Penelope_Pitstop BSN, RN

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 bullet. It doesn't matter why you accessed a chart,...

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 not be considered to be withholding information; ho...

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 about a fib, and I know of hypertrophic cardiomyo...

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 frustrated with my results and then used my "seco...

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 hundred clients on it, and they'd all been on it "forev...

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 really find what I'm looking for, but I know trilafo...

This makes sense; however, she is a...how do you say it..."over sharer" Which is why I know this about her anyway.

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 pass.

Vanco isn't an aminoglycoside.

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 providing care to the patient. Family members are not...

(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 unfortunately went to Facebook to complain and ended up los...

Who has said it's you? Seems strange that you suddenly are the problem simply because of new management.

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 has eaten more than her share of unhealthy food. ...

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 you.

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

**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 RIDE.

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 judge...just...inquiring....

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 unit.

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, you really have no reason to be able to refuse to...

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 the insulin. If he gives you an order to hold insu...

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 at all a HIPAA violation to know her room number if...

I baked grain free, gluten free granola tonight and it was amazingly delicious. I realize that no one asked me. But has that ever stopped me before now?

Have you ever read up on motivational interviewing? It's a technique used in the behavioral health field and can be very helpful with non adherent patients. An example... "Mr Jefferson, you listed all of the reasons why you don't watch your carb inta...

My hat's off to you if you can do this. My son was born last October and spent a mere three nights in the NICU, but I would be more than happy if I never again set foot in one. We need wonderful NICU nurses, I just know that I could not personally w...

You mentioned a lot of support personnel, which is wonderful; however...do you have legal counsel? And I mean independent legal counsel, none affiliated at all with your place of employment. Also, remember that the BON is a separate entity from crim...