LilPeanut MSN, RN, NP

NICU/Neonatal transport

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All Content by LilPeanut

  1. So, here's a thought. A housekeeper takes a med, they have no idea which med, and pushes it into a random person's IV, which kills them. Should they be held responsible for any sort of crime, or is...
  2. They were told that something happened, but didn't get the details until the CMS report was made
  3. Oh, believe me, I did. I also told every nurse that was there for it that the code was absolutely the appropriate thing to call. If I don't know who someone is, why they are losing consciousness, and...
  4. Agree. We had a situation where a postpartum mom passed out momentarily in our NICU and we called a code blue. Someone later said "oh, you should have called a rapid response instead". Uh, no, I...
  5. Fair. It's just hard to find the really dangerous people until something horrific happens. Someone doesn't go from being a conscientious, attentive RN to not even bothering with any of the five...
  6. The other point I've made, which does pertain to "just culture", that the end result of the error is not the only thing that determines the severity of action - Even if the patient had been rescued in...
  7. Why should nurses be exempt from criminal
  8. LilPeanut

    Can posting about a friend breach HIPAA?

    When I was a bedside nurse, I received a call on my way into work. It was parents' best friends (essentially family to us, they would have taken custody of me and my sister had anything ever happened...
  9. A general "the patient is critical" vs "the patient is good" is typically not going to cause problems; they have access to that by calling the main information line. Taking samples, providing an...
  10. LilPeanut

    Mistake

    oh agreed, it's just why I don't now automatically say it could happen to anyone, without knowing what
  11. LilPeanut

    NICU (Pros and Cons)

    On the flip side though, there are many that do far better than we would have ever expected. I don't remember the study exactly, but it looked at RN vs MD prognostication, and MDs tended to be...
  12. I really agree that the photo seemed really in poor taste. a professional photo perhaps, or even a posed family photo would have been a better choice. I'm sure the intention was to humanize her, but...
  13. Do you think it is possible the DA filed charges because of the BoN's lack fo
  14. LilPeanut

    Advice from experienced nurses please

    In the NICU, we cluster care for the babies. I'm sure it won't work exactly the same with adults, but when you cluster care, you know when each feed, diapering/reposition, assessment is going to be,...
  15. LilPeanut

    Mistake

    The vanderbilt thing though is the same thing that gives me pause though, not in the same way as you. It gives me pause in absolving all errors. Because I don't consider what she did an error. It...
  16. LilPeanut

    NICU (Pros and Cons)

    Most NICUs are not happy places. Lower level ones maybe, but tertiary centers? they are filled with sad stories and dying babies. We have good endings too, but people who go into the NICU for cute...
  17. LilPeanut

    Respiratory

    For HFOV ( I don't use jet) FiO2 and MAP affect PaO2/saturations. Delta p/amp affects CO2. Technically, hz can be used as well, but typically, it's just set at either 12 (bigger baby) or 15 (smaller...
  18. LilPeanut

    Where do you practice as a NP?

    Neonatal, function much like a hospitalist/permanent
  19. LilPeanut

    Mistake

    That is not necessarily true. most oral meds are not sterile, and the osmolarity is different, so giving a PO med IV usually will have consequences. That's not to say at 12 years you should still be...
  20. LilPeanut

    Hospitals paying for your stay?

    Right, and as I've said, what you have generalized from NYC to SF does not hold true. In SF, our HOUSING is god awful expensive, gas is bad I guess, if you use it, and the rest is about the same as...
  21. LilPeanut

    $750 CA RN License??? No way!

    Yes and no. They also have incredibly generous citizenship policies for their diaspora and
  22. LilPeanut

    Would you be insulted?

    I try to remember that not everyone is going to like me. All I ask is that they behave professionally towards me at work. It sounds like she is at least meeting that standard. I probably wouldn't...
  23. No, I said the other RN discovered it and told her. I never said that an NP told her, or if I did, it was a typo. It is actually just one single person who gets on the phone and reports it,...
  24. LilPeanut

    Hospitals paying for your stay?

    I disagree with this characterization of living in the city. There are plenty of RNs who live in the city or who could live in the city, if they chose to. If they have a dual income or roommates,...
  25. LilPeanut

    $750 CA RN License??? No way!

    And I'm not nearly so negative about CA as others. As much as some people complain about money sometimes, most of the nurses I work with are constantly doing overseas travel and enjoying a comfortable...