KatieMI BSN, MSN, RN

ICU, LTACH, Internal Medicine

Member

All Content by KatieMI

  1. KatieMI

    FDA now requires 'black box' warning on IR opioids

    KatieMI replied to Graduatenurse14's topic in General Nursing

    Answering your question, pharmacists are also grilled hard about "customer satisfaction". So, everything they can say is "doyouhaveanyquestions? Please go to the website listed right here if you want...
  2. KatieMI

    Jobs (my license is on probation)

    KatieMI replied to Slewis092476's topic in General Nursing

    Travel agencies (and agencies in general) may seem to take anyone still breathing, but they actually want one more thing, and this thing is clean license. I am afraid that you will have to contend...
  3. KatieMI

    Look who's back..back again...Jahi's back...

    KatieMI replied to Penelope_Pitstop's topic in General Nursing

    Thank you, Horseshoe! I did not know it all... at least that makes it clear why the vent appears to be set with rate and pressure. But it also makes the whole picture even more macabre. Poor parents,...
  4. KatieMI

    Look who's back..back again...Jahi's back...

    KatieMI replied to Penelope_Pitstop's topic in General Nursing

    It is kind of interesting question if she'd ever met "brain death" criteria, and, if so, which one. "Persistent vegetative condition" and "minimal consciousness condition" are both, technically, NOT...
  5. KatieMI

    Look who's back..back again...Jahi's back...

    KatieMI replied to Penelope_Pitstop's topic in General Nursing

    If she is only "cortical death" (meaning the cortex, subcortical gray matter like thalamus and reticular formation) are dead, then everything below there, including hypothalamus/hypophysis is working...
  6. KatieMI

    Let's Ban the Phrase "I'll Go Get Your Nurse"

    KatieMI replied to nynursey_'s topic in General Nursing

    [quote=nynursey_;8955291 Yes, you're correct, a patient is entitled to request to speak to their nurse, and I don't mind attending to those calls. But those instances are rare. . We tried this...
  7. KatieMI

    Unsedated, vented patients?

    KatieMI replied to CrazierThanYou's topic in General Nursing

    Nope, you are not! Anaphylaxis is not surgery, the edema usually goes down pretty quickly, so the goal is to get tube out and patient active ASAP. Honestly, I want the same thing. So, I put on my...
  8. KatieMI

    Let's Ban the Phrase "I'll Go Get Your Nurse"

    KatieMI replied to nynursey_'s topic in General Nursing

    Same here And when I once asked the guy why it was so, it turned out he had no knowledge of who was SUPPOSED to do what. He knew that it was PCAs job to bring trays in rooms, procedure sets, etc., so...
  9. KatieMI

    Let's Ban the Phrase "I'll Go Get Your Nurse"

    KatieMI replied to nynursey_'s topic in General Nursing

    Guys, I'm going to tell you a big secret: - medical students/doctors usually have no idea how to toilet a patient. The only one exclusion is if they worked in different capacities before. Just the...
  10. KatieMI

    Let's Ban the Phrase "I'll Go Get Your Nurse"

    KatieMI replied to nynursey_'s topic in General Nursing

    Yes, yes, YES!!!.... except for one little thing. Depending on place and situation, person who says "I'll go tell your nurse" may or may not have any idea if the task can be delegated and what's realy...
  11. KatieMI

    how do i know a unit is closing

    KatieMI replied to thomas76's topic in General Nursing

    There are subtle things to notice. If a place is famous for producing new rules/policies weekly, it stops. Minor repairs are not done and not accepted. New equipment doesn't come. The things the whole...
  12. KatieMI

    prn/overtime addiction/survey

    KatieMI replied to ThePrincessBride's topic in General Nursing

    I do not work 48 hours/week any more... I work 12 to 24. And study anywhere between 40 and 50 And, just in, summer camp... close to $3000 for two
  13. KatieMI

    prn/overtime addiction/survey

    KatieMI replied to ThePrincessBride's topic in General Nursing

    Well, if someone is accustomed to certain style of life and has to work 80 hours/week to just keep things going, this is no one else's business. Good if these folks enjoy their jobs; if they do not,...
  14. KatieMI

    prn/overtime addiction/survey

    KatieMI replied to ThePrincessBride's topic in General Nursing

    How do you know? There are less than obvious things in life which take a d*** whole lot of money. One math gifted kid can easily run in $10000/year, plus savings for MIT or something of that level....
  15. KatieMI

    Please help! PICO Question

    KatieMI replied to Justine7's topic in General Students

    Pick up one relatively narrow and "hot" question with clearly defined population (p) and plenty of possible interventions (i) and start from there. Alternatively, go to CINAHL, search for dementia,...
  16. KatieMI

    Coping with emotionally difficult patients

    KatieMI replied to calivianya's topic in General Nursing

    If patient is still A, Ox3, he may be declared "competent" even when unable to speak. Depending on the state, one or two physicians might need to evaluate, but if patient is "competent", he can be...
  17. KatieMI

    Select specialty hospitals

    KatieMI replied to Shagce1's topic in Long Term Acute Care

    I work in one. It really depends on which kind of patients this place take. The range is from something mostly like acute rehab to pretty much ICU level. We take "stable" ICU level patients all the...
  18. KatieMI

    Coping with emotionally difficult patients

    KatieMI replied to calivianya's topic in General Nursing

    Please, do not be afraid to just medicate them... they deserve these moments, even if there is nothing else to be done. Be honest with family (after you got your bosses' support). Time of "she's doin'...
  19. KatieMI

    I suck at APA style and lack motivation to complete my BSN

    KatieMI replied to empatheticRN's topic in General Nursing

    Referencepoint.com or PERRLA $30 or so, problem
  20. KatieMI

    When to go against doctor's request

    KatieMI replied to shanleah's topic in General Nursing

    Please stop beating yourself. You did just fine, honestly. The fact is, you are there in the room near the patient. Doc is not there. He sees, hears and thinks of what YOU are telling. YOUR assessment...
  21. KatieMI

    How did you deal with the stress of an out of state move?

    KatieMI replied to AnnieOaklyRN's topic in General Nursing

    Just try it a few times, and you'll grow to like it. I promice. We once moved from Midwest to London, England on a short note and with baby still on oxygen. Then, just back, to the deep, deep South,...
  22. KatieMI

    Wrong injection!

    KatieMI replied to lotus_flower's topic in Patient Medications

    1). It is still a med mistake. 2). If patient signed consent for TD and got TDaP, it is, by the word of law, consent violation and negligence. If a patient consents on, say, mole removal and then...
  23. KatieMI

    Student nurses with disabilities

    KatieMI replied to sara2013's topic in Nurse Disabilities

    The thing is, "cognitive deficit" can mean apples, cabbages, and everything in between. Poor hearing can be accounted (and often is) as such, but these two conditions have nothing to do with each...
  24. KatieMI

    New Grad & Bullying

    KatieMI replied to NICURN87's topic in General Nursing

    Nutella is totally correct. If anything else, those $5000 are less than your health costs. A year and a half is enough to make reason like "I'm just not a night person" perfectly legal. Start putting...
  25. KatieMI

    Health care administration - non nurses

    KatieMI replied to nutella's topic in General Nursing

    Any healthcare facility is a business, whether we like it or not. Just like a supermarket, a gas station, a restaurant. They all have the same baseline rules of management. So, ABOVE the certain...