KatieMI BSN, MSN, RN

ICU, LTACH, Internal Medicine

Member

All Content by KatieMI

  1. KatieMI

    Why is there a Bully on the Playground?

    One bullying boss in top Power = bullying will spread down to the bottom all over the place. I told it before, and gonna to repeat: it will end, when there will be the law making PROVED incident of...
  2. KatieMI

    Question to Catholic nurses

    Thanks guys! (looks like I'd met another someone who got his head filled with policies instead of brains
  3. KatieMI

    Pendulum Swinging too Far on Pain Meds?

    Anonimous865, I really would like to know which state took it upon itself to change federally approved drug schedule to its own "needs"? (So that I would never, ever entertain an idea to move there...
  4. Comfort care = care to relieve unpleasant symptoms. Therefore, the symptoms of sepsis that bother patient (fever, thirst, restlessness) are treated with symptomatic meds. Main reason, which is...
  5. KatieMI

    Pendulum Swinging too Far on Pain Meds?

    Well, find another doc. Better yet, ask for ortho pain clinic referral (NOT your next strip mall one). They are few and far between, but people there really know their drugs and other things like...
  6. Said more that once that I woudn't make it, and even if I do, I'll never find work, because "nobody like people who speak with a foreign accent" and "such people make facility look bad". Another...
  7. KatieMI

    How did you decide your specialty?

    I "knew" I wanted critical care, but after first year horrendous experience there (yes, NETY) I found myself working agency in med/surg, ICU, LTC and LTAC, all at the same time. I always loved...
  8. KatieMI

    study abroad? (I know, I know....)

    I once met an NP who wanted, from the beginning, to do Peace Corps and healthcare related mission work. She graduated from some BSN program and then did her graduate in Eastern Kentucky University....
  9. KatieMI

    what's your pet peeve?

    "If 500 or over, give X units, call provider". Called AFTER giving that X units and not rechecking. Provider ordered 2X more units, which were immediately given. Rechecked in 15 min, it was still over...
  10. KatieMI

    Nurse forced to work as a CNA

    They can do it. As long as they pay me as an RN, that's fine. In my place it is usually a sitter duty with a $5 or so+/hour differential, so most people would love to do this for more money than to...
  11. 1). Make rules that make diversion hard and HIRE ENOUGH STAFF TO MAKE THEM FEASIBLE! (I worked in one place where all the remains of narcs and empty amps had to be collected in individual lockboxes...
  12. KatieMI

    what's your pet peeve?

  13. The problem is, random test is essentially a screening. All screenings generate false positives in large amount, that's the law of statistics. Therefore, mass random screens will generate a whole lot...
  14. KatieMI

    atheism religion and religious hospitals

    From my own and others' experience, religion-based hospitals are hotbeds of bigotry and some other things that much worse. Although I am sure there are some exclusions, overall one better fly under...
  15. KatieMI

    What do you hate most about your job?

    Policies' kissing to the point of losing common sense. That documenting "call light within reach" q4 because there is policy for that, and not doing anything when the same patient (a half-century old...
  16. Honestly, I do not know how to answer. I have computer access and went through student orientation. I have contract between me, my preceptor, school and the facility. But I am obviously not paid, do...
  17. KatieMI

    Nurse Manager fabricated report

    Get outta there ASAP. Year of your only one life doesn't worth this sort of
  18. KatieMI

    what's your pet peeve?

    We just must be in the same ER lately. Whatever I told, nobody could get that 100/60 is my perfect
  19. KatieMI

    Is there Hope for me after 21 yrs???

    Tele tech, phlebotomist or unit clerk, to begin with. Not that much physical effort as CNA, sometimes can be trained on the job and pays not much but still more than minimal wage. Then - see how...
  20. Came there first at 36 with no GED. Just a foreign diploma from another country. BSN @ 39, going to MSN. Take a couple of hard science classes which would count as prereqs, like A&P and chem lab...
  21. KatieMI

    what's your pet peeve?

    Even better one. In one place I was once, every single 10 cc saline syringe had to be sign out as "charge". The person who was kinda obscessed with that particular issue threw herself into a room...
  22. KatieMI

    what's your pet peeve?

    We have a form of "patient education" in which something needs to be written every 24 hours as per corporate policy. As far as I know, I am the only one who refuses to chart anything in there if...
  23. Family initiated rapid responce... please do not do it. Just PLEASE. Families are not able to notice, understand and analyze the clinical situation, period. Not only they will call incessantly for...
  24. KatieMI

    what's your pet peeve?

    1. Babies and toddlers visiting. Who, in his or her right mind, would ever let a baby crawl on the floor just cleaned from C. diff and washed with hypochloride? Who will allow an "exploring" toddler...
  25. If you are not going to CRNA, it is totally possible to find a grad school which costs that much for the whole