Kitiger RN

Private Duty Pediatrics

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All Content by Kitiger

  1. Kitiger

    Meaning of your username?

    Come to think about it, it was a trombone part. I had to transpose from the key of F (French horn) to the key of C (trombone) on the fly. It was interesting. I think I liked orchestra best
  2. Kitiger

    Hospital with Money Back Guarantee

    That is wrong on so many levels. Are the hospitals going to hire extra staff? I doubt it. Are they going to expect the nurses to put patient comfort and satisfaction ahead of patient safety and...
  3. Kitiger

    Meaning of your username?

    Clarinet, first chair (orchestra) French horn, 3rd chair (band) French horn playing the baritone part (dance band) Alto sax (dance band) Or is that too much bragging as a music
  4. Kitiger

    I had a night

    May tonight be better.
  5. Kitiger

    Meaning of your username?

    My
  6. Kitiger

    Taking a trach/vent pt to school

    Exactly, and the spare vent circuit goes in the go-bag, too, as it has to stay with the patient. Schools will store extra oxygen tanks for a patient who uses a lot on the bus. The DME supply company...
  7. I've had bronchitis this last couple of weeks, with coughing jags that lasted 5 to 10 minutes at a time. This week I learned: 1) Never trust a fart! 2) Don't forget to take your "no-pee" pill...
  8. Kitiger

    Important things to review

    A Mickey doesn't look like a foley, but it does insert the same way, and the balloon is inflated the same
  9. I do private duty home health, caring for medically fragile children in their own homes. Most of these kids are respiratory; trachs and vents for the most part. These homes are usually clean, no...
  10. Kitiger

    Medicaid pay rate for PDN LPNs in New York State?

    Is the amount that Medicaid pays a private nurse or the amount that the nurse gets through an
  11. Kitiger

    Important things to review

    For a Mickey, you need to know: Size: what French, and what cm (how fat and how long) Balloon: how much water (what range) is normally used in that size Mickey, and how much does THIS child's parent...
  12. Kitiger

    New nurse on the floor

    Those meds that inhibit each other should be given at different times. And, of course, you don't crush long-acting or enteric coated meds: ask the doctor to order the correct form for GT...
  13. Kitiger

    Would you report this?

    This is Medicaid fraud, and you must report her. My agency also states that you can also be held liable (fines and/or prison) if it is shown that you knew about it and did nothing, but I haven't...
  14. I'm a private duty nurse, homecare pediatrics. Sometimes I know from the get-go that this particular child is not likely to live long. Severe BPD and oxygen dependent with high vent pressures. An...
  15. I make up my own lullabies, too, sometimes from scratch and sometimes just changing the words. A lot of faster, zippier tunes can be slowed down to a gentle lull. I did have to learn to rock them...
  16. Kitiger

    Bring Your own TP

    I always check for TP before I sit. In some homes, extra rolls are in the hall closet! Or they may be out. It's not a bad idea to have some Kleenex in my pocket. I always carry extra tools in my bag....
  17. Kitiger

    What offends you (nursing related)?

    The Peter Principle: People who are promoted one step past their highest level of
  18. Kitiger

    Coming up on two years...

    Congratulations! That is real work! And you did it! And you're doing
  19. Kitiger

    Where Do I Go From Here?

    Again, Thank you for your service! Could you try a combination of private duty home health and diabetic education? Home health is 'way less stress, and would give you an income while you work your way...
  20. Kitiger

    Please help, super conflicted!

    I have a one-hour commute twice a week, almost all highway. It used to be a 12-hour shift, now it's a 10-hour shift. I don't get sleepy on the drive, but my reactions are just a little slower. I'm...
  21. I've been there too. And it's different every time. They look to you for information and help. You look to each other for comfort.
  22. Kitiger

    Please help, super conflicted!

    I think you're leaning toward job #2. Go with your
  23. Kitiger

    Why would you give this up??

    We need private duty home health nurses in the summer. Especially in the summer! Why not add that to school nursing? My agencies would LOVE someone to work summers. I work mostly nights
  24. Kitiger

    PEEP and blood pressure/other hemodynamics

    This is a very interesting, informative site. Thank
  25. Kitiger

    Are hair accessories unprofessional?

    YUCK!