LilPeanut MSN, RN, NP

NICU/Neonatal transport

NNP

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All Content by LilPeanut

  1. LilPeanut

    Frustrations with the dreaded OSH

    Commended me on getting a very sick patient back safely. And let me know that this particular person has a habit of writing letters after every transport and complaining because she doesn't like...
  2. LilPeanut

    Latest on RaDonda Vaught case

    So, my biggest issue with that article is that it equates all rule breaking as being equal in severity, risk and consequence. Going 10 MPH vs 50 mph over the speed limit for example, as cited in the...
  3. LilPeanut

    Frustrations with the dreaded OSH

    But I wasn't wondering why it happened. I wasn't curious or concerned about how could this have happened, nor was I asking for advice on how I could have managed my patient better, I would have given...
  4. Having individualized plans for every person seems pretty challenging, especially when you are talking the numbers they are. What do people think is a better
  5. LilPeanut

    Latest on RaDonda Vaught case

    Why is that crazy? The numbers of patients fluctuate greatly in radiology and it makes far more sense to staff from the originating unit, who presumably knows the patient better and has more...
  6. LilPeanut

    Frustrations with the dreaded OSH

    Holy jebus. Talk about nitpicking on a post when I came to vent, not coming to have to defend myself again. First, I was joking, hence the "chuckle", I was trying to keep it lighthearted. My hospital...
  7. LilPeanut

    Nurse Charged With Homicide

    The BoN isn't getting punished, that's an entire separate issue. RV is being punished and the public is being protected by her losing her ability to practice and the likelihood of her spending any...
  8. LilPeanut

    Latest on RaDonda Vaught case

    Because I agree that many if not even most errors are systems issues. But that does not mean every error is. Everything occurred perfectly up to her involvement. If she had used the systems, her...
  9. LilPeanut

    Latest on RaDonda Vaught case

    The right med was ordered and profiled. They were not understaffed. At some point, it is up to an individual to be competent. One of the parts of having a safe system is having people who can...
  10. LilPeanut

    Nurse Charged With Homicide

    I sit corrected regarding pulling narcs ? Apparently it's been too long since I've been able to do that, or in the NICU we just always have to waste when we pull from the pyxis. ? mea
  11. LilPeanut

    Latest on RaDonda Vaught case

    They were informed at the time that they thought she might have been given a medication made her stop breathing. They were not told specifically what medication. From...
  12. LilPeanut

    Latest on RaDonda Vaught case

    Right, but the unfamiliarity led to the lack of documentation, which led to the hesitation of the doctor to be the "first one" to say to an official that it was from an error. The doc was absolutely...
  13. LilPeanut

    Nurse Charged With Homicide

    Seems odd to me that you could access a large amount of narcotics without any
  14. LilPeanut

    Badge Tracking

    I think actually more research needs to be done now into the microbiome on our hands. We wash off all the "good bacteria" and are more likely to get colonized with "bad bacteria" with all the washing...
  15. LilPeanut

    Nurse Charged With Homicide

    Interesting. Yes, everywhere I've worked, you have to have a witnessed to pull all controlled substance, either to witness there is no waste or whatever waste there
  16. LilPeanut

    Nurse Charged With Homicide

    So, devil's advocate here. Antiviral medication, like an antibiotic, should never be put off "until the next day" without discussion from the ordering provider. Even if it causes nausea and vomiting,...
  17. LilPeanut

    Nurse Charged With Homicide

    Are you in the US? I'd be shocked if there was anywhere in the US where controlled substances are readily available without a second
  18. LilPeanut

    Latest on RaDonda Vaught case

    I completely agree with you, I was just echoing what I've heard a lot of nurses who have defended her actions say. blah blah blah, aren't we supposed to have just culture and not be blamed for our...
  19. LilPeanut

    Frustrations with the dreaded OSH

    Didn't struggle with the ETT (except finding the right tape) but struggled with sedation. Vec isn't sedation, it's a paralytic and often not going to solve your problems, especially if your PVR is...
  20. LilPeanut

    Latest on RaDonda Vaught case

    Whew! I've gotten through the whole thread, all the articles and documents. Here come the quotes I would really like to know this. I have not seen anything that says anything about whether she...
  21. LilPeanut

    When Nurses Make Fatal Mistakes

    They call it different names on different units. We have "zone leaders", "break relief", "triage" and "resource" nurses. All of those nurses are tasked with helping out others. At another hospital...
  22. LilPeanut

    Nurse Charged With Homicide

    I was never negligent as an RN. I am not negligent as an NNP. I make mistakes, but I am not negligent. There's a difference between making a mistake and negligence. And honestly, I've never been in...
  23. LilPeanut

    Nurse Charged With Homicide

    The TN (not TX, wrong state people ? ) decided to not do anything to her license (which is suspected to be why the state stepped in with charges. This is identical to people who kill because of...
  24. LilPeanut

    Seattle is Dying

    Home buying is not always the ideal investment it is always pitched as. In many countries, people do not buy homes, they rent their whole lives. There are benefits to renting, especially if you are...
  25. I didn't need it. I was a PCA in the NICU eventually, but never a