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Search Results Type: Posts; User: SDALPN

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  1. My choice or required
    You can always remind the parent they need to pick up a med or something....so you can take a break! Seriously, these parents need to learn what nurses do. We aren't maids, we aren't babysitters,...
    May 2
    Forum: Private Duty Nursing
  2. My choice or required
    Not necessarily. The agency may know how the family is and they may just be trying to make the money while they can. I've seen that happen and then the agency discharges the family when nobody will...
    May 1
    Forum: Private Duty Nursing
  3. My choice or required
    Uuuggghhh. I dread those cases. Delusional parents that think all of that forced interaction will help their child. I hate to tell ya, but the parents will win every time on this one. I had a pt...
    May 1
    Forum: Private Duty Nursing
  4. New grads and Home Health -placed on Vent Cases
    LPNs can do IVs. Depends on your state. We are taught IVs in school in my state. No certification needed. Some states require certification or classes beyond nursing school, but not all states. I...
    Apr 25
    Forum: Private Duty Nursing
  5. New grads and Home Health -placed on Vent Cases
    This is PDN, not home health I assume. No new grad should be doing PDN. Too many risks. Many think they can handle it, not realizing they are over their head til it's too late. A good agency will...
    Apr 24
    Forum: Private Duty Nursing
  6. New home health nurse, what should I expect?
    You are taking about private duty, not home health. PDN is never for a new grad. In my state, medicare/medicaid doesn't even allow a new grad to do PDN. There is way too much that can go wrong. The...
    Apr 24
    Forum: Home Health Nursing
  7. Meeting 1st Client - NERVOUS
    Good luck. After some time/experience, try a shift or 2 in PDN. Maybe a weekend shift or one after work. Extra money and you'll see if it's a good fit.
    Apr 23
    Forum: Private Duty Nursing
  8. Private Duty Nursing
    Keep in mind pay depends on the area. $23/hr may be the norm there. In my area, some agencies pay more than that and others pay slightly less than that. If it's private duty without an agency, the...
    Apr 23
    Forum: General Nursing Discussion
  9. Private Duty Nursing
    Oh, and as far as quality and dependable goes...I've seen the worst of the worst and the best if the best. Interviewing weeds through some of the bad ones. You can also have them do something like a...
    Apr 23
    Forum: General Nursing Discussion
  10. Private Duty Nursing
    I work PDN. I wonder if you'd get more response in the PDN area. Personally, I don't stay on some cases for long if there are major issues or conflict. On the other side of that, I had a case for...
    Apr 23
    Forum: General Nursing Discussion
  11. Meeting 1st Client - NERVOUS
    As a new grad, pretty much all cases are above your skill level. Anything can happen at any moment. Not only that, how do you know about supplies/ordering/quantities allowed/equip maintenance/etc.?...
    Apr 23
    Forum: Private Duty Nursing
  12. OMG-OMG-OMG ROACHES!!
    I've brought roach gel in the little syringe to work. It's better than nothing. A few places that I have worked have had it sitting in the paperwork box. Nurses buy it and leave it in the box for...
    Apr 22
    Forum: Private Duty Nursing
  13. BORED
    It's not a job for those who need to stay busy constantly. However, some cases are much busier than others. So the case may not be a good fit for you. You can find another case that is busier, float...
    Apr 22
    Forum: Private Duty Nursing
  14. Meeting 1st Client - NERVOUS
    Private duty isn't for new grads. Read previous posts for more info on this. Some will agree and some won't. But the more experienced nurses who have seen it all will tell you, you need everyone....
    Apr 21
    Forum: Private Duty Nursing
  15. OMG-OMG-OMG ROACHES!!
    Been there, done that. Sorry :-( Even if the family is clean, the neighbors might not be. Or the complex is infested. The complex must use an exterminator. There are minimum standards for housing....
    Apr 21
    Forum: Private Duty Nursing
  16. Oh, the places you'll go!!
    Insurance simply covers hours. They can be used the way the family wants. If the family wants nurses on a trip, the company must have a local office. The family must pay all expenses. You must be...
    Apr 21
    Forum: Private Duty Nursing
  17. Does your agency staff private insurance cases before Medicaid cases regardless of acuity?
    We call it a communication book. We used to have communication logs, but nurses ruined that. Then families and nurses kept communication books (spiral notebooks) to leave report or updates in. They...
    Apr 21
    Forum: Private Duty Nursing
  18. Reusing suction catheters
    I've seen tap water or bottled water used when a pt can't get sterile water...yeah, I know, gross. I will use NSS bullets in a pinch while out to appointments/outings. I've also seen those...
    Apr 16
    Forum: Private Duty Nursing
  19. Does your agency staff private insurance cases before Medicaid cases regardless of acuity?
    My agency pays us more if a pt has private ins. But they don't volunteer that info. They tell nurses they don't pay more even though they are reimbursed more. Truth is, they do pay more once they...
    Apr 14
    Forum: Private Duty Nursing
  20. Reusing suction catheters
    Simply call the supply company and ask if they are eligible for the sleeved catheters. Ok it with the parent and then order them instead of the unsleeved.
    Apr 14
    Forum: Private Duty Nursing
  21. Reusing suction catheters
    You can request sleeved catheters that can be reused for an entire shift. The sleeved catheters come with a box lined with plastic that you put sterile water in to rinse out the catheters. Take...
    Apr 13
    Forum: Private Duty Nursing
  22. How many hours is too many
    Sometimes families get hours authorized for emergencies or whatever and can get 24 hours if coverage while they are out if town. The main concern is that you should ALWAYS have a 485. Not all orders...
    Mar 27
    Forum: Private Duty Nursing
  23. Advocating for my pt.
    Pick your battles. With that said, its home care. Its not a hospital. Yes, we provide hospital level care. But its in someones home. Many families don't want date labels on everything. As long as its...
    Feb 20
    Forum: Private Duty Nursing
  24. Sharing non specific clinical scenarios
    Its good to be vague sometimes on here. I agree that sharing too much can single out a nurse if the right person reads the post. On the other side, I've had people on here get nasty with me for...
    Jan 30
    Forum: Private Duty Nursing
  25. Home ventilators
    The equipment company can teach. Some do classes. The agency training usually is a joke. Training with another nurse helps with real life situations if you can get enough time with a good nurse. You...
    Jan 14
    Forum: Private Duty Nursing


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