Kitiger RN

Private Duty Pediatrics

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All Content by Kitiger

  1. 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....
  2. 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...
  3. 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...
  4. 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...
  5. Kitiger

    Nursing judgment question??

    If I'm holding a med because, in my judgment, it shouldn't be given, then my next step is to notify the
  6. Kitiger

    How can I figure out if nursing is right for me?

    This allnurses post, "So Why Do You Do It?" describes what a day on the med-surg floor can
  7. Kitiger

    Pigeonholed Wound Care

    Would you enjoy home nursing? It could start with going to the home to do wound care, and then maybe you could branch out into other types of
  8. Kitiger

    How can I figure out if nursing is right for me?

    I see myself in a lot of what you wrote. I would probably be diagnosed with at least a mild form of ADHD. Multitasking is exceptionally difficult for me; I am so distractible. Writing everything down...
  9. Kitiger

    Your Favorite Nursing "Hack"

    Protect your back. Use a lift to do transfers anytime a lift is available. Get help to reposition heavy patients (and be willing to help others). Raise the bed so you can use correct body mechanics...
  10. Kitiger

    Your most bonehead moment in nursing. Or 2. Or 3.

    It was the end of a long, weary shift (I work private duty homecare, pediatrics). I noticed that my kiddo had hyperactive bowel sounds, not an unusual occurrence for him. I sat down to chart it, but...
  11. Kitiger

    Does anyone do private duty care anymore?

    It is not necessary to have two people to operate a Hoyer Lift. I've been doing it singlehandedly for some 30 years, doing private duty home care through several agencies. The idea of using an agency...
  12. Kitiger

    How to make a PDN job appealing?

    Off-subject here a little, nursenmom3, but how is your son doing? Last I heard, he was in the hospital for surgery. ? I hope he's doing well.
  13. Kitiger

    Going to school with patient

    I have always enjoyed going to school with my kiddos. All had trachs; several were on vents. All but one were in wheelchairs. All the vent kids were in wheelchairs, so I just loaded up the wheelchair...
  14. Kitiger

    Anyone go to hospital with patient?

    Indeed. A child on a vent on a regular floor is unsafe x 1000. This shouldn't happen, but I've heard about it happening more than once. The parents must stay. I work with two families that simply...
  15. Kitiger

    The Worst Interview of My Life! Ever!

    I had endometriosis too. There were many times when I quickly knelt down to tie my shoe, or pick something up off the floor, or something . . . anything! . . . to allow me to crumple into something...
  16. Kitiger

    Anyone go to hospital with patient?

    Also, the hospital might not let you do nursing care on THEIR patient. This is for liability
  17. When a day person switches to nights, her coworkers "get" it. They understand how difficult it is to stay wide awake while the body screams for sleep. They'll hand you a cup of coffee, or walk you up...
  18. Kitiger

    Is my situation normal?

    Too many nurses are afraid of vents. If the nursing agencies would offer more vent training, they might solve the problem. I have to say, though, that I was initially taught home vents by one of the...
  19. Kitiger

    What are your/your agencies polices about lifting?

    The ceiling lift can pick people up off of the floor. They don't have to dangle from the ceiling. ? It does sound like you would need the temporary tracts, though, for Medicaid to help you at this...
  20. Kitiger

    How to make a PDN job appealing?

    Normally, I would eat my own food with him while he ate his. I would need specific permission from my supervisor to eat your food. We do not expect the families to provide us with food. It could be...
  21. Kitiger

    How to make a PDN job appealing?

    I would be fine with any of this. Instructions for preparing the meals were not in the 485 for the kids I had who could eat regular food. The diet - like general, or no added salt - would be there....
  22. Kitiger

    How to make a PDN job appealing?

    If my client eats regular food, then preparing that food is part of my job. It would have to be something simple, though. I don't cook more than I have to, even for myself. So preparing a simple...
  23. Kitiger

    How to make a PDN job appealing?

    Excellent point, Orion. I have to either see a signed order or I have to talk to the doctor to get the order before I can carry it out. If my supervisor wants to call and get the order and then tell...
  24. Kitiger

    How to make a PDN job appealing?

    If the doctor appointment is not on a day that I'm scheduled to work, and the parents are fine with taking him themselves, then I don't expect to go. I do expect the parents to keep me up to date on...
  25. Kitiger

    How do I transfer non ambulatory pt from WC?

    The weight limit is for a non-weight bearing person. It does not apply to a person who can fully bear his own weight. However, if that person sometimes cannot fully bear his own weight, I would use a...