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Search Results Type: Posts; User: SDALPN

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  1. I'm just as good as you...
    I think sometimes they just don't know what we do. I get the question all the time (what hospital) and I explain not all nurses work in hospitals. Then I go on to explain what I do. I've even had...
    Oct 19
    Forum: Private Duty Nursing
  2. Regulating Feeding Times When Pt has PO and Continuos Feeding
    Looks like trouble, sounds like trouble....its trouble. Don't believe a parent until they have proven they are honest...that includes making sure the parent doesn't leave stuff out. Trust me,...
    Oct 17
    Forum: Private Duty Nursing
  3. Regulating Feeding Times When Pt has PO and Continuos Feeding
    In nursing school, its taught that we don't take orders from anyone other than licensed professionals. I couldn't count how many times a parent has lied to me about what a physician told them....
    Oct 14
    Forum: Private Duty Nursing
  4. Regulating Feeding Times When Pt has PO and Continuos Feeding
    This is why new nurses don't belong in private duty (its not home health...home health means visits). Not trying to be harsh, just saying it like it is. You should be able to handle that on your own...
    Oct 13
    Forum: Private Duty Nursing
  5. Diaper Changes
    Is it possible that the parent isn't changing the diaper as they should and that's why the child has diaper rash? Something isn't right. Can you call the Dr and ask if that is what was said? We don't...
    Oct 8
    Forum: Private Duty Nursing
  6. Christmas ethics?
    I have given in certain situations. I consider it a donation and I don't do it on the clock. As I'm packing up my bag, I can give the item. I don't make enough to give anything fancy. So its really...
    Oct 8
    Forum: Private Duty Nursing
  7. How involved a patients school work should be expected?
    Parents can still choose to home school their child with special needs. If the child can't go to school, the school has teachers that go to the patients home. Usually for about an hr or so, but I've...
    Oct 2
    Forum: Private Duty Nursing
  8. How involved a patients school work should be expected?
    I've never seen instructions on a care plan to tell us to help with school work. Care plans will never cover every situation. Nursing comes first. The patients health and safety come first. As...
    Oct 1
    Forum: Private Duty Nursing
  9. How much do you make?
    Exactly! They count on us being gullible. And since most of us can't/don't talk, it's hard to catch them in that lie.
    Sep 26
    Forum: Private Duty Nursing
  10. How much do you make?
    Don't be so sure they are all paid the same rate. I've heard that a few times and found out they were lying.
    Sep 26
    Forum: Private Duty Nursing
  11. No Insulin Order
    Nobody should ever take a verbal from anyone that isn't licensed. Guess who is going down if the person relaying the order lies or misunderstands what they were told. That's basic nursing. And if I...
    Sep 25
    Forum: Private Duty Nursing
  12. No Insulin Order
    Can you get a verbal order and then send it to the agency for a signature from the Dr?
    Sep 25
    Forum: Private Duty Nursing
  13. I think I'm right, but..
    Either she gets help or the gov will step in anyway. And then she could face legal problems. Our job is to look after the best interest of the patient. If the patients basic needs aren't being met,...
    Sep 24
    Forum: Private Duty Nursing
  14. I think I'm right, but..
    Don't use your emotions to make your decision. Don't be manipulated by family. Stand firm on your decision. Call adult protection services if you feel like she is not capable if caring for herself...
    Sep 24
    Forum: Private Duty Nursing
  15. What Needs to be Done?
    Bad idea. If kid goes in hospital, you're out of work. If mom changes her mine about you, you're out of work and not just a case. Taxes are your problem as well as insurance expenses. You're an...
    Sep 23
    Forum: Private Duty Nursing
  16. I would like to speak with a nurse asap
    Just a thought, but how would they be sure they were talking to a nurse without verifying their license? The OP could go to her Dr office and ask for a nurse and then get a medical assistant. People...
    Sep 22
    Forum: NICU Nursing / Neonatal
  17. If you could change medicare/medicaid...
    I've seen a few agencies fight for increases. *sarcasm* which I'm sure, as the agencies say, it's for the nurses. :-\
    Sep 22
    Forum: Private Duty Nursing
  18. Attachment to patient and vice versa
    They...as in parents and some patients. I hate to put it that way. I wish it were better. But you will see it's almost all the same, just different homes. I love the work I do. I love being a nurse...
    Sep 22
    Forum: Private Duty Nursing
  19. If you could change medicare/medicaid...
    Hmm, I've seen basic cases at 36/hr on the paperwork. I've seen other cases up from that number based on acuity and other things. So that's why I wonder if it's by state.
    Sep 22
    Forum: Private Duty Nursing
  20. Attachment to patient and vice versa
    Seems typical. You have to have thick skin for this job. They will look for reasons to have problems. Is all about trying for control that they don't have.
    Sep 21
    Forum: Private Duty Nursing
  21. If you could change medicare/medicaid...
    That depends on the state. I threw out a random number on that one for example. But the reimbursement rate depends on many things in my state. It isn't a set rate.
    Sep 21
    Forum: Private Duty Nursing
  22. If you could change medicare/medicaid...
    Exactly but I've never seen a separate fee for operations, just a rate for hourly nursing which covers nurses and operations.
    Sep 21
    Forum: Private Duty Nursing
  23. If you could change medicare/medicaid...
    I've never seem that in the paperwork. I've only seen a specific number per hour paid. Maybe it's different in different states? Do they leave that other amount off the paperwork where the state says...
    Sep 21
    Forum: Private Duty Nursing
  24. If you could change medicare/medicaid...
    How would the agencies make money if they don't pay less than the funded amount? If they are getting $40/hr for a case, they can't pay us $40/hr or they wouldn't stay in business. But I'm sure they...
    Sep 21
    Forum: Private Duty Nursing
  25. Co-Worker gave expired prescription med
    Communicating with another agency about one of their employees is dangerous. They may not believe you...you are the competitor. You may work for that supervisor in the future and s/he may not trust...
    Sep 21
    Forum: Private Duty Nursing


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