KatieMI BSN, MSN, RN

ICU, LTACH, Internal Medicine

Member

All Content by KatieMI

  1. That's all words and nothing else. When a patient (and family, if involved) will be banned from a hospital because their violent behavior and the teary lawsuit they initiate get dropped right away in...
  2. Go to the online site of the program of your choice and read carefully all they have to say there. Mission, vision, "what sets the "XVZ" program apart", down to faculty list and testimonials, if any....
  3. KatieMI

    Diabetic Alert Dog at work in Hospital

    BTW, OP, i hope you realize that even if you train your dog not to go into the room with you and stay put nearby, your clothes will contain enough microparticles shedded by the dog to send someone...
  4. KatieMI

    Diabetic Alert Dog at work in Hospital

    I know one nurse who uses guide dog because she is legally blind. She has Master's and works as onco services navigator and consultant, but she had years of experience before she became disabled. I...
  5. KatieMI

    Disney Princes Nurses

    Nothing to write home about. It is kinda funny to see patients and families after months in hospitals with highest possible HCAPS scores and such, slowly drifting down the drain in circles, coming at...
  6. KatieMI

    Palpate Cardiac Valves IRL?

    "Heart banging through the chest" is not about enlarged heart but about hyperkinesis of left ventricle, which can be enlarged or not, and its function may be altered or not. It may be symptom of a...
  7. KatieMI

    Palpate Cardiac Valves IRL?

    The point is to feel so-called "thrill", also named "kitty's purring". You can feel blood flows this way if you are experienced enough and, importantly, patient is thin enough (either a young child...
  8. KatieMI

    Afib: A question of nursing judgment

    Here.I.Stand., Afib steals up to 30% of left ventricular filling volume, or so-called "atrial kick". By the Frank-Starling law, this negatively impacts pump function. To which degree, it is a question...
  9. KatieMI

    Afib: A question of nursing judgment

    1). Chest pain (indication by itself) 2). N/w: common initial symptoms of dig toxicity, needs levels. 3) fatigue/feeling cold: possible decompensation, needs workup for CHF (US/LVEF as bare minimum),...
  10. It was long ago and in another country. Very proper and rather prudish LOL came to ER with multiple bleeding and infected tear-like wounds over her external genitalia. By the law of that land, it was...
  11. If you think that increased responsibility is a NEGATIVE, there is nothing to discuss further. Stay where you are and be happy
  12. KatieMI

    Advice for non-nursing student with low G.P.A

    If the OP now has 72 credits with so low GPA, then even if he gets all As this current year, his total at 87 credits will be below 3.0. Which effectively puts pretty much any accelerated BSN right out...
  13. There were people here looking just for such classes, so if you could kindly make a separate topic and post your findings there it would be to the great benefit of
  14. KatieMI

    Nurse Slang Yo!

    I've seen words "rectal intubation" in instructional booklet for a fancy rectal
  15. KatieMI

    Nurse Slang Yo!

    Code azure - hopeless, "slow" code on a patient dying anyway Code brown - large amount of stool Code purple - primary respiratory emergency Garden party - large noisy family in the room of patient in...
  16. Stat refresher is a class offered by some universities which require Stats as as pre-rec for many of their programs. It may or may not be easier or shorter, but usually only 1 or 2 credits and so...
  17. Transfer, patient is on regular diet, not an ICU level case,CHF and HTN on multiple meds. BP is sky-high as a first thing noticed. So high indeed that I thought it was missing clonidine or something...
  18. KatieMI

    CKD and I&O

    Not enough details to decide but generally NS stays in bloodstream (so being available for renal excretion) for about an hour at the best, then it goes either intracellular or third space where it can...
  19. UofM Flint. Part-time option, GI bills welcome, 100%board passing, research and many other things including clinicals can be done in UofM Ann Arbor if desired. 6 to 8 campus visits. Additional...
  20. Ugh, the constant "they told us/me" theme. LOL, in ER third time in two weeks with SOB, etc. H/of CHF, BP poorly regulated and is rather on the high side. ACE inhibitor upped last week. She felt dizzy...
  21. KatieMI

    You are NOT allergic to...

    P.S. oh, yes, any reputable drug company sure will supply active ingredients. No problem with that, ever. But, as usual, the devil is in details. They will not ship a kilo of something-hydrochloride...
  22. KatieMI

    You are NOT allergic to...

    People who react on some way on Red 40 coloring, which is pretty ubiquitous in pharma, as well as food, industry, have reaction on pills which contain this ingredient. That's why so many patients with...
  23. KatieMI

    The Controversy: Mandatory Flu Vaccines

    For formaldehyde, it is essentially the same. It is tiny molecule and for your liver, which job is to bind and excrete it, it doesn't matter whether it comes from mesenteric/portal, or caval
  24. KatieMI

    The Controversy: Mandatory Flu Vaccines

    1. Yes, I do. I have chronuc lung condition and flu makes it worse for months. But I need other tyoe of vaccine, not a common shot. 2. My employer "highly recommends" it, or one has to wear a mask for...
  25. OK... 1). Hugs, hugs, hugs :) have a vacation if you can! Burnout is a serious thing. 2). Once upon a time, sit and think. What, precisely, you want, dream of, or hate, period, in your career? What...