No RN experence NP "non-nurse"

    BTW, the article contains the link to another article which alleges NEGATIVE correlation between previous experience as an RN and quality of provider as expressed by physicians employing the said...
  7. KatieMI

    got fired/terminated

    One more thing: The best place for you is where YOU is accepted and welcomed as a nurse and a human being and where you can practice with your strengths fully exploited and continue to learn and...
  8. KatieMI

    got fired/terminated

    The thing is, none of these letters will ever word something in particular. They know better that every their word or sentence can be used as a base for a lawsuit. Not that it happens often, but it...
  9. KatieMI

    Doctor stole my stethoscope

    Next time: - buy it bright. The more neon, the better. - buy a yoke name tag - one side of the name tag, engraving of your full name AND title. Saying to the world "RN". - on the opposite side of the...
  10. KatieMI

    Am I the only nurse that... (Rant)

    First of all, if anybody would make a pic, selfie or video clip with me without my permission, they would have a choice to delete it now in front of me, or go meet security guys. Period. Second, it...
  11. KatieMI

    What Nurses really Want to Say When They Chart

    "No orders received": Doctor X, good evening, how are you doing? Sorry bothering you, yua 'now, that protocol... yep, nothing is going on, yep, have a good night!" (why on the green Earth I have to...
  12. KatieMI

    how to credit college class for license CEU

    Ask about it as well. Again, I do not know about Florida, but in Michigan, if you take, say, pharm and it includes pain meds, then it covers State-required 1 CE unit in "pain management". In other...
  13. KatieMI

    how to credit college class for license CEU

    Go to your secretary or clinical coordinator and ask. In Michigan, one just have to provide evidence of so many credits of "X" level taken (i.e. print the "running audit"). It may be different in...
  14. One of the Golden Rules for Any Immigrant: - should you EVER want, or have to, work in ANY occupation which requires professional licensing, you MUST obtain related education in the country where the...
  15. I really, truly hope you use different communicating style while job searching, to begin with. Not only caps, but the style you
  16. KatieMI

    LPN seeking more

    Try to get friendly with nurse educators. They may already have, or think of, a creative project aiming to decrease readmissions, for one example. I know about one such program employing several LPNs...
  17. KatieMI

    New twist on the vaccine argument

    It is dammit
  18. KatieMI

    FREE Colleges?! & How it affects Nursing

    In addition to the above: Federal moneys are kinda not free for all, although it might look like it. The "free" (because they will be still payed, ultimately, by you and me, although indirectly)...
  19. The thing is, we introverts care about the issue just as much as you do or even more. We just do not show it, like we do not show our worlds to everyone. It took me years to stop paying attention to...
  20. KatieMI

    GFR 150

    Hey, I was standing here before you
  21. Another deep introvert is here. I do not mind occasional chat about life, but I go to work solely for work. I understand now that in the first three places I passed through that was a huge part of...
  22. KatieMI

    refusing assignment

    The understaffing is not the fact belonging to an agency's nurse biography. It belongs to the facility run so poorly that administration cannot retain qualified staff. I would think twice about...
  23. KatieMI

    GFR 150

    The cause of TRULY elevated GFR: hyperperfusion + elevated circulating blood volume + anabolic state. Classic example is pregnancy. The cause of (usually) FALSE elevated GFR: hypermetabolic states...
  24. KatieMI

    Pet Peeves with Doctors

    When they only deal with what they deem their own area and pay no attention to anything else. Like, I'll give him some Tylenol for that fever, and call Neuro for stiff neck, Cardiology for HR of 120...
  25. KatieMI

    Question about fent OD?

    I am pretty much sure it is not fentanyl. Fentanyl metabolism is primarily hepatic, that's true, but it also means that if there is significant degree of liver failure, then it is the level of...