Penelope_Pitstop

Penelope_Pitstop BSN, RN

Medsurg/ICU, Mental Health, Home Health

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All Content by Penelope_Pitstop

  1. "My pain is about an eight and a half"

    Also, I must complain about our pain documentation requirements. I'm in home health and we are required to document the following at each visit: - the lowest the pain has been in the past 24 hours -...
  2. "My pain is about an eight and a half"

    For a pain level up to a 6, the patient would receive 2.5. 6.5 is higher than 6. Honestly, nursing judgement would play into this for such a finely split hair. I would err on the side of making the...
  3. "My pain is about an eight and a half"

    I round it up for documentation purposes. My favorite, though? "Oh, my pain isn't bad at all. I give it an
  4. A Fib in a young person...

    I have a friend (more of an acquaintance, but I digress) who is in her mid 20s and has experienced multiple instances of AFib over the past few years. She has required a handful of cardioversions. She...
  5. Hipaa violation

    I highly doubt that anyone will believe that you were in her chart to check her birthday. Whether or not that is why you did what you did, it's simply not believable. Regardless, intent follows the...
  6. talking to the cops about my patient

    Once he asked if he could speak with her, that should have been the end of your conversation with him, and I'm sure he knows that. I can see how it's dicey as you want to respect law enforcement and...
  7. A Fib in a young person...

    Not an athlete, no drug use either. This is why I thought it so interesting. The more I read, the more I'm leaning toward a genetic predisposition. Thank you for your thoughts. I absolutely know a lot...
  8. A Fib in a young person...

    I haven't been able to find anything other than some case studies. I'm usually pretty decent in my search engine game but I kept coming up with CHD, which is not the case here. And, yes, I did become...
  9. What does this presentation mean? NOT HOMEWORK.

    Yes! I think this is where I was headed! That wound certainly explain the S4. I worked on three different ACT teams and two of them had no one on Trilafon. The third had four or five out of one...
  10. What does this presentation mean? NOT HOMEWORK.

    I'm wracking my psych nurse brain (I did mental health nursing for a while) and something about the trilafon is sticking out to me. I just read the drug insert and did some other research and can't...
  11. A Fib in a young person...

    This makes sense; however, she is a...how do you say it..."over sharer" Which is why I know this about her
  12. Whoops, it's time for dayshift to arrive. I'm going to extubate you now. Can't have the vent alarms going off during med
  13. Vancomycin IV solution changed color?

    Vanco isn't an
  14. 'My Patient died' Facebook post

    I'm confused. The person's aunt is your aunt? ("Is this a HIPAA violation on my aunt?") But I'm going to try to answer this. The person who commented was not violating HIPAA unless that person is...
  15. Can I please get a Parking Spot!

    (Not-so) fun story...an NP friend of mine was cited by public safety for parking in a parking space designated as "physician parking." Seriously, an NP! She was outraged (and rightly so) but...
  16. How do you know it's time to change departments?

    Who has said it's you? Seems strange that you suddenly are the problem simply because of new
  17. Hot Cheetos are a public health menace

    This. Why do poor people have to live the way non-poor people think they should in order to "earn" assistance? I have never used government assistance but my physical appearance is that of someone who...
  18. New grad hired as charge nurse

    Awesome advice here. Also, if and when you decide to pursue employment elsewhere in the future, remember that having charge nurse on your resume will only help you, not hinder
  19. the allnuisances newsmonger

    Beep Beep YEAH... Here's hoping I don't blow my mind out in the
  20. the allnuisances newsmonger

    **considers making a "Why Don't We Do it In the Road" joke, thinks better of it** I think you need some HELP. It may be a LONG AND WINDING ROAD to insanity but you've got a TICKET TO
  21. the allnuisances newsmonger

    Davey, ummm....I assume you do know what playing the skin flute entails? I mean, I'm not saying it's wrong or whatever, not my place to
  22. Medical Response?

    I did this once during an adult code. His HR was in the 20s and we were essentially buying time until the epi drip was mixed. He coded about four times before we got him up to the
  23. Swastikas & Nursing | Refusing care based upon moral objection?

    So if you are able to refuse care to this person, who isn't able to? What I mean by this is, if you're able to do this, then so are all of your coworkers. Unless this person threatens you personally,...
  24. When do you hold insulin if no parameters?

    If he has the capacity to make his own decisions and does not want insulin, then it's moot. Also, the other example, when you called the doc and he wanted to hold the insulin? The doctor is ordering...
  25. HIPAA Violation, Fired

    A difficult lesson to be learned, for sure. It's natural, as humans, to be curious about our patients even after they leave our care. I see no problem with you going to visit the patient. It is not...