LilPeanut MSN, RN, NP

NICU/Neonatal transport

NNP

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All Content by LilPeanut

  1. LilPeanut

    Nurse Charged With Homicide

    The problem with that assumptionargument is that she had no idea whether it was ordered stat either. She never looked at a MAR. She took a verbal order for a controlled substance from another RN...
  2. LilPeanut

    Oversupply of Nurse Practitioners

    Right, and I live in a liquifaction zone, so earthquake insurance is not likely to happen for property. And maybe, for four years, but I'd still have to live somewhere in the meanwhile, which takes...
  3. LilPeanut

    Nurse Charged With Homicide

    If they were trying to keep this quiet, they likely kept their mouths
  4. LilPeanut

    Nurse Charged With Homicide

    Mine doesn't allow stat orders either, the nurse has to call pharmacy to send it
  5. LilPeanut

    Oversupply of Nurse Practitioners

    I invest, but not in real estate here, which is a poor investment for your money, especially with the risk of earthquake. If you read more about the benefits vs costs of renting vs owning, owning...
  6. LilPeanut

    Nurse Charged With Homicide

    Why would they mention it as a factor with her having dismissed it then, if it actually was a stat
  7. LilPeanut

    Nurse Charged With Homicide

    I believe she immediately went and got a new job at a different ICU at a different hospital. She was suspended there after all this came
  8. LilPeanut

    Nurse Charged With Homicide

    That's actually incorrect, it was loaded into the patient profile 10 minutes prior to the nurse attempting to remove it from the ADC. We know it wasn't stat because when they discussed the order, it...
  9. I don't know - I would look at postings. Those aren't my specialties, I don't know about big people things,
  10. LilPeanut

    Nurse Charged With Homicide

    The versed was not a STAT order. Override represents medications that are needed in a code or emergent situation. (aka stat) All of those medications if not given properly can kill
  11. Depends on specialty I think. You have to also adjust for cost of living. Cost of living in NYC is sky high too, but I don't think they tend to compensate as well for it as SF
  12. I technically do not have a BSN - I was a graduate entry NP student. Our "accelerated" program for sitting for boards was basically the same as the undergraduates took, except we had more clinical...
  13. LilPeanut

    Nurse Charged With Homicide

    I disagree. There was specifically a warning to not override outside of an emergency; there was no emergency. It may not have been uncommon, but that doesn't make it safe practice or ok, especially...
  14. LilPeanut

    Nurse Charged With Homicide

    This is an interesting quote from the medication safety people. They are opposed to the charging of RV but arguably, overriding the pyxis in a non-emergency, without taking any safeguards whatsoever,...
  15. LilPeanut

    NG tube question

    I have - I saw a patient from another unit have an OG placed, no one checked position, they fed into it, accidentally perfed the R bronchus, pt. almost lost their R lung as a consequence. I would not...
  16. LilPeanut

    The Wrong Dose - A True Story of Medication Error

    I write incident reports always, and encourage RNs to do them too. Too many view it as being "written up", and some even try and use it as a way to "write someone up", but really, that's not what...
  17. LilPeanut

    What is most important to chart on?

    @juan de la cruz I had thought about bringing up the same topic. It does not protect the nurse to chart just that the "provider notified" if there are truly concerning things that you feel need to be...
  18. LilPeanut

    What is Abandonment?

    It is still effective and costs the hospital a lot of money and hassle. To walk out without having anyone to care for critical patients is essentially killing
  19. LilPeanut

    What is most important to chart on?

    Definitely agree that over charting is a possibility and bad. Especially if that double charting doesn't match
  20. Please list your name, speciality, and how long you've been a nurse! LilPeanut (you're not going to get people to list their real names LOL) NICU, RN since 2007, NNP since 2011 What lead you to the...
  21. LilPeanut

    The Wrong Dose - A True Story of Medication Error

    I had an RX near miss - we had an order set for extravasation meds, and they had switched the order they were in before. I was discussing another patient whose condition was deteriorating when an RN...
  22. LilPeanut

    Consent Agreement Error

    Going the other direction makes way more sense, time wise. That really
  23. LilPeanut

    Nurses Who Smoke Marijuana

    Oh I totally agree, plus it is still illegal federally. Just at least from my state, it would seem as though once you are hired, as long as you aren't suspected of coming to work impaired or using...
  24. LilPeanut

    Nurses Who Smoke Marijuana

    I am amused at how the thread has evolved over the years. I'm in CA (pot is legal recreationally >21 years) and I can't imagine they would ever do a random drug screen here on large swathes - they...
  25. LilPeanut

    Consent Agreement Error

    What time does the notice come? Since you gain 2 hours going to arizona, I'm surprised you either didn't have time prior to leaving if you didn't arrive until after