KatieMI BSN, MSN, RN

ICU, LTACH, Internal Medicine

Member

All Content by KatieMI

  1. KatieMI

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

    KatieMI replied to SilleLu's topic in General Nursing

    They can do it, and they do it. Although, a nurse may or may not follow NURSING ASSESSMENT orders, and nobody can stop her to put them into NURSING DOCUMENTATION. Which documentation comes very handy...
  2. KatieMI

    Reasons patients turn on their call light

    KatieMI replied to diamondp17's topic in Patient, Colleague Relations

    A few shifts ago I actually did it. The patient was of a sort who, purposefully and steadily, tried to slowly kill herself by eating unimaginable amount of junk, smoking as a chimney, never moving...
  3. KatieMI

    Medical Decisions

    KatieMI replied to poodah33's topic in General Nursing

    One of the main differences between "nursing thinking" and "medical thinking" is that medical providers are able to utilize half a dozen options at once. It is ok for them to think like "the guy has...
  4. KatieMI

    Apothecary measures in medicine

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

    Really? http://www.medscape.org/viewarticle/556487 Here is the evidence that system that maybe, indeed, archaic, is not involved in the wast majority of medication errors. Nobody measures insulin and...
  5. KatieMI

    Clinic staff ask pt how to find injection site?

    KatieMI replied to MinneNurse's topic in General Nursing

    Then next time, when you go there, just nicely and politely tell the receptionist that 1) you want to be seen by an RN, not by MA, if possible, and 2) not to be seen by that particular MA. Done. If...
  6. KatieMI

    CLINICALLY based DNP

    KatieMI replied to anh06005's topic in Doctoral Nursing Degrees

    There are clinical fellowships for NPs, and from what I'd heard they come pretty much close to the specialty's medical residency. BTW, nobody prohibited reading the very same books. Slightly used...
  7. KatieMI

    Metabolic Acidosis...

    KatieMI replied to LoveER01's topic in General Students

    WCSU, please let the OP solve the problem....I am really sick and tired of getting that sort of reports from nurses who, apparently, started under Florence Nightingale herself! OP, I'll give you a...
  8. KatieMI

    Metabolic Acidosis...

    KatieMI replied to LoveER01's topic in General Students

    You are treating a number of 5.2, not a patient. Think WHY this guy has high potassium and what underlying process causes it, and it will all become
  9. KatieMI

    Discrimination in nursing school?

    KatieMI replied to Mommiof4's topic in General Students

    They would get into corridor and yell for help or push code button. In hospital or another medical facility the chance to be the only one around is rather
  10. KatieMI

    Discrimination in nursing school?

    KatieMI replied to Mommiof4's topic in General Students

    elkpark, there were several students in my BSN class, me including, who required "special considerations". Some people required limitations of physical activity including things like nothing heavier...
  11. KatieMI

    Nurse Retention ideas

    KatieMI replied to CCU-Flight RN's topic in General Nursing

    In addition to the above, there are some other things you might want to try: - make nurses' work comfortable. Invest in lifting devices, better EMR system, give more computers so that their days...
  12. KatieMI

    Discrimination in nursing school?

    KatieMI replied to Mommiof4's topic in General Students

    Not being fit for work requirements is not discrimination. You signed up for LPN school, and job description for LPNs usually include heavy physical tasks. There are case managers who are not RNs and...
  13. KatieMI

    Money for DNP...how!?

    KatieMI replied to Brianne.arnold87's topic in Doctoral Nursing Degrees

    Get part time job in an short-staffing or local travel agency, put the money aside. I got all I need for my MSN plus posh new laptop and a little something more in less than a year this way. Reg....
  14. KatieMI

    Nurse at Disneyworld

    KatieMI replied to adpiRN's topic in General Nursing

    Ok, I had anaphylaxis once in Disneyland, Cali. The nurses, there were two of them, definitely had tons ICU experience counting by how quickly they accessed the situation, got Epi, got ivs, were not...
  15. KatieMI

    Mandatory flu vaccines

    KatieMI replied to MJB2010's topic in General Nursing

    If in the shortest form possible: - it is fair, because you can get infected and spread infection if not vaccinated in any way; - you can go in your public health department and get live vaccine,...
  16. KatieMI

    Nurses don't know the lab

    KatieMI replied to ezpzpizzi's topic in General Nursing

    Lab specialists know as much as an RN? Okay... then WHY do the said lab calls me or other unfortunate RN EVERY. SINGLE. SHIFT. with catastrophic value which was recognized as "normal" for that...
  17. KatieMI

    Nurses expecting to do too much!

    KatieMI replied to CosmoRN77's topic in General Nursing

    I was one time in a place which took several nurses (which, to tell the truth, were with long experiences but still without enough critical thinking to safely manage more and more critical patients......
  18. KatieMI

    Nurses expecting to do too much!

    KatieMI replied to CosmoRN77's topic in General Nursing

    My patient - my job. Period. Besides, if, say, the PCP will forget that DVT prophylaxis and then Surgery comes, they will be upset, the surgery will possibly be delayed till they sure that there is no...
  19. KatieMI

    Prospective Second Career in Nursing Advice Sought.

    KatieMI replied to Anelizk26's topic in Nursing Career

    Here in Michigan there was a long story with direct-entry MSN. After the Great Recession started in 2008, our The Big Three automotives laid off a lot of employees, many with big fat severance...
  20. KatieMI

    Prospective Second Career in Nursing Advice Sought.

    KatieMI replied to Anelizk26's topic in Nursing Career

    Direct entry MSN program for people without experience are popping up everywhere because there are people willing to pay $$$$$ for that. I heard that employment prospectives such programs' grads are...
  21. KatieMI

    Prospective Second Career in Nursing Advice Sought.

    KatieMI replied to Anelizk26's topic in Nursing Career

    Just to let you know, one does not need "at least two years of experience with stellar reviews" in order to get into a decent NP program in a State school for reasonable money, providing your GPA is...
  22. KatieMI

    Pain med admin

    KatieMI replied to kimdav's topic in Patient Medications

    Because some of us know the true and secret meaning of "RN", which is "Refusing
  23. KatieMI

    Began in psych, want to go into medical

    KatieMI replied to Neurotic Student's topic in Long Term Acute Care

    Your psych experience can be a God-sent gift to LTACH team, we get patients who truly belong to ICU but cannot be there because nurses there are not "comfortable" with their acute/chronic psych issues...
  24. KatieMI

    Pain med admin

    KatieMI replied to kimdav's topic in Patient Medications

    Absolutely appropriate order set, IMHO. As well as absolute appropriate utilization as long as patient's vital signs are OK. Only one thing to watch out is excess of acetaminophen. If patient had...
  25. KatieMI

    Tough clinical instructor

    KatieMI replied to Pistachio830's topic in General Students

    I would second the advice above, but still write down what happened with date and time on it. However great your clinical instructor might be, she has no rights to intimidate, humiliate and use...