KatieMI BSN, MSN, RN

ICU, LTACH, Internal Medicine

Member

All Content by KatieMI

  1. KatieMI

    Crutches and Clinicals

    KatieMI replied to RookieRoo's topic in General Students

    Only one reasonable idea in this situation is to contact the Dean immediately, state facts and develop a plan of action. In this plan, your health and your safety must come first, therefore you should...
  2. KatieMI

    If only they really would...

    KatieMI replied to NurseOnAMotorcycle's topic in General Nursing

    Good
  3. KatieMI

    Wood Alcohol Poisoning: An Era Gone By

    KatieMI replied to Brenda F. Johnson's topic in General Nursing

    Not an era gone by yet in other parts of the world The first line treatment for methanol poisoning, in was 5DW mixed with up to 5% ethanol IV, in order to override liver alcoholdehydrogenase and...
  4. KatieMI

    Being bullied

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

    InklingBooks, the OP quite clearly mentioned that the unit divided among racial lines. I, unfortunately, had a chance to get feeling of racism in nursing. And I am absolutely sure that, if evil big...
  5. KatieMI

    Being bullied

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

    One phrase advice: GET OUT OF THERE. ASAP. STAT. NOW. If your health is suffering and you are actively afraid to be around these people, just write your resignation note, effective immediately. Do it...
  6. KatieMI

    Graduated 3rd in class, 25 years as LPN, still LPN

    KatieMI replied to Gimmeabedpan's topic in General Nursing

    Yes, that is the truth, unfortunately. All that you described counts as nothing in regards to your first RN job. Or almost nothing. I would be careful with advise "any nursing job is better than...
  7. KatieMI

    visa screen for NPs

    KatieMI replied to bsnwnab's topic in Immigration Advice

    You will need your Bachelor's paperwork for school. When you apply for EB 2 screen, your school will have to send transcripts to CGFNS. In these transcripts, there should be an explanation why you...
  8. KatieMI

    Question...Is Influenza A anaerobic or aerobic?

    KatieMI replied to bendyprissy's topic in General Nursing

    Viruses, by definition, cannot be aerobic or anaerobic since they by themselves do not perform energy utilization processes of any kind, with oxygen or without it. A virus might be only able to...
  9. KatieMI

    Sliding scale insulin...give or hold?

    KatieMI replied to Annie Wilkes RN's topic in Long Term Acute Care

    A big, big positive of LTACH is that there are plenty of opportunities to figure out how a particular patient reacts on his meds. We do intensive diabetes management all the time and teach patients...
  10. KatieMI

    renal patients

    KatieMI replied to starlane's topic in General Nursing

    - if patient has acute BUN elevation, the first question will be "what happened with him within last 12 -72 hours" and then proceed from there. As the most common reason for acute BUN elevation among...
  11. KatieMI

    What's wrong with me?

    KatieMI replied to ixchel's topic in General Nursing

    Farawyn, You mentioned just above a CNA who was bilingual and you put this quality as being "huge" plus. I was pretty much eaten alive and some worse - exactly for that. Being TRIlingual, in
  12. KatieMI

    What's wrong with me?

    KatieMI replied to ixchel's topic in General Nursing

    Dear OP, you may be just d*** lucky, plain and simple. In addition, if i am not mistaken, you are male... it can make huge difference. I went through hell, pure and unadulterated, during my first...
  13. KatieMI

    visa screen for NPs

    KatieMI replied to bsnwnab's topic in Immigration Advice

    Are you going to get EB-2 with foreign Masters' degree, or you are going to attend US school to get advanced degree here and then apply to EB-2, or you are seeking 5-years exclusion? First case...
  14. KatieMI

    Nurses: You've Been LIED to about your Back and Body Mechanics

    KatieMI replied to Lynda Lampert, RN's topic in General Nursing

    To begin with, nothing is 100% safe. Nurse still can get injured by holding just one extremity (being exact, a lower extremity of paralyzed 500+ lbs. patient). Hoyers are just cumbersome and require...
  15. KatieMI

    Most surprising/shocking/interesting thing you've seen

    KatieMI replied to TexMex22's topic in General Nursing

    Speaking about objects flying out of cars, I still pity the missed opportunity to stop and pick up a new mattress which was not so well secured on the roof of a pickup on London, ON -Toronto highway....
  16. KatieMI

    Most surprising/shocking/interesting thing you've seen

    KatieMI replied to TexMex22's topic in General Nursing

    OK, one happy one, for a change :) Young, apparently healthy man was gathering mushrooms in the wilderness of Russian forest and got his leg caught in a wolf trap. When he somehow crawled out of there...
  17. KatieMI

    Most surprising/shocking/interesting thing you've seen

    KatieMI replied to TexMex22's topic in General Nursing

    A child was born with ambiguous genitalia, on exploratory only streaks of poorly differentiated gonadal tissue were found and removed immediately due to risk of malignancy. Raised as a boy from age of...
  18. KatieMI

    Where's the infection?

    KatieMI replied to LMH2687's topic in General Nursing

    Glucagon accentuates actions of adrenaline, and thus can cause WBC elevation through "stress pathway". But, again, there will be no young forms and no high content of neutrophiles in formula
  19. KatieMI

    Where's the infection?

    KatieMI replied to LMH2687's topic in General Nursing

    If it were my will, I would expressively prohibit sliding scale short-term insulins. Either do it as it supposed to be done (CBG checked when patient's plate is there and he desided what he will and...
  20. KatieMI

    Where's the infection?

    KatieMI replied to LMH2687's topic in General Nursing

    A1C gives "overall" blood glucose level for the last 120 days. It is not sensitive to short term changes, either to the low or high side, as hemoglobin glycosylation is non-enzyme dependent and...
  21. KatieMI

    Where's the infection?

    KatieMI replied to LMH2687's topic in General Nursing

    Infection process can cause elevation of blood glucose (by the same cortisol action, mostly) in the absence of other influences, such as wrong admixture of insulins or not changing Lantus dose if...
  22. KatieMI

    Where's the infection?

    KatieMI replied to LMH2687's topic in General Nursing

    Look for WBC formula: if there is "left move" ( over 85% neutrophiles, maybe some bands), then it is probably infection. Possibilities are multiple: osteomyelitis, dental stuff, chronic synus...
  23. KatieMI

    Chiro To FNP?

    KatieMI replied to chiro13's topic in Student Nurse Practitioner

    University of Michigan/Flint has mostly online MSN option for RNs without BSN but holding other Bachelor degree. It is very competitive place but a good one. They allow at least some nursing pre-recs...
  24. KatieMI

    Chiro To FNP?

    KatieMI replied to chiro13's topic in Student Nurse Practitioner

    For CRNA one needs at least one solid year of "real" ICU nursing (so-called ICU in community hospital with 2 beds and "we're not keeping vents here" policy won't do) and possibly CCRN (1750 or so...
  25. KatieMI

    Chiro To FNP?

    KatieMI replied to chiro13's topic in Student Nurse Practitioner

    Would you like to let your child to be treated by an NP who never in his life worked as a nurse, who was not employed within "traditional"/allopathic model of care and took all the courses online "at...