KatieMI BSN, MSN, RN

ICU, LTACH, Internal Medicine

Member

All Content by KatieMI

  1. KatieMI

    So H&H are 2 different labs: why only say one value?

    KatieMI replied to COVIDNURSE's topic in General Nursing

    The case may be ancient but the situation is directly from life. I lost count of how many times I had to explain nurses that polyuric stage of ATN is a very dangerous time and, since at this point...
  2. KatieMI

    So H&H are 2 different labs: why only say one value?

    KatieMI replied to COVIDNURSE's topic in General Nursing

    Right answer: resolution of acure renal failure, specifically acute tubular necrosis (ATN) polyuric stage. Why Ht going up faster than Hb? Because of water moving to the intravascular space out of...
  3. KatieMI

    So H&H are 2 different labs: why only say one value?

    KatieMI replied to COVIDNURSE's topic in General Nursing

    Kind of closer...although "body" DOESN'T "holds onto this fluid", it is losing water through already active filtration. But, yes, lytes are getting lost with accelerated speed because there is no...
  4. KatieMI

    Home health nurse working as a maid?

    KatieMI replied to mzsuccess's topic in Home Health

    You just forgot the commonly used BS of "if you refuse the case, you are abandoning your patient and will be terminated and reported to Boards and they will take your license" ? Terminated - yes,...
  5. KatieMI

    Home health nurse working as a maid?

    KatieMI replied to mzsuccess's topic in Home Health

    And this is what concerns us in your question. It is definitely a situation compromicing your professionalism and integrity, both are things no professional nurse can allow to tamper with. Plus, if...
  6. KatieMI

    Home health nurse working as a maid?

    KatieMI replied to mzsuccess's topic in Home Health

    No, I just asked them to buy (on my account, of course) organic chicken for $7.99/lb and such. They were shocked initially, then it was repeated "OMG, it smells so deliciously, I ate half of the gravy...
  7. KatieMI

    Home health nurse working as a maid?

    KatieMI replied to mzsuccess's topic in Home Health

    Once in my life, when I finally went home after over 2 months in ICU I had services of private duty LPNs. I made it very clear that I (with extreme politeness and additional pay) ask them to cook,...
  8. KatieMI

    Home health nurse working as a maid?

    KatieMI replied to mzsuccess's topic in Home Health

    Sometimes you have to choose between having money and being the professional that you are. "Sitting close", touching, making suggestive remarks which make you uncomfortable - that's where I would...
  9. KatieMI

    Why are some RNs rarely busy, while others are always busy

    KatieMI replied to DesiDani's topic in General Nursing

    That gal must be taking PRN assignments like crazy. She seems to be everywhere at once, I worked with her as
  10. KatieMI

    So H&H are 2 different labs: why only say one value?

    KatieMI replied to COVIDNURSE's topic in General Nursing

    "Hyperdiuresis" is not an answer, as well as "hypokalemia" or "hyponatremia". These are just facts. The answer should explain them both as well as change in Hb/Ht ratio. Think WHY patient pees like a...
  11. KatieMI

    So H&H are 2 different labs: why only say one value?

    KatieMI replied to COVIDNURSE's topic in General Nursing

    Sorry, that's incorrect. You're going for zebra hunt but you need to find your horse first. Classic mistake (for USMLE, NCLEX, AANP and ANCC board exams and pretty much every such exam): you think...
  12. KatieMI

    So H&H are 2 different labs: why only say one value?

    KatieMI replied to COVIDNURSE's topic in General Nursing

    Those who are interested, solve the clinical problem ? 45 years old male w/o significant PMH brought in rehab after 2 weeks in hospital due to MVA, b/l hip fracture s/p ORIF x2, shock (combined),...
  13. KatieMI

    So H&H are 2 different labs: why only say one value?

    KatieMI replied to COVIDNURSE's topic in General Nursing

    Because everybody knows how to work with "upper H" (hemoglobin), but people who know how to access "lower H" (hematocrit) and what to do with it are mostly within Hematology/Oncology
  14. KatieMI

    Calling briefs "diapers"....*vent*

    KatieMI replied to cherrybreeze's topic in General Nursing

    Gosh, I just imagine a new nurse being pecked to death by the whole flock for naming a piece of personal care for what it is. Surprisingly, nobody yet came to define using the word "diaper" as an...
  15. KatieMI

    Does urine output matter in a dialysis patient?

    KatieMI replied to Capp's topic in General Nursing

    Rule of thumb: 1) find patient's baseline 2) everything significantly off that baseline (50% either way) is concerning Here is why: Chronic renal failure can be, basically, glomerular (glomeruli are...
  16. KatieMI

    Why is convalescent serum therapy being downplayed on the news?

    KatieMI replied to Alnitak7's topic in Disaster Preparation

    1)this is not a reliable source of information 2) people got into hospitals with COVID19 primatily because they were sick, and with this virus it means SICK. I did not see too many discharges from...
  17. KatieMI

    Do RNs make more than PAs in Northern California?

    KatieMI replied to ml10798's topic in General Nursing

    Highly experienced RN with several specialty certificates and some luck (and some risk, too) can make more than PA or NP almost everywhere in the country, I think. Only one problem is that one needs...
  18. KatieMI

    Why do most Hospitals and Long Term Care Homes take it easier on Casual Staff than they do with Full-Time staff?

    KatieMI replied to Convoy2022_TrumpSupporter's topic in General Nursing

    Because they know darn well that they need per diem staff more than per diem staff needs them. Shoo one of agency nurses off with any of their " oh-soooo-important" shmolicies and other stupid things...
  19. KatieMI

    Detroit ED Nurses refuse to work without more help, ordered to leave by Administration

    KatieMI replied to NRSKarenRN's topic in Disaster Preparation

    I am absolutely not surprised. DMC was never much known for be a glamour and well-organized place while serving one of the poorest, the sickest and the worst managed American megapolis but since it...
  20. KatieMI

    How do I find primary care RN position?

    KatieMI replied to Mich888's topic in General Nursing

    Public health departments are still there and hiring. Many private physician offices do not advertise on mass job boards to save $. Google each clinic separately and look if they have something, or...
  21. KatieMI

    How do I find primary care RN position?

    KatieMI replied to Mich888's topic in General Nursing

    What exactly do you mean at "primary care RN"? If you want "primary care office" RN "rooming" job, it can be difficult to locate because, as Rose_Queen said, MAs and LPNs are cheaper to hire and...
  22. KatieMI

    WHO is dissing hot baths?

    KatieMI replied to RobbiRN's topic in Disaster Preparation

    The answer on the question "can anyone be ever so stupid?" is always
  23. KatieMI

    WHO is dissing hot baths?

    KatieMI replied to RobbiRN's topic in Disaster Preparation

    As pretty much everything in recommendations of that type, it is not meant to prohibiting people from taking hot baths. It is just so people wouldn't think that taking hot bath would prevent them from...
  24. KatieMI

    Covid-19 Nurse Practitioner

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

    I work in a large tertiary care hospital. We use chloroquine on the majority of moderately or severely sick patients from admission unless there are contraindications (we already had one case of...
  25. KatieMI

    Hello, just have a quick math question

    KatieMI replied to HappyNurse915's topic in General Nursing

    Assuming microdrip has drop factor 60 ( it is pharma standard): 60 mcgtts/ml 18/60 = 0.3 ml/min 0.3 x 60 min = 18