KatieMI BSN, MSN, RN

ICU, LTACH, Internal Medicine

Member

All Content by KatieMI

  1. KatieMI

    The Things They Forget to Tell Me

    KatieMI replied to Kitiger's topic in General Nursing

    This is not an urban legend. I saw it a few times with patients with older renal transplants. In my current patient population, I'd learned not to ask at all the standard "do you have problems with X,...
  2. KatieMI

    Words You Hate

    KatieMI replied to OyWithThePoodles's topic in General Nursing

    In plain English - do not remove Foley before urologist gives you order to do so. Why he could not just write this down this plain and simple way is a mistery. The doc spoke perfect US English...
  3. KatieMI

    Words You Hate

    KatieMI replied to OyWithThePoodles's topic in General Nursing

    "Intubation" used in any other context except for airways. Real urologist's order: do not extubate member unless ordered by Dr. X (postoperative Foley). Also, in Flexiseal booklet there is point of...
  4. KatieMI

    Words You Hate

    KatieMI replied to OyWithThePoodles's topic in General Nursing

    "Something". "Something for ma' pain". "Something for something". Just tell me you're wanting your next fix, at least it will be honest. Or tell me precisely what is troubling you, and what you...
  5. KatieMI

    made MD angry, and resources on unit

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

    I kinda understand not finding the source down below, there can be "circumstances" making that digging into bleeding flesh really difficult. But treating "fever and pain" with Norco while saturation...
  6. KatieMI

    made MD angry, and resources on unit

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

    If you find something wrong, the question #1 (after you made sure that the wrong thing is truly so) is: does the wrong finding fits into whole picture, and if it does not, why so? Your patient had low...
  7. KatieMI

    Do you go to work with parabens on you?

    KatieMI replied to RNdynamic's topic in General Nursing

    I wonder: why exactly parabens? Why not organic oils, to which many people are sensitive for very real? Why not BPA, which is proven to be harmful (on mice and rabbits, that is, but still)? Why not...
  8. KatieMI

    Can a UK Mental health nurse work in America or Canada?

    KatieMI replied to isyguy2000's topic in International Nursing

    I do not know about Canada, but I know one GB-educated mental health nurse who moved here to the US by marriage. To her, the best way is to just go through a direct entry Mental health MSN program and...
  9. KatieMI

    Where are all the NP preceptors out there?

    KatieMI replied to kittypants247's topic in Student Nurse Practitioner

    Try to join NP council or other organization in your state, they often have list of those wishing to precept students. If you work, ask mid-levels there. If nothing else, go to clinicalsmatchme.com It...
  10. KatieMI

    Nurse residency programs--be aware!!

    KatieMI replied to LexiRN6's topic in General Students

    Yup, correct. At the present time, opening a medical residency means years of hard work. Opening a nursing one takes just as long as printing a few beautiful pictures and writing a generic sweet text...
  11. KatieMI

    PEG Tube to suction..

    KatieMI replied to RN2114's topic in General Nursing

    PEG tube actually preferred for upper GI decompression. It is bigger and normally sits in stomach fundus - the thin-walled and easily blown-up part which can press against diaphragm and compromise...
  12. KatieMI

    Have I ruined my chance at being accepted into an RN-BSN program?

    KatieMI replied to Loveishope1970's topic in School, College Programs

    What is so wrong with speaking with admission advisor? It is free of charge And, yes, for for-profits everything you need to have is your unencumbered RN license and a source of money. Pulse,...
  13. KatieMI

    Who do you work for the patient or the facility?

    KatieMI replied to hppygr8ful's topic in General Nursing

    Honestly, I think you did good for BOTH parties. Would you management love dealing with a royal mess of a code on the floor and with everything that follows
  14. KatieMI

    High Alert Medications during Transport

    KatieMI replied to bobbi_marieda's topic in General Nursing

    We get the meds (sometimes pre-drawn) with another RN and then during the process I just administer what is needed, noting dose and time. We have pre-printed labels for syringes so not to mix them. If...
  15. KatieMI

    How in this world do you ever get 1 year experience?

    KatieMI replied to Leonardo Del Toro's topic in General Nursing

    1) temporarily move out of state 2) "acute" LTACH or "acute" rehab (the key question is whether they take a lot of tele patients or not) 3). agency/travel work, but account for the fact that agency...
  16. KatieMI

    Quick question

    KatieMI replied to Lev's topic in General Nursing

    Steristrips will hold the skin opening together, not the whole length of it. Your goal is to get the whole drain healed, preferably from the "bottom" (inner end) toward the top (skin end) so to avoid...
  17. KatieMI

    Quick question

    KatieMI replied to Lev's topic in General Nursing

    Plain sterile gauze only, and not very thick. You want to watch the place from time to time to see if discharge increasing, changing, bleeding, etc. Everything that can make this observation more...
  18. KatieMI

    Welcome To The Hospital - From Your Nurse

    KatieMI replied to Lev's topic in General Nursing

    Hospital is a place which provides HEALTHCARE RELATED SERVICES. It is not a place where all your other life needs of the moment are to be satisfied. It is not about money, it is about what we do. You...
  19. KatieMI

    Nurse Bullying

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

    Dr. Renee Thompson pretends to naively ignore the fact that no naming of anything and no documentation will help because workpkace bullying, except for cases of bodily harm perpetrated then and there,...
  20. KatieMI

    When should nursing homes be allowed to evict residents?

    KatieMI replied to Emergent's topic in Geriatric, LTC

    I work in LTACH where there is at least one just such patient at any time. Most of them were transferred to acute for whatever, sometimes quite clearly made up reasons, then the patient is not...
  21. KatieMI

    How to get accepted with a learning disability

    KatieMI replied to godzgirl's topic in General Nursing

    Libby1987, No, not all. When I was shopping about mine, 2 out of 3 I checked did not. But one will not pass Stats without a good grasp on basic algebra, and every BSN prorgam has Stats as prereq or...
  22. KatieMI

    How to get accepted with a learning disability

    KatieMI replied to godzgirl's topic in General Nursing

    Yes, math learning disability is an official diagnosis and it comes under ADA coverage. As Here.I.Stand said, school is required to provide reasonable accomodations. In case of math disability, it...
  23. KatieMI

    Should I leave this racist town?

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

    That was an advice Jews in Europe were given around 1937. You know how it ended. It was also an advice I was given by a bipedal of female gender who named me "scum which soils American air" 5 min....
  24. KatieMI

    Should I leave this racist town?

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

    It is indeed 1) still exists, and 2) tolerated. I witnessed and experienced it all in two places out of three I worked so far. Rural teaching hospitals in economically run-down areas and...
  25. KatieMI

    Question from a doc on NP education

    KatieMI replied to clamchow's topic in Nurse Practitioners, NP

    The thing is what I name "Tina Jones problem". (For those who do not know, Ms. Tina Jones is a simulation patient used by Shadow Health, an online assessment training company used by many NP and...