Important things to review - page 2
I need some advice. I'm a recent LPN grad., worked 5 mo's in LTC and now just started as 1st time Priv. Duty ped's nurse. I am nervous that I am not reviewing what I need to in order to be... Read More
Apr 21, '16I know this is an old post, and this might be totally wrong, but wouldn't it be a HIPPA violation accessing the 485 before you are legally are a nurse to the patient? Although, I am speaking in reference to independent pdn direct bill to medicaid, no agency.
Apr 22, '16It is not considered a HIPAA violation because knowledge of the care plan is required to care for the patient. Since the emphasis on HIPAA the past several years, agencies have begun (if they were not already doing so) blacking out the identifying data on the 485 for these "preliminary" viewings and retrieve the copy if the nurse decides not to work the case.
Apr 22, '16For 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 usually put in the balloon. Do they use tap water, sterile water, or distilled water? (There's more than one right way, and you want to do it their way.)
How often do they check the balloon? (Some check the volume in the balloon weekly, some check only when it leaks or looks like it's loose in the stoma.)
Where is the spare Mickey kept?
How often does it get changed? (Medicaid usually only allows one Mickey every 6 months.) I would rather not change it routinely unless you have at least one more new one as a back-up.
Changing a Mickey is easy: it's just like a Foley cath, and easier to put in than a Foley because you can't miss the hole!
Apr 22, '16The picture on the top is a mick-ey. I believe you have the two mixed up. A g-tube as we call them does resemble a foley tube, a mick-ey button does not.Last edit by realnursealso/LPN on Apr 22, '16 : Reason: Wrong picture
Apr 23, '16Quote from realnursealso/LPNA Mickey doesn't look like a foley, but it does insert the same way, and the balloon is inflated the same way.The picture on the top is a mick-ey. I believe you have the two mixed up. A g-tube as we call them does resemble a foley tube, a mick-ey button does not.