KatieMI BSN, MSN, RN

ICU, LTACH, Internal Medicine

Member

All Content by KatieMI

  1. KatieMI

    Frustrated - looking for advice

    KatieMI replied to NurseMom2014's topic in General Nursing

    If at any moment of your career you feel that you job depends on not doing your responsibilities good enough but on actually pleasing someone, then it is precisely the good time to get the heck out of...
  2. KatieMI

    Can't teach without an order

    KatieMI replied to NancyNurse100's topic in General Nursing

    Because it is a doctor who brings the money into, not nurse (s). Therefore, if nurses do something which potentially may decrease the money inflow, they should be stopped. Luckily, there is an...
  3. KatieMI

    Can't teach without an order

    KatieMI replied to NancyNurse100's topic in General Nursing

    It is reimbursement issue, all right. Yes, constipation is nursing diagnosis, as well as a medical one. In many insurance plans, physician "compensated" for the job directly done - like, if he writes...
  4. KatieMI

    missing pinning ceremony for dying father's birthday

    KatieMI replied to ichiro12's topic in General Students

    Get the pin ahead of time, put on your uniform and ask your dad to pin you with your family around. Make it the same time your classmates get their pins. If still possible, do it in some special and...
  5. KatieMI

    I am my own worst enemy

    KatieMI replied to nursingaround1's topic in General Nursing

    I am sorry to possibly sound a bit harsh but what exactly did you expect from your career, to begin with? Eternal happiness? Combination of perfect with more perfect? 99.99% of jobs, whatever people...
  6. KatieMI

    Hyperthyroidism Vs Hypothyoidism

    KatieMI replied to kaw245's topic in Nursing Student Assistance

    It is named Wolff-Chaikoff effect and thought to be the result of formation of iodo-containing chemicals like iodolactones and iodolipides which inhibit thyroid peroxidase, the key enzyme of T3...
  7. KatieMI

    Without meds

    KatieMI replied to BrianPaul's topic in General Nursing

    Well, just to make you smiling maybe, one gal who gave me anaphylaxis a few years ago still works in the same restaurant... and we're good buddies... and she's almost over with her pre-reqs for my...
  8. KatieMI

    NG tube- when is it not safe to send them home?

    KatieMI replied to anon456's topic in General Nursing

    There is a small device named "bridle" and it appears to work pretty good for displacements and especially for pulling out. But NO should not be left in place over two weeks anyway (local protocol) to...
  9. KatieMI

    Chronic non healing wound

    KatieMI replied to Pdrn72's topic in General Nursing

    Do you have a physician to consult with, preferably one specializing in plastics/wound surgery? Did the patient have bone scan done to exclude pelvic osteomyelitis? Was any debridement done? What is...
  10. KatieMI

    Nursing Student with T1 Diabetes

    KatieMI replied to a.henrietta's topic in General Students

    Yes, you should tell every instructor. It is ok, and most of them actually will appreciate the information. They (well, the WAST majority of them, that is) do not want to inflict any harm onto you....
  11. KatieMI

    New ICU nurse applying for FNP program

    KatieMI replied to sophBSN's topic in Student Nurse Practitioner

    For the business matters: - if you feel that you are ready for the next step clinically, your clinical skills are strong, you want to think and ask "why it must be so", you know and anticipate your...
  12. KatieMI

    Jack of All trades

    KatieMI replied to martymoose's topic in General Nursing

    There were no such patients 30 years ago, to begin with. 30 years ago, no one in the right mind would do open heart on 90+ y/o patient already on life support (dialysis, that is). Nowadays, it...
  13. KatieMI

    Taking diuretic while working 12 hour night shifts

    KatieMI replied to lindyhoppernurse's topic in Health, Stress Management

    Just to let you know, spironolactone has very weak diuretic strength by itself. It was developed to be used together with loop diuretics in attempt to decrease potassium losses, and now used mostly...
  14. KatieMI

    Disability: genuinely curious

    KatieMI replied to anh06005's topic in General Nursing

    Dranger, Oh, and to see the whole families on "disability" of some sort, with their kids doing nothing in the middle of school day because "they just feel like that today" or "slept too long", doing...
  15. KatieMI

    Weirdest/most difficult thing swallowed by a patient

    KatieMI replied to ixchel's topic in General Nursing

    A genuine sapphire, and a big one. LOL was getting home care and her day aide was wearing a pendant with the stone in it. The stone fell out, the LOL found it on her daybed and thought it was a candy...
  16. KatieMI

    1:12 patient ration on subacute and transitional care unit.

    KatieMI replied to nursefromcali's topic in General Nursing

    Yes, you should decline the offer. It doesn't look like a safe place, and you put your license on the
  17. KatieMI

    Wearing skirts as a nurse

    KatieMI replied to purplescrubs15's topic in Scrubs, Uniforms, Gear

    With what being said above about changing once on the work, I know one Amish CNM who wears floor length skirts and pettycoats, as well as prayer cap, all the time. She told me that she tried pants and...
  18. KatieMI

    Disability: genuinely curious

    KatieMI replied to anh06005's topic in General Nursing

    I was once in place which tried to accomodate quite a few of VERY long-term floor nurses who just could not do it all any more, many (if not all if them) due to accumulated health care issues and...
  19. KatieMI

    Physical assessment on sedated pts

    KatieMI replied to Allend's topic in General Nursing

    You do not stop the drips of any kind during assessment unless you have an order to do so. Access them and document as they are, with understanding of what meds are doing. You also need to know what...
  20. KatieMI

    NPO with no IV fluids?

    KatieMI replied to RVA Nurse's topic in General Nursing

    Yes, it is OK. Even people with full colon prep (which causes some net fluid loss) tolerate it well and for most of us it would be ok not to eat/drink anything from, say, 8 pm to 8 am, which is 12...
  21. KatieMI

    Am I overreacting?

    KatieMI replied to KatieMI's topic in Nursing Professionalism

    Again, thank you all!! I wrote a nice short letter to the CEO of that place and kind of feel better about the incident, although, in truth, I do not believe they will actually do anything. Who knows...
  22. KatieMI

    Am I overreacting?

    KatieMI replied to KatieMI's topic in Nursing Professionalism

    I was not eavesdropping. The talk was loud enough to everyone around to hear. And I am well aware of the First Amendment and many "gray zones" it implies, but there are still some limits. Those were...
  23. KatieMI

    1:12 patient ration on subacute and transitional care unit.

    KatieMI replied to nursefromcali's topic in General Nursing

    Subacute as "real" subacute with no vents, no drips, minimal tele, minimal IV therapy, at least half are walkie-talkies - about right or slightly worse, with adequate support (CENAs, wound care,...
  24. KatieMI

    RN or PMHNP?

    KatieMI replied to eventualnurse's topic in Nursing Career

    1). US PMHNP is generally useless beyond the borders of USA, Canada and maybe UK. Too many countries have extremely different approaches to the subject of mental health, to say the least. 2). If you...
  25. KatieMI

    Can a doctor "order" a nurse to not assess something?

    KatieMI replied to SilleLu's topic in General Nursing

    Official order: "Dr. Doe (service): please do not call about lab "x" unless patient is symptomatic (a, b, c, d) or "x" is above (certain value)" Dr. Doe, M.D. Nursing note: received critical value of...