KatieMI BSN, MSN, RN

ICU, LTACH, Internal Medicine

Member

All Content by KatieMI

  1. KatieMI

    Tachypnea without dyspnea, interventions

    KatieMI replied to cloudtalk's topic in General Nursing

    For dialysis guys: 1) metabolic acidosis they periodically live with 2) slight fluid overload (if they have even trace of basal crackles heard, it means 25% of lungs is out of the game) 3) COPD with...
  2. KatieMI

    Is this a lot of clinical hours?

    KatieMI replied to Ambreree's topic in General Nursing

    About right for BSN. It depends on what you are doing, though. Big difference between going to SNFs with a visiting RN and learning complicated wound care and real care plans and tidying kitchenertes...
  3. KatieMI

    Hostile families

    KatieMI replied to KC,RN's topic in Patient, Colleague Relations

    Here. I. Stand, Lay people have a good number of amazing misconceptions about how hospitals and medical system in general works. If you ask most of them, you will find out that: - docs have a cozy...
  4. KatieMI

    Why we can't administer insulin near umbilicus?

    KatieMI replied to Pink68's topic in Patient Medications

    Or, alternatively, there is a group of veins near umbilicus which is directly connected with vena porta. The veins sit within these 2 inches around umbilicus, and accidental injection in any of them =...
  5. KatieMI

    Hostile families

    KatieMI replied to KC,RN's topic in Patient, Colleague Relations

    Ok, so you got a patient with condition which is known to hurt like ****. She is already got 6 mg of morphine, with no relief. You know it. If I were you, I would access patient much sooner than 30...
  6. KatieMI

    Why did you pick your NP Program?

    KatieMI replied to oldsockventriloquist's topic in Student Nurse Practitioner

    Availability (I live in the middle of nowhere and cannot drive 2.5 hours one way three times a week for main campus) Low cost (relatively) Competitive admission and academically challenging program. I...
  7. KatieMI

    MA in charge of clinic?

    KatieMI replied to anchordown16's topic in General Nursing

    Clinical competencies of MA is a question to Medical Board, not Nursing. But, given the situation, I would just submit my resignation note and take medical leave for the rest of
  8. KatieMI

    Can I still be a nurse?

    KatieMI replied to dragonhawk's topic in Pre-Nursing Students

    Doc can write whatever. School can accept whoever. An agency where you got to have your clinicals (SNF, hospital, school, soup kitchen, etc.) CANNOT afford massive liability if you get anything...
  9. KatieMI

    Can I still be a nurse?

    KatieMI replied to dragonhawk's topic in Pre-Nursing Students

    What I just cannot get is how someone so sensitive to the tiny amount and limited range of antigens/chemicals in vaccines can even think of being in very close, prolonged contact with other human...
  10. KatieMI

    Doctors answering services

    KatieMI replied to menot's topic in General Nursing

    It means they do not tell, and do not wait. I say that I need to speak with the doc ASAP and the next thing I hear is nice music for good five minutes. Meanwhile, the patient in question is steadily...
  11. KatieMI

    faking ketone test??

    KatieMI replied to nursekoll's topic in School

    Not a school nurse but.... In EITHER type of diabetes ketosis (or, rather, ketoacidosis) is NOT directly connected with hyperglycemia. Ketoacidosis is the result of lipolysis and fatty acids being...
  12. KatieMI

    Best Initial Intervention

    KatieMI replied to JorgeAlvarez's topic in General Nursing

    Direct pressure first, because it only takes a second to do. Everything else rolling out as you yell for help while holding that pressure. Elevation above heart is cumbersome and kinda
  13. KatieMI

    Nurse's Week Gifts from Employers

    KatieMI replied to twss2323's topic in Patient, Colleague Relations

    Last year, it was a beach towel. This, it is a HUGE umbrella. So huge that the whole family can fit under it. Sure thing to take on the beach later this summer! Plus candy, daily lunches from sponsors...
  14. KatieMI

    Best way to avoid bedside care?

    KatieMI replied to Lemon Bars's topic in General Nursing

    Well, I entered the nursing with 110% understanding that I will stay bedside no one day longer than absolutely necessary to pay for my NP. And I had first year experience worth to write a horror novel...
  15. KatieMI

    Best way to avoid bedside care?

    KatieMI replied to Lemon Bars's topic in General Nursing

    This is 'cause now everybody knows that "there are 500 things you can do as a nurse", so apparently everyone should be able to pick up something he or she truly enjoys. Which is very much the truth,...
  16. KatieMI

    How do you deal with verbally abusive pts?

    KatieMI replied to Molly.RN's topic in Patient, Colleague Relations

    Documenting behaviors is necessary if someone in that facility gets it at last and decides to evict the patient, or for transfer to geri/psych lockdown house, where many of these patients end up. It...
  17. KatieMI

    Best way to avoid bedside care?

    KatieMI replied to Lemon Bars's topic in General Nursing

    Insurance/QA/CM all require previous experience, very often within particular specialty, and pretty often either already MSN or being on the way to it. Especially QA. One has to be familiar with real...
  18. KatieMI

    Best way to avoid bedside care?

    KatieMI replied to Lemon Bars's topic in General Nursing

    To be good at nursing role in clinic, one needs to have bedside experience, IMHO. Maybe not long years of it, but it is still necessary. Where I live, options include home care and chronic dialysis...
  19. KatieMI

    What's the highest blood pressure you ever recorded?

    KatieMI replied to Andythepiano's topic in General Nursing

    340 something/260. Pheochromocytoma (a hormonally active adrenal tumor which makes epinephrine by the caseload) on operation table right before it was whacked outta there for good. Patient had massive...
  20. KatieMI

    Nursing School on 2nd year probation?

    KatieMI replied to Oceanblu's topic in General Students

    If not a secret, which #1 program in the country has 75% NCLEX passing rate, and according to which rank list? Just
  21. KatieMI

    Stolen Nursing License!!!!

    KatieMI replied to dory123's topic in General Nursing

    1) freeze all your credit card accounts AND those of your family. 2). stop using any social networks now. Even better, ask them for your accounts to be destroyed. Use internet at work, or in a public...
  22. KatieMI

    Nursing School on 2nd year probation?

    KatieMI replied to Oceanblu's topic in General Students

    It is the red flag of the size of the horizon. Get outta there ASAP, because even if you do pass NCLEX and even if the school hold it on, I bet that the poor reputation of the school is known far and...
  23. KatieMI

    Vein transilluminators

    KatieMI replied to Devon Rex's topic in General Nursing

    Vein transilluminators are not tools to teach you the skill; they are supplements. I use mine quite extensively but I work with "difficult" population to begin with, with most superficial veins spent...
  24. KatieMI

    Is this request unreasonable? Diabetic question.

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

    It takes two minutes, and it gives you (and maybe somebody else) a benchmark to start working from. Unless you are from one of these ridiculous places where nurses need a Holy Order to do CBG, I see...
  25. KatieMI

    Do u say what ur REALLY thinking,on a survey from work?

    KatieMI replied to BrendaH84's topic in General Nursing

    I wrote once that I will respond neutrally till my employee number removed from the login, after what I feel like I can speak the