Kitiger RN

Private Duty Pediatrics

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All Content by Kitiger

  1. Kitiger

    Crushing meds

    If the med is always crushed and given by tube, the dosage will be adjusted according to lab values and clinical presentation. This is true especially for long-term meds. With neuro meds, there is...
  2. Kitiger

    My brain/work sheet!

    What do you do with the brain sheet at the end of the shift, avoiding
  3. Kitiger

    Pulse oximetry reading conundrum

    SpO2 is never an absolute number - you need SAO2 for that. Always watch the trend with SpO2. The purpose of a yawn is to decrease CO2. Of course, it also increases oxygenation briefly. If the deep...
  4. Kitiger

    Resigning from 1:1 care :-(

    Maybe you simply need to move to a different
  5. Kitiger

    Journaling

    Work-specific journaling can run into HIPAA violations very quickly. Be very careful! If you can keep patient-specific information very vague, you MIGHT be able to do it safely. For example, "When I...
  6. Kitiger

    Telling Patients/Residents You Love Them?

    I work private duty with children in their homes, and sometimes I am with the child most of the his waking hours. The last thing I want to do is to compete with the parents. Occasionally, a child will...
  7. Kitiger

    Linguistic Pet Peeves

    Thank you for the link; that was interesting. However, I still think a lot of those discourse markers just add unnecessary words, especially when used at the beginning of the sentence. But you'll...
  8. Kitiger

    Poor Judgment, Didn't notice Compartment?

    You did assess carefully for other signs, and didn't find any. And it is unlikely that you will EVER dismiss numbness again, even when it really is minor.
  9. Kitiger

    Help with Reinserting G-Tubes

    Private duty nurses reinsert Mickeys and other similar GTs. The instructions are on the package. If it is not covered in your procedure manual, talk to your
  10. Kitiger

    Linguistic Pet Peeves

    If we can't call ourselves Americans, what term are we allowed to use?
  11. Kitiger

    Linguistic Pet Peeves

    If one begins a thread with "So ...", the implication is that there was a previous idea with which to connect. How can something be previous to the
  12. Kitiger

    Linguistic Pet Peeves

    We are all NORTH Americans, but we are not all
  13. Kitiger

    So you're just a nurse?

    Why do you hear, "just a nurse"? When people hear "healthcare", they think "nurse". That's good, isn't
  14. Kitiger

    Linguistic Pet Peeves

    This is the difference between American English and English as it is spoken in England. In England, a car has a bonnet and a boot, and the signs at the zoo tell you not to worry the animals. Were I to...
  15. Kitiger

    Night Shift Complications

    In order to work nights, you do have to plan for sleep, and you do have to schedule a specific time for
  16. Kitiger

    Night Shift Complications

    When I come off a string of nights, I go to bed in the morning and sleep 3 or 4 hours. I get up then, even if I'm groggy. A little exercise right off the bat does wonders in getting me awake. I go to...
  17. Kitiger

    Linguistic Pet Peeves

    While "Y'all" can be plural, it is not a given. "All y'all" is always plural.
  18. I've learned that even when a parent is very knowledgeable and current on the specific problem that her child has, she is not a nurse. And it's unfair for me to assume that she understands me if I...
  19. Kitiger

    Linguistic Pet Peeves

    "All y'all" is the plural of
  20. Kitiger

    Linguistic Pet Peeves

    So a lot of people, like, don't know how to write well, ya know? It's hard to wade through a bunch of extra words that say nothing. I especially don't understand why so many people start their post...
  21. Kitiger

    Are Nurses First Responders?

    I'd say the 4 biggest differences between nurses and first responders are scene safety, the lack of specialized medical equipment, the fact that the first responder (and partner?) are on their own,...
  22. Kitiger

    FitBit at work

    What is a
  23. Kitiger

    Bookbag for nursing school?

    Have a good medical dictionary close at hand. I used to look up one word, which would lead to the next word, and to the next ... There is a wealth of information in one of those
  24. Kitiger

    Just an annoyance I'm sure you all can relate to.

    Great
  25. Kitiger

    In over my head?

    lI rather doubt that you would have gotten into nursing school if you were not intelligent enough. And I don't see how you could have made this far if you weren't smart enough! Don't listen to her;...