KatieMI BSN, MSN, RN

ICU, LTACH, Internal Medicine

Member

All Content by KatieMI

  1. KatieMI

    Horizontal violence in the workplace

    KatieMI replied to soulshine101's topic in General Nursing

    I honestly do not see how on the green Earth you can get people in your own unit to provide "honest responces" about this subject. You can present it as anonymous all you want, I will make a good bet...
  2. KatieMI

    The sloppy image of nurses today

    KatieMI replied to RNdynamic's topic in Nursing Professionalism

    Or, better yet, carefully confine yourself to private dermatology or psychotherapy practice within limits of Newberry Street, Boston, MA, or Park Street, NY, NY. Everything else will most inelegantly...
  3. KatieMI

    Do you see ethnic tensions at work?

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

    Just to clarify, Midwest is the same. P.S. someone, please disable Nursingaround1 VPN code... and TOR, too. I've got 100+ pages to read and work tomorrow, and here comes the best entertainment in...
  4. KatieMI

    The sloppy image of nurses today

    KatieMI replied to RNdynamic's topic in Nursing Professionalism

    How so? I'm in monitoring too. I have the same set of challenges ahead of me that they do. Recovery is not something you "move on" from. Recovery is lifelong. If you're an addict, you would know...
  5. KatieMI

    The sloppy image of nurses today

    KatieMI replied to RNdynamic's topic in Nursing Professionalism

    Ever had a fun of searching for someone's diamond necklace in a wound with Pseudomonas necrotic pannus and a couple of active bowel fistulas fountanning content all over the place? Hair should be up...
  6. KatieMI

    Sepsis

    KatieMI replied to martymoose's topic in General Nursing

    Yes, sometimes. But lactate can be elevated because of anything collapsing peripheral circulation/disrupting glucose metabolism. Alone, it is just another
  7. KatieMI

    Sepsis

    KatieMI replied to martymoose's topic in General Nursing

    Why?? Ok, here us a new bug. "New bugs" are different from the old ones because they are resistant to antibiotics, right? If yes, this means that new bugs have new, more flexible and changible DNA....
  8. KatieMI

    Sepsis

    KatieMI replied to martymoose's topic in General Nursing

    The problem is, these criteria can be seen in quite a few conditions, each of them having nothing to do with sepsis or any infection, for that matter. DT, DKA, dehydration of any kind, even missed...
  9. KatieMI

    Sepsis

    KatieMI replied to martymoose's topic in General Nursing

    Is that sepsis, SIRS or sepsis quick tool criteria applied wrong way? (the following scenarios are NOT from real patients): 40+ y/o found unconscious in the company of empty gallon bottle of cheap...
  10. KatieMI

    Negative Post on Facebook About New Nurses - I'm Fired Up!

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

    I, sorry for the details, peed in my new Banana Republic pants laughing reading the original FB post. I'd seen so, so many of them. Here comes Her Highest Majesty The Best Nurse priding herself...
  11. KatieMI

    Why are there so many SHADY clinics hiring? *New grad Vent*

    KatieMI replied to Trilldayz,RN BSN's topic in Nurse Practitioners, NP

    For the same reasons that some MD residency programs selectively market to foreign medical grads, who then can be used for whatever from overcharging Medicaid to tampering with prescriptions to...
  12. KatieMI

    16 Ice creams

    KatieMI replied to Birdy2's topic in General Nursing

    Well, ... hugs, to begin with First of all, document as if your life depends on it, in real facts. Patient is lying? Write it down. Patient is accusing staff (with name or without)? Write it down....
  13. KatieMI

    Disillusioned educator

    KatieMI replied to zzisaac's topic in Nursing Educators, Faculty

    I am really sorry for your experience but I'm just itching to ask a few more questions, if you do not mind: 1) what was the nurse/patient ratio in the unit? 2) what was allowed drug interwal? You see,...
  14. KatieMI

    Is it worth it to go get your MS in Clinical Informatics?

    KatieMI replied to jlw777's topic in General Nursing

    AFAIK, it is definitely worth it when you have appropriate background (nursing, preferably BSN, and IT) and good market. Most positions I've seen require a few years practical bedside but there are...
  15. KatieMI

    Can you go from LPN to BSN after MSN?

    KatieMI replied to FutureLPNNursing's topic in General Nursing

    Ok, An RN is either ASN/ADN, or BSN. Both are RNs, both take same NCLEX, but BSN is more advanced degree, takes more time and (usually) more money. So, if you are an LPN, you can go to ADN/ASN, thus...
  16. KatieMI

    Can this really happen?!?

    KatieMI replied to AFNurse2b13's topic in General Students

    The thing is, local facilities from LTC to hospitals know very well which schools make quality grads and which are not. If a manager has two applicants, both new grads, both going to take NCLEX next...
  17. KatieMI

    Can this really happen?!?

    KatieMI replied to AFNurse2b13's topic in General Students

    1). Yes. You are in school with the goal to pass NCLEX. For 99% of you, it will be the first computer adaptive test ever taken. There is no way to bypass it. So, big stake testing is justified or you...
  18. KatieMI

    Sudden spike in INR after change in mental status

    KatieMI replied to simplyme28's topic in General Nursing

    "Mrs. X., your mom's blood got very thin and cannot make cloths. She takes coumadin, that's blood thinning med, for (....), but for some reason this med stopped work as expected. Yes, she was taking...
  19. KatieMI

    Sudden spike in INR after change in mental status

    KatieMI replied to simplyme28's topic in General Nursing

    Well, it was CHECKED and, therefore, NOTICED after mental status change, wasn't it? AFAIK stable patients in LTC do not get draws daily. What the OP describes is a picture of impending liver failure...
  20. KatieMI

    Pt.s Ordering Food from Outside Hospital?

    KatieMI replied to annie.rn's topic in General Nursing

    Libby, Oh, yeah. I liked to see patients being taught by an RD who looked like a concentration camp survivor with wrinkled face of 50+ years old (she was in her 30th) and a nurse of the size of a...
  21. KatieMI

    New grad in LTAC?

    KatieMI replied to jead1's topic in Long Term Acute Care

    You will learn in "acute" LTACH just as much or more than in med/surg, but for this very reason "acute" LTACHs prefer not to deal with new grads. LTACH generally has less resources, less support and...
  22. KatieMI

    Sudden spike in INR after change in mental status

    KatieMI replied to simplyme28's topic in General Nursing

    Check advanced liver panel (AST, ALT, hepatites B and C, alk phos, bilirubine direct and indirect, albumin, LDH, ammonia, lactate) STAT. Access for jaundice, liver size, ascites, blood glucose and...
  23. KatieMI

    Pt.s Ordering Food from Outside Hospital?

    KatieMI replied to annie.rn's topic in General Nursing

    Actually, the wast majority of morbidly obese patients is malnourished. They hardly ever have normal level of albumin, iron, vitamin D metabolites, copper, selenium, omega 6 and 9 and quite a few more...
  24. KatieMI

    Pt.s Ordering Food from Outside Hospital?

    KatieMI replied to annie.rn's topic in General Nursing

    They may not be obligated, but at least where I am there is absolutely no way to prevent it, and nobody is actually willing to enforce it due to patient's satisfaction issues. Also, as it was said,...
  25. KatieMI

    What are some of the most ridiculous requests you have heard?

    KatieMI replied to Joe V's topic in General Nursing

    You're welcome, would be fun to feed Anna pommes