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Kitiger RN

Private Duty Pediatrics
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Kitiger has 40 years experience as a RN and specializes in Private Duty Pediatrics.

Kitiger's Latest Activity

  1. Kitiger

    Tips to Prevent Self Injury

    What is "MB"? A onsie works well to keep hands away from tubes, etc., on the abdomen. They come in all sizes https://www.amazon.com/dp/B019VHO83M?tag=sa-sym-new-20&linkCode=osi&th=1&psc=1 An oversized sleeper put on backwards is hard for the child to remove. It's even harder to for him to remove if you wrap a piece of duct tape over his sleeper, around his waist. If he grabs things through the cloth of the onsie, you can sew an extra layer of a stiffer material - maybe corduroy - over the area that needs protection. You might consider mittens.
  2. Kitiger

    Special Needs Facility Job With 20 Patients

    What is a nursing intern? I would spend my off-time during orientation reading up on every diagnosis, and reviewing every med that I would be responsible for giving. But there is this: Is the 6 weeks orientation in writing? Are you willing to walk away if they tell you - after a week's training - that you're so wonderful that you don't need any more orientation?
  3. Kitiger

    Non-invasive NAVA and PPV *New Grad*

    What is NAVA and PPV? Google says, "Nava is a public benefit corporation working to radically improve how government serves people." And the only PPV I could find was Pay Per View. It has to be some type of ventilation system, right?
  4. Kitiger

    Does your pt/pts family love you like “family?”

    It also is not good for a family to have only one nurse. What happens when you are ill? The family either gets no nurse or a nurse that they don't know, and one who doesn't know their child.
  5. Been there, done that. You are not alone. As a new nurse, I looked like a High school student, and could have passed for Jr High. It didn't bother me when patients asked if I was old enough to be a nurse. I knew I was.
  6. Kitiger

    Pediatric Private Duty Cases

    Without a car, how did you get to work? My kiddos live all over, some in the city, but many out in the boondocks. I've had very few that I could have gotten to without a car. Once you got a car, I'm sure a lot more opportunities opened up.
  7. Kitiger

    Pediatric Private Duty Cases

    I like to always work in at least two families. That way, if one is unavailable, I still have current hours. Unavailable can mean a vacation, a hospitalization, they moved away, or my client died. Unavailable can also mean that the parents want a different nurse. It happens. It's happened to me three times, although one of those times, it wasn't against me; it was because the parents wanted a specific nurse, and we couldn't both work at the same time.
  8. Kitiger

    Classism in the Hospital-MD vs. RN

    Hey, it's better than before. When I was a student nurse, we (students and nurses) had to stand up and give the doctor a chair at the desk. There was one seat at the desk in ER that only doctors could use. And the little doctor's library in ER was off-limits to nurses.
  9. Kitiger

    MVA, EMS didn't use a backboard!!

    This is why I took an MFR (Medical First Responder) class. In some areas, my knowledge was much deeper than my classmates, and in other areas, I was such a newbie.
  10. Kitiger

    Questionable actions that make you go hmm?

    The Doc who swabbed the infected ear, then the good ear (same swab) for a C & S (culture & sensitivity).
  11. Kitiger

    Rejected by Patient

    I used to wear a white uniform. The material was thin, and a penlight switched on in my pocket gave me enough light to walk in without bumping into anything. If I needed to see more, I took it out of my pocket. Turning on the overhead is seldom necessary; the bathroom light on with the door ajar works great.
  12. When I graduated, there was no NCLEX. Twice a year we had the opportunity to take Boards - a 2-day, 5-test series. I fully expected to pass, and it wouldn't have occurred to me to compare myself to others to see if I could pass. Everyone in my class passed, first sitting.
  13. Kitiger

    Dry, Cracked Hands

    When you have an open area, wear gloves or cover with a bandage. At work, I use New Skin Liquid Bandage or any generic liquid bandage. I can wash my hands as needed for several hours before the liquid bandage gets loose. When you wash your hands, dry them all the way. Do not wash them more often than necessary. At work, I put a dab of cream on the back of one hand and then rub the backs of my hands together. This helps moisturize the problem areas while keeping my palms and fingers grease-free. Use a good hand cream when you go to bed. Protect your hands from the cold and the wind. If it's cold outside, always make sure your hands are dry and covered.
  14. Kitiger

    I need advice about leaving a job!

    Does it matter whether you are currently working there if they are sued? I would think they would go after any nurse who was involved, whether or not that nurse was still employed at the facility. Give two weeks notice. To not do so will raise a red flag when you go for your next interview.
  15. Kitiger

    Broda chairs vs bed

    I would like to see them reclined for a while after breakfast and back to bed after lunch for a nap. Getting them back to bed right after breakfast while also trying to get everyone up and at 'em for the day doesn't seem reasonable. Or do you have extra help in the morning? They do need to be reclined, though. Making a person sit upright all morning is bordering on cruel. Older bodies need to be moved. (Ask me how I know this bit of wisdom.)
  16. Kitiger

    How to do one-person turn for quadriplegic / trach/vent Pt?

    The vent circuit can be attached to the person by using a flexible elastic belt that goes around the person's chest with a Velcro attachment to hold the vent. (See image). A cheap one can be made by attaching Velcro to the person's shirt using a clip, and then using the Velcro to wrap around the circuit. There is also a device to hold the vent circuit to the trach ties, preventing it from disconnecting at the trach. It is easier to turn the person away from you to position the diapers/slings, etc.. Keep the vent circuit clipped to his chest, and it should stay comfortable. Pay attention to how far under the hip the diaper, etc., needs to go in order for it to be right when you roll him back onto his back. Getting the sheets/pants/diapers/hoyer slings underneath the person and positioned correctly will come with time. You can do this! https://www.blowoutmedical.com/pediatric-vent-circuit-anti-disconnect-device-905d.html?utm_source=google&utm_medium=base&utm_campaign=products&feed_special=google&gclid=CjwKCAjw5fzrBRASEiwAD2OSV1bN-9b500DonS5Csz1e1Riv6CuhG8P7Y8KI2PffJS0daPZjwyYnyRoCFK8QAvD_BwE