Pfiesty

Pfiesty has 30+ years experience and specializes in Critical care, trauma, cardiac, neuro.

Latest Activity

1. Nurse Entrepreneur Roll Call!

   Pfiesty replied to PaleoNurse's topic in Entrepreneurs

   Wow. I am sorry. Been so busy that I never got back on until now. PM me and I'll answer your questions. I am really loving this role. A client got into some trouble last September with a federal regulatory agency that I do not cover. But they we...

2. NTI Highlights : What is that patient trying to say?

   Pfiesty replied to Pfiesty's topic in Critical

   I know! Really! One nurse before me tried it and started crying! She said she recently took car of a colleague with ascending paralysis (but not GBS?) Anyway, they spent an agonizing one and a half hours trying to figure out what she was trying to...

3. NTI Highlights : What is that patient trying to say?

   Pfiesty posted a topic in Critical

   I went to the Critical Care Nurses annual conference (AACN NTI) last week in Houston. There the COOLEST thing exhibited by LC Technologies! There was an eye-operated communication device called the Eyegaze Edge that really works in the hospital so pa...

4. akinetic mutism - communication?

   Pfiesty replied to Pfiesty's topic in Neuro

   Thank you for your insights, CCRN2BE! I am considering writing an article for a nursing journal and would like to use your comments. Thank you. Anybody else have issues, concerns, comments about this?

5. Nurse Entrepreneur Roll Call!

   Pfiesty replied to PaleoNurse's topic in Entrepreneurs

   I, an RN, owned a successful DME company, brought it successful, then sold it. Now, I contract (independently) to an accreditation company and team-lead on surveys. Travel is fun and interesting. I do independent other consulting on the side. Throug...

6. akinetic mutism - communication?

   Pfiesty posted a topic in Neuro

   Locked in syndrome, from stroke, TBI, ALS, encephalitis, or just intubation with paralysis or limb trauma was always a communication challenge. Now, after having it myself for a few days from an arbovirus encephalitis, the concern really hit home. ...

7. Should ADD RN be given "disability" allowances?

   Pfiesty replied to meatloaf RN's topic in Disabilities

   HM2Viking RN wrote: "Oh how true.....ADD is both a blessing and a curse.....It is a blessing because as an individual I can think outside of the box..." I love this! ADD is a blessing and my entire contingent of relatives are so creative due to ...

8. new grad, moved, then illness

   Pfiesty replied to CalicoKitty's topic in New Nurse

   You moved and got your family settled in the new area. Now you are ready to start your career. That is it. Do not disclose any more. The hospitals know they will spend a lot of money orienting new grads. It is an investment for them. They do n...

9. Nurses with Multiple Sclerosis

   Pfiesty posted a topic in Disabilities

   Hi. A review of the posts here shows that it is best to not disclose this issue as long as possible. And between flares, most of us have symptoms easy enough to hide. But we deal with similar issues: fear of disclosure, fear of being fired, fear ...

10. Best jobs for nurses with multiple sclerosis?

    Pfiesty replied to pauladunlap's topic in Disabilities

    Strikert, That is a great idea! I was diagnosed this year with Multiple Sclerosis. I got a new job working with out-patient pre-cardiac cath patients explaining the process, taking pre-admit labs, ECGs, patient teaching, etc. I am super nice (war...

11. Can't handle the hospital environment. Need suggestions

    Pfiesty replied to sdupnik's topic in Disabilities

    Check into your state. They are always looking for facility surveyors because they pay so poorly, but the work is very easy. Your only hurdle will be dealing with the boredom.

12. Now, if ALL places were run like this...tell me what you think!

    Pfiesty replied to AngelfireRN's topic in General Nursing

    Thank you for asking us what we think! I am passionately against nurse abuse. There should be no tolerance for it. But that has to be balanced with evaluating and managing individual needs. Patients, like all humans are dynamic creatures with changin...

13. Great fiction by a Florida RN

    Pfiesty replied to Pfiesty's topic in Florida

    I stole this from the Amazon site. This is a critique of it... Michael Sutherland, an attorney afflicted with a childhood disease and his friend, Dr. Ross Manchester, foster Dad to an abandoned infant, join forces to confront what is wrong with the ...

14. Great fiction by a Florida RN

    Pfiesty posted a topic in Florida

    My friend read this great book and gave it to me to read it. It s great! And it is by a fellow nurse too. She got it on Amazon. It takes place at a children's hospital in St. Petersburg, FL. It is called No Other Medicine by Gail G. Hallas, RN.

15. Need Advice

    Pfiesty replied to Tina**RN's topic in LTC Directors

    Kudos for your pro-active ways. You must be awesome at QA! Your colleague goes on and on about her stance? Tell her you value her input, just ask her to put her rationales in writing instead of verbalizing so that you can study the details. Once s...