Private duty patient orientation

  1. I know all agencies are different, but I'd like your opinion. If you were assigned to take care of a toddler, with a trach, would you expect some sort of patient orientation, or would you just waltz into the home and wing it? Thanks
    •  
  2. 13 Comments

  3. by   keto
    I would not wing it, just because it could actually be very serious. small chance but its there.
  4. by   JustBeachyNurse
    It depends
  5. by   meanmaryjean
    If you're an experienced PDN, you walk in and find out info from the family and hit the ground running.
  6. by   JustBeachyNurse
    Quote from meanmaryjean
    If you're an experienced PDN, you walk in and find out info from the family and hit the ground running.

    ^^^if you're an experienced "high tech" trach/vent you take the 485 and go.
  7. by   meanmaryjean
    Quote from JustBeachyNurse
    ^^^if you're an experienced "high tech" trach/vent you take the 485 and go.
    Right! If you're really lucky, the parents go to bed as soon as you get your coat off.
  8. by   AZirish
    Quote from JustBeachyNurse
    ^^^if you're an experienced "high tech" trach/vent you take the 485 and go.

    Agree with JustBeachy. I'm experienced PDN, but not trach/vent. I would ask for either in office training before or to be met at the pt house for orientation.
  9. by   nursel56
    Ive encountered nurses who show up to take care of a vent/trach patient having never been in the same room with a ventilator in their entire lives, so the overall integrity of your agency would be considered. Hopefully, this would be a rare occurrence, but another reminder the nurse needs to protect the safety of the patient and themselves.

    As mentioned, a review of the 485 prior to taking the assignment is indicated, and judging by what some nurses call "orientation", is probably preferable.
  10. by   middleagednurse
    What if you walk into a dark room with twins you don't know which one is yours or where the suction catheters or meds or MARS are?
  11. by   DeeAngel
    Since I have never worked with trachs, children or ventilators I would expect a complete orientation. IMHO I would never work agency for the reason that they just throw you into situations and expect you to know what you're doing just because you have a license.
  12. by   ventmommy
    That is totally unacceptable, in my parental yet experienced opinion. How can you assess your patient in a dark room?
  13. by   JustBeachyNurse
    Quote from middleagednurse
    What if you walk into a dark room with twins you don't know which one is yours or where the suction catheters or meds or MARS are?
    You ask outgoing nurse or parent (someone let you in!) get a flashlight (no one can work in the dark. If no one tells you call the agency to speak to a nurse manager.
  14. by   smartnurse1982
    Most 485's are unreliable in my Opinion.

    One nursing supervisor told me after advising her of inaccuracies on the 485 that things change within 2 or 3 months and that she does not have time to add any changes.

    I would not trust what the family says either.

    The best advice I can give is to talk with the nursing supervisor,and have them give you report.

    The Nursing supervisor will be able to tell you things that cannot be written.

    For example,during one phone orientation I was notified that Mom does not want the nurses asking her too many questions about the client's care.

    Information like that is not on the 485.
    Last edit by smartnurse1982 on Jun 1

close