bdbrdb 4,380 Views
Joined: Jun 10, '09;
Posts: 79 (5% Liked)
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Does this CPAP have a humidifier and is it at a setting that will not dry out and irritate the oral mucosa?
Thank you for the suggestion.
I will speak with the parent tonight on getting a order for the Dr. I sent a message to the manager and I'm still waiting on a reply/call back.
I live in SA and work as a PDN, I'm looking to make friends with any SA nurses. Is there anyone that would help with advice on nursing such as employment, CE in SA? I guess I am looking for someone to take me under their wing, I've been nursing for a few years now but would appreciate any advice on nursing, honestly I'd like to make some nursing friends 😊
I have a 2yo pt who is uncooperative with their Cpap mask. I've changed the mask, have tried getting pt to hold mask, play with with while off to get them use to it and for a while pt was wearing it for 2-4 HR. RT did come out to check on the settings and the machine and everything was okay. But for the past few weeks pt has been refusing the mask, removing it immediately. Last week during their well child visit Parent was told by PCP pt's tonsils were swollen and would need to be removed and this may be why pt refuses cpap. An appointment isn't scheduled until Sept to address this. I was told by the parent not to use Cpap until after the appointment as advised by the PCP. Pt does have a sleep study scheduled this week. In my nurses notes I've been documenting PCP is aware and per parent not to use cpap until scheduled appts and issue with tonsils are addressed. Is this correct to do or does the PCP need to write an order stating CPAP therapy to be held until after tonsil issue is address? I'm not sure what to do or even what to ask from the PCP. I appreciated any input.
I work 10 hr shifts as a PDN. Two months ago I switched cases and started working night shift 5 days a week. Since then my left calf has been hurting, it's a constant throbbing regardless if I'm sitting, resting or walking. I've taken OTC pain meds which don't seem to help. I have a tough time falling asleep because of the leg pain, and I made the mistake of taking Benadryl to help me sleep that I woke up in so much leg pain. Has anyone had experience with this before? During my shift I stand up and walk around my pts room, I try to stretch my legs and move them up and down whenever I'm sitting. I tried on some dansko shoes that felt really comfy but I'll have to wait til after the holidays to purchase them. Would compression socks help? My feet do swell up during my shift and at first both legs would hurt but as of late only my left calf has been in constant pain and my feet do still swell up. Any advise on shoes or what else I could do? TIA
Is he complaining about the taste, or is this just a power/control thing in your view?
I have a 9 year old patient who refuses to take his liquid and pill form meds. He spits them out and vomits when they are given. He'll refuse saying they make him sick. I've made his mom aware of this and she said she will notify his Dr. There are days when he takes his meds fine and then other days they make him "sick". Even with one antibiotic per order that says to crush and give PO he still says he can't take it. Apart from letting his parent know and charting when he does spit meds out or refuses I'm not sure what else I could do to help him take them more easily. I've tried apple sauce and he takes a bite but then spits it out. Does anyone have any ideas or tips for taking meds? TIA
I work PDN for a 9yo pt, I've been with him for almost 2 yrs. some days are good and others are very trying. My pt becomes upset with his parent when he's told its bed time, I'll try to assist him to wc and get ready, being he's upset with mom he takes it out on me. By being uncooperative, yelling, being rude. Mom usually tells him to behave and to listen or else she'll hit him. I've never seen her hit him or am aware that it happens. But he apologizes and says he'll behave. Which he will at least for a few but then goes back to that behavior when it's med time or what not. How am I suppose to handle this type of behavior? I know the main reason he gets upset is because his iPad is taken away so that he will go to sleep when mom says it's bedtime. Talking to the parent is not much help, as long as she's in the room he's fine, nice, cooperative but once she leaves home he's back to that type of behavior. It's to the point where I no longer look forward to working with him, and I've asked the agency to be moved but keep getting the run around that they'll find a replacement and find me a new patient. Hubby says just to deal with it being I only work with him one day out of the week, but it makes for a very long and difficult night shift 😕 I just document what he says or does. Any suggestions on what and what not to do? TIA
Can someone please point me to a site where I can do my continuing education courses for LVN. I've done online searches but I'm not sure if they are approved sites or which is best to do.
This will be my first annual eval with this company. I work for a home health agency and do PDN. Could anyone tell me what exactly happens? Before this I worked at a nursing home and did get an eval but didn't seem like a big deal, I was given a raise and told everything was good that I didnt have complaints and never called in or was late. This is the first time I work at a pt's home, and I'm on as PT but I work 50 hrs a wk and have two pt's. I guess my questions are what should I expect, is it okay to ask for a raise and if so do you just come out and ask or do you give an amount? I not sure how to go about with this. Thanks for any advise or input.
I do try reading other nurses notes but I know at 6am mom wakes up signs your paper and doesn't want to give you time to place it in his binder. I try placing it as fast as I can being that I'm only there once a week I don't want to take their copy home. But I know his regular nurse will take notes with her and placed them at the end of the week.
In October he had back surgery and I had no idea he even had that scheduled. I went in for vague report from mom during my assessment I saw his back bandaged up and my pt told me he had surgery recently. I looked in his notes nothing was mentioned and when mom came home I asked and she said oh yes he did but he's doing good and has had no complaints. Or one time he had fallen out of his wheel chair and mom didn't mention it wasn't during assessment and asking about his day he told me what happened and that he had been seen by the dr.
I've been working with a HH agency as PDN for over a year now with the same pt's. My night shift pt at first mom would give me reports and keep me up to date on what was going on being I only work with him once a week. Lately mom hasn't been giving me reports. If I ask what's going on she says nothing, no changes and then leaves to run errands and what not. And recently I showed up for work and wait for them and I'll text and end up getting a reply if I can come into work an hour or two later. How can I get mom to give me a report and Should I just notify his case manager? My other pt's mom gives me detailed report and has all his appts and notes and BMS posted on the fridge. I wish the other mom was more like that.
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