KatieMI BSN, MSN, RN

ICU, LTACH, Internal Medicine

Member

All Content by KatieMI

  1. KatieMI

    MD to RN?

    No question of liability per se as long as person eligible for both licenses stays precisely within the scope of practice of the specialty he/she is employed. This is how NPs can work as staff RNs...
  2. KatieMI

    MD to RN?

    I wonder what exactly "Russian personality" and especially "Russian accent" had to do with the lack of correct communication skills appropriate for this particular situation (which skills, BTW, none...
  3. KatieMI

    MD to RN?

    OP, check your private message
  4. KatieMI

    What are the rules of what we can tell patients?

    Patients do have right to know the total 100% of their own health care information. They also have right to designate someone to receive the same information. This is not a problem. The problem is...
  5. KatieMI

    NP working as an RN - advice needed

    Reg. the second question: if you work as an RN, you can treat whoever as long as you operate within RN scope of practice, including children. What you will do as NP will be defined by your licence...
  6. KatieMI

    MD to RN?

    I am an IMG who switched to nursing, and I will not advice this move before full understanding and acceptance of what is ahead. Your MD background will NOT be your advantage. I found too many nurses...
  7. KatieMI

    I'm sorry for being so dumb

    It is named "CYA medicine", like "cover you a**". It is true that so many people take anticoagulants nowadays. But: - platelet number is what it is. A number. It says nothing about functional capacity...
  8. KatieMI

    College books are the biggest scams ever

    An LTC we used to get patients from. I've heard about this particular trick more than once, from home health and LTC alike. Mountain Dew has pH of like 3.5 or so. Apparently, this acidic soda can...
  9. KatieMI

    College books are the biggest scams ever

    Um, do not buy anything till you KNOW you need it. Ask previous class about that. Rent, share, copy chapters. Get ISBNs, use search engines, buy cheaper. Do not be afraid of school's "policies", they...
  10. KatieMI

    Are we doing good for our patients?

    That was one thing I was distressed deeply about in ICU. I love LTACH because I sometimes see sense in what I'm doing there. Not always, far from it in fact. Maybe 50%, counting all good outcomes...
  11. Meanmaryjean, O.M.G. LOL under the
  12. KatieMI

    Nurses thrown under the bus

    While it is unfair for you to be thrown under the bus alone, I wonder why the question was not brought up at the time of admission. You got a human being with something sticking out of his body, with...
  13. Consider alternative: - kiddo whining and hurting all over after a good sports training session? Go take shower, pasta for dinner for your carbs, take Motrin AFTER dinner, mom will do massage, then go...
  14. I like it when it is about business, logical and straightforward, not a collection of excuses of what was not done and why, long talk about terrible family, etc. If you noticed something which will...
  15. KatieMI

    practicing medicine

    I am sorry, but sometimes the sense is either to get more information, or just mind your own business. I shot a kid blowing up blue and losing airways after a bee sting with my own Epipen pulled out...
  16. KatieMI

    Epinephrine IV or IM in this situation.

    It is kind of interesting that while sq epinephrine is not covered by ACLS protocol and anaphylaxis as condition is not mentioned in ACLS books, if patient arrests, the situation technically becomes...
  17. KatieMI

    Epinephrine IV or IM in this situation.

    In theory, IM through EpiPen. It takes exactly 5 seconds to get the drug working. Plus, excruciating pain from this injection adds stress responce (seriously, it hurts like ****, and it is right the...
  18. KatieMI

    From RN to NP

    It really depends on what you are and where you get experience, if any. There are plenty of programs which will take academically-strong students directly from BSN, and not all of them are for-profit...
  19. KatieMI

    Customer satisfaction callbacks

    It is gonna stop right after a good dozen or so well-published, CNN-licked-to-the-bone cases of patients' death caused directly by "amazing care". There was a quite recent case when "amazing,...
  20. KatieMI

    Capturing charges is main function of EMR

    I remember the itemized part of our hospital bill (total of over $6.000.000 for mom and baby:alien: including 3,5 months of NICU). It was thicker than a morgage paperwork. I pretty much fainted from...
  21. Less painful on pockets: probably communuty college (providing your direct entry program will take coursework from one and is the only one place you'll think of). You take prereqs to apply to direct...
  22. KatieMI

    Capturing charges is main function of EMR

    The scene which will be dear for my heart for long, long time: the person who was terrorizing the whole place about every non-signed off (read: not charged) 10 cc saline prefill being unceremoniously...
  23. KatieMI

    Finnish Student !

    You will have precisely same two options like everyone else coming in the US with foreign nursing diploma: - go through CGFNS, get your diploma and credentials evaluated, pass NCLEX, get license, get...
  24. KatieMI

    Capturing charges is main function of EMR

    Well, yes, precisely. Just like all the B* about excellence, dedication and awesomeness of care. Regarding communucation, the only thing proven to work is information printed on the sheet of paper and...
  25. KatieMI

    Med Fillers, Stabilizers, Dyes

    Yeah, this is what compound pharmacies are here for. All large pharm companies have some sort of support for people who cannot tolerate or allergic to certain chemicals. But the chemical needs to be...