KatieMI BSN, MSN, RN

ICU, LTACH, Internal Medicine

Member

All Content by KatieMI

  1. Just letting you know: nurses are not sued for every little thing. In fact, they are not sued even for quite a big things. About 70% of nursing calls are, unfortunately, done without much reason. It...
  2. For "wrong dose", there is a pharmacy, not you. For "missing an important order" - quite frequently patients do not need everything they had ordered at hospital to be reordered at discharge....
  3. In american medicine, everybody providing direct patient care checks everybody else providing direct patient care. We are all people. Mistakes, conscious or not, are inherently human. By providing...
  4. Hoosier_RN, if an employee is given a choice to test for narks or resign immediately, it clearly means that he got a target on the back. If only one person and not a whole shift asked to test, some...
  5. And what could happen if that RN would not be an abuser? "Narcotics disappearing" is not an evidence by itself, and most people in sane mind would leave immediately after being presented with the...
  6. I was in precisely the same situation as the OP twice. Both times, they spent significant amount of time and effort to build paper trails and documented things according to which I should not be let...
  7. KatieMI

    What was your first AGACNP job?

    That's why I am going back to school. Docs couldn't care less, but formal policy is formal policy. The situation varies incredibly wide around the country and even within states (rural vs. metro areas...
  8. KatieMI

    COVID-19: Creepy or No?

    If you are not usually talking with someone, it doesn't mean that someone is not aware of your existence. It is perfectly OK to just say "thank you" directly to the person who deserves
  9. KatieMI

    What was your first AGACNP job?

    I do not know... I started from running hospital floor with FNP, it was nothing "terrifying" except for number of nursing calls, out of which at least 70% were pure nonsense. Was working for two years...
  10. Thank you so much, but please no hugs... ribs still hurting
  11. KatieMI

    What was your first AGACNP job?

    Specialty adult practice where you will do both clinic and rounds in hospital. Nephrology, Cardiology, Neuro/strokes, Surgery, Ortho, whatever. You'll get hospital privileges this way, and after...
  12. PAs are wastly preferred. Very difficult position for an NP to get in without specialty experience and personal connections. Plus, you can be pulled at any time for preops, postops, daily rounds,...
  13. You can always tell on interview that "the position was not a good fit for me" and stop at that. Everybody in medical world knows how things are run in some places, so if your license is otherwise...
  14. KatieMI

    Pathways to NP

    Cardiology NP - you can do FNP, Adult-Gero Primary and Adult-Gero Acute. It is more depending on where you want to work eventually (specialty clinic vs. hospital vs. research vs. procedures) as in...
  15. I am doing just fine ? Off oxygen, off most of the meds, back on floor full time on a new job which is the whole way better than the old one. Started to work on walking staircases up as I do not feel...
  16. KatieMI

    Issue at Union Hospital

    1). make sure you are not breaking any rules (in some places trucks should use separate part of parking) 2) call your agency and tell them in very bright color with liberal amount of drama added that...
  17. KatieMI

    Did I make the wrong call?

    Davey, psychiatry is a quite separate world ? Patients on medical floor more frequently than not know it. Trazodone is not addictive by itself but being combined with IV opioids, apparently, sends...
  18. KatieMI

    Did I make the wrong call?

    In SNFs and even some hospitals apparently there are some schmolicies prohibiting splitting any pills at all. I lost count of how many times some little old lady or gentleman was carefully titrated...
  19. KatieMI

    Did I make the wrong call?

    "Unusually" high/low doses are common in Psychiatry. On the other hand, "half dose" was prescribed and we do not have to believe everything patient says about doses of meds. There are meds which do...
  20. Oh, yes... It drives me nuts - this argument "I just want to report/let you know/update you". I do not know what it might be, I do not know patient, I have no idea what is going on but I am doing my...
  21. Did you research job opportunities in your living place of choice before you started school? Before COVID? Re. feeling guilty toward prospective employer: it is one thing to get out of your head...
  22. 1). Acute care NPs have generally less chances in "small communities". Small hospitals do not need many of them, and those which do frequently prefer PAs. 2). Hiring is down everywhere now. Whatever...
  23. KatieMI

    Home health nurse working as a maid?

    Heh, you never heard what a human being can tell you to prove himself having "emotional disability" and thus get a sheet of paper allowing him to take his pet everywhere free of charge. Especially...
  24. KatieMI

    Incorrigible

    Davey, I do not know why you were terminated but I know for pretty much sure that whoever did that is an idiot not worthy any further attention. Congranulation with the new
  25. KatieMI

    Home health nurse working as a maid?

    It is a common story. Either her primary care provider is too lazy or "friendly and customer-oriented" and just signs off renewal orders for skilled nursing, or he/she and home care management "work...