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Pediatric Private Duty Nursing in Central Arkansas



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Jun 09, 2008 08:57 PM

Pediatric Private Duty Nursing in Central Arkansas

by vitofly

I'm hoping some of your amazing nurses can shed some light on how I might be able to help our local agency locate a nurse to care for my special son Spence. My son is 17 mos old and doesn't have a Trach however, he requires regular suction, breathing treatments, and feeding & meds via g-tube feeds.

Our current situation is as follows:

I'm active duty Air Force and our insurance Tricare Prime (Humana) has approved my son for Private Duty Nursing for 12 hours/day. Unfortunately every agency in the area went out of business and the sole remaining agency (Care IV) has for weeks now been unable to get any nurses to fill the vacancies they have. I've been told by the agency coordinator that we have better chances because my son doesn't have a trach & nurses prefer not to work with trach patients but she flat out told me it's hard to get nurses to work in my area because it's rural and away from the city (long drive).

My wife & I are u7p at all hours, round the clock caring for our son and honestly we haven't been out together since before he was born. My job has been on the line many times and I'm running out of ideas on how to get help caring for my son. We've come so far to finally get approved for the nursing to only find out that their's no nurses interested in working out here.

I'm hoping one of you nurses will read this and share it with a Central Arkansas nurse that might be looking for this line of work.

I appreciate any ideas or assistance.

Regards,

Jason


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11 Comments
No. 1
from caliotter3
Old Jun 10, 2008, 12:33 AM

Default Re: Pediatric Private Duty Nursing in Central Arkansas
How rural are you? Is it possible that you could move to an area where there might be better prospects of finding a nurse willing to travel? I'm sorry to say that with gas prices the way they are, you are most likely going to have a hard time finding someone willing to drive very far away from where they live. You might also consider providing a sleeping room free of charge to a nurse who could then travel home on their days off. I've seen this arrangement work before.
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No. 2
from Lorie P.
Old Jun 10, 2008, 08:37 PM

Default Re: Pediatric Private Duty Nursing in Central Arkansas
Try posting this on the Arkansas Nurses forum, you might get more responses there.

Best of luck to you!
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No. 3
from vitofly
Old Jun 12, 2008, 10:34 PM

Default Re: Pediatric Private Duty Nursing in Central Arkansas
Is their an Arkansas Nursing Forum in particular that is good or used more? We're only 30-40 minutes drive from downtown Little Rock so we're not really that far away. The Agency isn't exactly advertising very actively. The only ad I found so far was in the Lonoke Paper which most folks don't read since it's fee and usually end up in the tush before it's unwrapped.
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No. 4
from vitofly
Old Jun 12, 2008, 10:43 PM

Default Re: Pediatric Private Duty Nursing in Central Arkansas
Disregard I see what you mean.
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No. 5
from ernurse2
Old Jun 17, 2008, 09:32 PM

Default Re: Pediatric Private Duty Nursing in Central Arkansas
I am not sure where you are located, I live in Cabot and am an RN. I would like to get in touch with you and hear more.
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No. 6
from vitofly
Old Jun 18, 2008, 05:33 AM

Default Re: Pediatric Private Duty Nursing in Central Arkansas
Ernurse:

I replied to your message in private - thank you so much for contacting me. I look forward to speaking with you soon.
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No. 7
from Thornbird
Old Jun 20, 2008, 12:04 AM

Default Re: Pediatric Private Duty Nursing in Central Arkansas
I would suggest that you try the agencies in Little Rock. I don't live in Arkansas, but I do this kind of work. Here the agencies are located in the big cities but have cases all over the state. I live in a rural area an hour from the nearest city and get cases near home. Some agencies don't necessarily advertise or specialize in pediatrics but will take on the case, especially if they have nurses in the area.
That said, pediatric homecare is an area with a huge shortage. Parents never get the amount of help they really need. But, whatever you can get is at least a break. A good agency will run ads in newspapers and online to recruit a nurse for you. Ask about this before signing a contract with a new agency. In advertising they should stress the positives. Many nurses don't do this work because they assume the kids are terminally ill. This is not usually the case, so it pays to get the word out for your child.
I wish you all the best. I know from experience how difficult your situation is.
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No. 8
from cot mom
Old Dec 04, 2008, 11:02 PM

Default Re: Pediatric Private Duty Nursing in Central Arkansas
I am the mom of a special needs son my husband is retired navy how has tricare been for you? My son gets 24/7 home care for several years now.I helped get the tricare custodial care defination changed and of course lobbyed for home care for special needs military families. Glad to see they are trying to get you some help but they should have you as a valued member of our all volenteer armed forces in a location where you can get the services you need for your child have you contacted stomp? they are advocates for military families. Would love to hear from you. casualties of tricare mom
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No. 9
from vitofly
Old Dec 07, 2008, 09:07 AM

Default Re: Pediatric Private Duty Nursing in Central Arkansas
We actually relocated in September to McGuire AFB, New Jersey to get Spence the services he needs and integrated into the CHOP network (Children's Hospital of PA). We're doing much better up here and they have approved us for 86 hours/week of nursing (the maximum they say is possible). It was a huge battle and tons of writing involved on my part as well as his doctors and nursing agency. The agency still is not able to completely fill all the hours but we have about 50 hours filled on a regular basis. TRICARE has been an uphill battle however, it's not as bad as it was with TRICARE South...the North region seems to be better staffed.
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