Penelope_Pitstop

Penelope_Pitstop BSN, RN

Medsurg/ICU, Mental Health, Home Health

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All Content by Penelope_Pitstop

  1. No rapid response for a DNR?

    Penelope_Pitstop replied to AlphaPig's topic in General Nursing

    DNR means that in the event of cardiac or respiratory arrest, no attempts will be made to resuscitate. That also means we are going to do everything in our power to prevent that cardiac or respiratory...

  2. No rapid response for a DNR?

    Penelope_Pitstop replied to AlphaPig's topic in General Nursing

    We could take his argument even further...why even admit that patient to the hospital at all? Some people are DNRs even though they are fairly healthy - they just don't want to be coded should the...

  3. Nurses can't be punished for violating HIPAA

    Penelope_Pitstop replied to MikeyBSN's topic in HIPAA Challenges

    I have one of these as well! I thought I was the fortunate one to have one running my

  4. Picc Line Question

    Penelope_Pitstop replied to sophtheorn's topic in General Nursing

    My concern is that your preceptor hasn't gone over this with you. In my facility, a four hour class must be taken before any hired RN can even touch any sort of central line. Are there no resources...

  5. Life Vest

    Penelope_Pitstop replied to adamsmom2's topic in LTC: Directors, Assistant

    LTCRN4LIFE is correct, it's an awesome device. People are discharged home with them and advised to live out their normal ADLs. It is a scary thing because you don't know about it but if you contact...

  6. Nurses are getting younger

    Penelope_Pitstop replied to Brian's topic in General Nursing

    They are cute, but their respective skills still need work. I can't believe they passed nursing

  7. Is there any truth to this?

    Penelope_Pitstop replied to Nurse SMS's topic in Patient, Colleague Relations

    I am one of those people who rigor @ 100; however, I've hit that number a whopping twice in my adult life, once at 28 and once at 19. When I was 19, I had "walking pneumonia" and mono, when I was 28...

  8. Kudos to floor nurses

    Penelope_Pitstop replied to hodgieRN's topic in Medical-Surgical

    Thanks, everyone! I never thought I'd be a MedSurg nurse nearly seven years after graduation (dear Heavens I AM OLD!) but I am thankful for all of my experience on the floor! Sometimes, ICU and ED...

  9. What is wrong with these kids? (Mystery Diagnosis)

    Penelope_Pitstop replied to Double-Helix's topic in PICU, Pediatric

    I am just a state away and our region tends to have the earliest West Nile cases every year, it seems. Q-fever - one of my favorite zebras...as an aside.

  10. What is wrong with these kids? (Mystery Diagnosis)

    Penelope_Pitstop replied to Double-Helix's topic in PICU, Pediatric

    Fascinating and terrifying. Was the CSF checked for West Nile, by any chance? I know it's not really mosquito season but you never know... We had a lady with West Nile and everyone was...

  11. Dreaming About Work

    Penelope_Pitstop replied to blondy2061h's topic in General Nursing

    Yep, I've been there too. This is a common theme. Search for "dreams" and one can find a plethora of posts! My most recent was that I had a patient give birth to very premature quads. One's brain came...

  12. Can't stop dreaming about work...when will it end??

    Penelope_Pitstop replied to julz68's topic in First Year After Licensure

    The oldest excuse in the book. Clearly she was cheating on Mr. T

  13. Can't stop dreaming about work...when will it end??

    Penelope_Pitstop replied to julz68's topic in First Year After Licensure

    I've been a nurse for six and a half years and I still have work dreams. Last night, for example, I dreamed that I was back in nursing school, on my peds rotation and my teenage patient withdrew care...

  14. You make the decisions on YOUR shift and I'll make the decisions on MINE

    Penelope_Pitstop replied to CrazierThanYou's topic in Patient, Colleague Relations

    So what do you tell these patients? "Sorry, you don't look like you're in pain, so you aren't getting anything for it?" There are people who milk the system. Doing what you do won't fix the system,...

  15. PCTs - How many patients?

    Penelope_Pitstop replied to honeymylovely's topic in Patient Care Technician, Assistants

    If you're going to be working on an inpatient surgical floor, you will be doing a lot of vital signs. Post operatively, patients require frequent vital signs...as do patients receiving pain medicines...

  16. Can I get fired from signing the MARS a night before my next shift

    Penelope_Pitstop replied to pinkdustmagic28's topic in LPN, LVN Corner

    I don't have any advice for you...unfortunately you made your bed and must lie in it. You *did* falsify the documents. You can't predict the future, so why document it? What if one of the patients...

  17. How often do you have codes on your unit?

    Penelope_Pitstop replied to Morainey's topic in General Nursing

    I work adult medicine. One night we had three. All on the same patient...he coded twice more in the unit before family was contacted and care was withdrawn. But that really doesn't count as three...

  18. Certified Nurses Day excluding people

    Penelope_Pitstop replied to RN34TX's topic in Patient, Colleague Relations

    Nah, it's like going to Weight Watchers and seeing all of the people who used to weigh what you were and have now lost the weight and thinking "I can do that too!" A lot of people have tried the NCLEX...

  19. define break...lol

    Penelope_Pitstop replied to lkulmann's topic in General Nursing

    On our floor, only one staff member at a time may take a break on midnights. Well, there are ten of us. That's five hours and we can't take the break before 1 or after 5. You do the math! The techs...

  20. Without Orders

    Penelope_Pitstop replied to Apollo8933's topic in General Nursing

    I've pushed epi in a code situation before a doctor showed up. But I'm ACLS certified and was tested on running my own codes. I think that's still an example of carrying out doctor's orders

  21. Help with solving a Patient Sitter Staffing problem

    Penelope_Pitstop replied to DogWmn's topic in General Nursing

    I am an RN who works 7P-7A on a medical floor. I hit the ground running at 730 PM at the earliest and sometimes don't catch my breath until 1 AM. I have assessments and meds to pass, then by the time...

  22. INSULIN DRIPS

    Penelope_Pitstop replied to mombuxx's topic in Critical Care

    I am medsurg and we can have insulin drips for up to eight hours but cannot titrate. This means hourly accuchecks and calling the doctor to change the rate. Our ratio is 1:5-6. This happens rarely for...

  23. When do you do a swallow test on a patient who is sleeping most of the time?

    Penelope_Pitstop replied to mlauren's topic in Nursing Student Assistance

    At my hospital, nurses are qualified to do swallow screens. If the patient fails the swallow screen, at that time speech is consulted. But it may be different because we're a certified stroke center...

  24. Seriously?!?!

    Penelope_Pitstop replied to emtb2rn's topic in Emergency

    This is why I couldn't work ED, especially triage... "What happened? Dude, there is NOTHING we can do for you. You have precious moments left, man. Go out and LIVE!" I'd be fired almost immediately,...

  25. How to stop the drug seeker?

    Penelope_Pitstop replied to 7feetunder's topic in Emergency

    You can't save the world. If it's ordered and you want it, I'll give it. My energy is devoted to other things in my