Kitiger RN

Private Duty Pediatrics

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All Content by Kitiger

  1. Kitiger

    Do you invest?

    Rule 72 gives a good approximation of compounding growth. To use Rule 72, pick an average annual growth rate, the annual rate of return one can expect to make. Now divide 72 by this number; this is...
  2. Kitiger

    Controversial Patient Odors in Nursing

    A person becomes accustomed to their own smell. That patient who refuses to shower may actually think it isn't needed. He doesn't smell bad. "That nurse is just too
  3. As a young child, I knew that I would never be able to have babies. You see, I knew that there were supposed to be three holes, the urethra, the lady parts, and the orifice. (My mom was a nurse; so we...
  4. Kitiger

    Where are all the "older" nurses?

    A lot of us are in private duty pediatrics. I find myself picking up hours for my peers who have broken arms, or who need knee replacements, etc., or who just want to slow down. For the record, I've...
  5. Kitiger

    12/3: Aggravation and Agreements

    I've learned that when a child who has shallow breathing is positioned on his right side regularly, the right lung will be compromised; the breath sounds will be diminished and rales will be...
  6. Three 12-hour shifts in a row, four 10-hour shifts in a row, or five 8-hour shifts in a row works well for me unless I have to drive an hour in the winter to get to work. In that case, I would go one...
  7. Kitiger

    Double Briefing

    I assume covidiem pads are what we used to call Chux, a flat disposable bed protector. In the hospital, that might work except for those patients who urinate large amounts less often. They are not at...
  8. Kitiger

    Home Health

    I do private duty pediatrics. Since 1986, I've had one client on peritoneal dialysis, and several with severe cardiac problems, but almost all of my clients have some type of respiratory problem. That...
  9. Kitiger

    It's been a week, focus on the positive

    He wore his buckle on his
  10. Kitiger

    first time to see death

    I still remember the first patient I had who died. I think I was at the other end of the spectrum from you. I was 18, and a Nurses' Aide. My charge nurse was calm, kind, and comforting. She showed me...
  11. Kitiger

    It's been a week, focus on the positive

    What goes 99-clunk 99-clunk 99-clunk? Why did the pilgrim's pants fall
  12. Kitiger

    Entertaining pt

    I would hold the child, and gently rock him, sing to him, stroke his arms & face (firm touch, no tickles), do passive range of motion, gently massage, continue with any OT/PT therapies that he...
  13. Kitiger

    Typical day for infant?

    When working with infants, my down-time pretty much corresponds with their nap-time. The trach/vent/GT might be time-consuming, and then again, maybe not. Is the child medically stable? Does he have...
  14. Here's a twist. In respite care for home care kids, we are not allowed to reveal who the kids are. Even if a teen who is able to go out into the community comes back to the Respite House with stolen...
  15. You say you have to carry all that equipment, but the vent, suction machine, Go-Bag, and diaper bag should fit on the wheelchair. (I am assuming a wheelchair, since you refer to posturing.) Do you...
  16. I learned that cooking for someone in renal failure can be challenging, costly, and especially time-consuming. All labels must be read carefully, and most dishes need to be home-made in order to avoid...
  17. Kitiger

    Nurses' Health Study 3

    Join the next generation of the world's largest, longest-running study of health and wellness Nurses or student nurses, 19–51 years old in the US and Canada: Be part of the world-famous...
  18. Kitiger

    Nurses' Health Study 3

    It does my heart good to see people joining in this important work. Where else should we be promoting
  19. Kitiger

    Only Crusty Old Bats will remember..

    Oh, yeah! And I still have some crank beds in home care. When my Mom broke her ankle and was in the nursing home (2004) all the beds were crank. Medicare wouldn't pay for an electric bed, because - as...
  20. Kitiger

    Nurses' Health Study 3

    Long-term studies like these are so very important. For example, it was through these Nurses' Health Studies that we learned that giving estrogen to post-menopausal women does not protect against...
  21. Kitiger

    WILT 11/5: No Fast Track for YOU...

    I learned that it's nice to have the parents want me to come to the doctor's appointment with them; I can help them remember to mention all the things that they wanted covered, and the parents want my...
  22. Kitiger

    Selection Criteria

    I would first need to know how they define "high quality Customer Service". Are they talking about excellent patient care, or are they talking about certain phrases that you have to use to introduce...
  23. Kitiger

    Only Crusty Old Bats will remember..

    The only ones on this list that I can remember are the metal bedpan/code blue and Scultetus binders. But I think my Mom probably knew all the others. Oh, the talks we used to have ... I wore nylons in...
  24. Kitiger

    PDN to Acute care?

    I think time management would be key if trying to move from private duty to the hospital. But I thought nurses in long term HAD to be good at time management in order to survive. Am I
  25. Kitiger

    Only Crusty Old Bats will remember..

    That would be Brompton's