Penelope_Pitstop

Penelope_Pitstop BSN, RN

Medsurg/ICU, Mental Health, Home Health

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All Content by Penelope_Pitstop

  1. Background: the patient is on dialysis after years of diabetes. Picture at least ten family members at bedside. One family member (who knows the relation...sister, maybe? aunt?) says: "Well, I have...
  2. Establishing Identity of ED Patients

    I don't know how it works in our ED but I do know that once a fellow came in claiming to be a frequent flyer who had recently passed away. He always was admitted no matter what the complaint because...
  3. Difficult CNA's?

    I was a tech, and I've worked with amazing techs who I swear are gifts from God! However, one of the things I love about being in ICU after 7 years on the floor is no techs. That way I don't have to...
  4. From CCU to MedSurg?

    Is there any way you can pick up a few shifts there first? I'd hate for you to get there and hate it. I recently transitioned from MedSurg to a med ICU, and there is really no difference in patient...
  5. Is it a MUST to be able to drive once you start nursing school?

    It's difficult but it is certainly possible. I have a friend who wasn't allowed a car during college - she carpooled and paid gas money to the person driving. I carpooled for clinicals as well, even...
  6. Barcode scanning

    Our ED nurses had this issue also, so the EMAR system was changed for them. This is the process at our ED: 1. patient placed into ED room 2. ED tracking is connected to EMAR. Now the ED tracking...
  7. Failure to maintain sats on ventilator

    We actually did, using the rotoprone bed, recently help to bring back a gentleman on the brink of ARDS-related death! I think the reason why proning doesn't seem to work too well for us is that we...
  8. Failure to maintain sats on ventilator

    We do those things in adults, also...very very rarely. But they usually don't end well. Lately there's been a proning trend. Haven't seen that end well,
  9. Float Pool

    I've never done it but my hospital has one so we don't require agency nurses. All of the nurses who do it LOVE it. They know that even if their assignment is crappy one shift, they'll be somewhere...
  10. What's the funniest most unusual baby name?

    Chestine.
  11. ICU RNs running CRRT?

    Like several previous posters - we do CRRT, the patient is a 1:1 but HD RNs come up to us to do traditional dialysis. I haven't seen peritoneal dialysis in the ICU, but on the floor, nurses did that...
  12. Moderate/severe depression

    I agree with Marla on this point. However... This sounds like honest-to-goodness depressive disorder. I know we're not supposed to give medical advice, but I have a history of major depression. It...
  13. My boss is a nurse, and so is her boss...pretty sure her boss is too. The CEO of my hospital is a physician. His signature is on my paychecks but he has no direct authority over
  14. Triage complaints- the good, the bad, and the shocking.

  15. Easy, dumb, common new grad mistakes

    1. NEVER doubt your own assessment, even if you were told in report everything was fine 2. Protect your IV lines! Flush them at the start of each shift. Check them AT LEAST every four hours, AT LEAST...
  16. Help! I don't "get" vents!!!

    Hey everyone! Very recently I left MedSurg after 7 years for critical care. Thank goodness I have years of experience and knowledge of what "normal" assessments are. So far things are going very well....
  17. Help! I don't "get" vents!!!

    You all have given me so many great resources and information. I am going to dig into this stuff very soon - for now I have to study for a final (I'm in grad school as well - my brain's fixin' to...
  18. Help! I don't "get" vents!!!

    You are wrong. Dead wrong! I don't understand that there are slits in the wall and floor that blow cold air out in the summer, then warm air in the winter! HOW DOES THAT WORK? How can they change...
  19. Help! I don't "get" vents!!!

    But it's sooo delicious! Right now I'm doing ECCO and it tries to cram all of the vent stuff in one module, so I feel like I should be able to have elephant for an appetizer, then blue whale for a...
  20. What's the funniest most unusual baby name?

    I knew a Sir Robert in college. Sister named Lady Elizabeth. She went by Beth, I think. He went by "Sir Robert." Even his girlfriend called him that. I forget his brother's name but in was in the same...
  21. What is the big deal about cleaning up poop? I don't get it. I'd rather wipe a butt than kiss one, and I think the "customer service" requirement for nursing is far grosser than any C-Diff code brown...
  22. Multiple physicians with the same name, spelled the same way.

    I was about to ask if it was Dr. Patel. When I've typed that one in to enter a telephone order...well, it's been
  23. Pronouncing patients death

    Intentional...shouldn't that be "expected"? Intentional to me sounds like giving a KCl
  24. What's the funniest most unusual baby name?

    What is it about Michigan? Weird! But "Lemonjelo" turned up "0." And my first name is shared by nearly a million others.
  25. What's the funniest most unusual baby name?

    He took his life recently. Very sad. But I