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 prepared for these ped's pts. I am a checklist type of person and I don't have a checklist. I want to prepare myself as thoroughly as I can. I've observed/worked 1 day at the clients house with another agency nurse. Our pt. has a mickey tube and I have been assisting in feedings and medication administration.
This is what I have done to prepare. 1) Read over the agency pamphlets on Mickey feeding tubes, On care of Ped's clients w/ Trach's & G-tubes. I have also jotted down notes from the first day as to what needs to be done when for feedings & medication. I need to rewrite to clarify these notes. I've also watched You Tube video's on mickey tube feedings and cleaning.
I should not depend on You-Tube videos for proper instruction. Please let me know what has helped you when you first started. I don't feel very organized and that stresses me. I need to be better organized. I guess I'm looking for good organization tools.
There are several good youtube videos of people replacing both gtubes and trachs, so please don't underestimate youtube!
The cough assist machine was something that I'd never even heard of until I started doing ppd. You'll probably run into a few kids (esp. trach kids) who use one.
Troubleshooting feeding pump errors is probably one of the most aggravating things that I've personally experienced. (Next to troubleshooting vents, of course.) I regularly use both Infinity and Kangaroo pumps. Like systoly mentioned, reading up on forums meant for parents is a great way to learn little tricks.
Generally a good idea to review pediatric CPR procedures and maybe print out a copy of the current guidelines to carry around with you.
I carry around a pocket size medication reference book -- you can also get digital copies for your smart phone.
For my regular clients, I usually put together a sheet with important phone numbers. Parents cell/work. Home number. Number(s) of the equipment provider(s) - usually includes who to call to order supplies, who to call if something is broken, etc. Kiddo's primary care doc during hours and after hours. Any sort of PT/OT/Speech therapy numbers that might be relevant. This info is usually THERE, somewhere, but often gets lost when you actually need it.
The parents of the kiddo are almost always your best resource. They usually know what's normal and what isn't. I remember the first time I had a trach'd baby who had the hiccups. I was like OMG SHE CAN'T BREATH!111eleventy epic level of freaking out. Dad walks into the room and is like "Isn't that cute? She has the hiccups!"
Last edit by dirtyhippiegirl on Nov 26, '11