Well, thank you...I think. I don't work for an agency. Yes, lack of training can be very scary...however, you make it sound like I am risking my patient's life. I have paperwork questions. I have gone through everything on the POC and have called the RN at the MDs office to clarify many things on this POC and to have things re-written so things are very clear. I am doing things very by the book, questioning everything. Just because I don't know how the forms work does not mean that this is a "scary situation." I purposely took a client that is not vent-dependent and the skills required for the job are very new grad appropriate. Before recently moving to my state, this patient only qualified for CNA type caregivers in her home state. I understand the advice on here to not take certain clients as a new grad. I am not willing to risk anyone's life just so that I can have a job. I am simply asking how a change in an order would work for an OTC PRN medication for a cold. I was actually the one that caught that this med should not be given as ordered...by G-tube and discussed this with the patient's pharmacy. I DID NOT give the med in a different route than it was ordered even though that is how the patient has always done it. There has to be other PDN cases that do not have fax machines available. The RN said she would mail the clarifications out after talking to the MD. Maybe a dumb question, but a verbal order is usually good for x amount of hours in the hospital and then it has to be signed. I was simply wondering if this is how it works in PDN as well. Not every patient is going to have a fax machine or an agency so if you have to wait for an change in order to be mailed out, how long can you follow verbal orders? I received training on this case, but can you tell me that you will never have a question after training? I don't care if I a person has worked acute care their whole career, care in the home is different and questions will still arise. I don't work for an agency, like many other PDNs in my area. We have to rely on each other and other nurses to bounce things off of. Rather than just doing what the patient wants or how "it has always been done," I am questioning things, calling the MD and pharmacist to clarify things etc. Making sure everything is done by the book. Personally I am proud of myself for doing that.
Thank you for your concern, but please also know that the way you come across is harsh and not at all supportive. I am new to this and subsequently have questions. If you would like to answer them, it would be greatly appreciated. If you just want to tell me how inadequate I am because I have questions, then please refrain from responding. I do not mind honest advice, but said advice can be given in a kinder way IMHO.