So I have my first case lined up for next weekend. Brief background- I'm a recent grad LPN, been looking for work for about 9 months and so far this is the only place to give me a chance. Been reading a lot about home health and see many differing opinions on doing it as a new nurse. I tend to agree with the ones who aren't "for" it but don't know where else to apply because NO ONE will look in my direction. This agency allows me to go watch a nurse work but that's the extent of the training, orientation, etc. in short, I'm nervous...!
First case - 3 month old infant recovering from bacterial meningitis. Dehydration, hyponatremia, seizure activity. she has a g-tube and is getting continuous feeds @ 25mL/hr neocate formula.
Baby's meds are Ativan, Prevacid, clonidine, kappra, and myclicon.
Aside from reviewing care of g-tubes, tube feed and med admin procedures, & seizure protocols in babies, do you have any other suggestions as to how best to prepare for a 12 hour shift with this child? I've used the kangaroo pump she has before but again that was in clinicals and this is all very new.
HH nurses, what do you do to prepare before your cases? Do you bring equipment with you (stethescope, baby pressure cuff)?
I guess everybody starts somewhere- I was just hoping my somewhere would be under someone's wing, not flying solo! But I'm going to give it my best