I am a new nurse and new to private duty nursing. I read the intro forum which was really helpful in getting me familiarized. I am in NY, I have my NPI# and have sent out my medicaid provider number paperwork. I am not employed through an agency, but direct to the patient (adult). So, far I am just doing some "training" evenings.
How long before I can expect to hear back from EMEDNY?
Are their special forms that I need to keep?
Do I consider the training time "free"?
And, sorry if this seems a stupid question, but all documentation for the patient needs to stay with the patient, right? Or, do I need it for billing and have to keep them in a lock box?
I am really excited about this, because it's the kind of nursing I wanted to do, but thought I would be doing later. But, since nobody wants to give an AAS-RN a chance I am really grateful for this opportunity.
I have been a nurse for 20 years and have had a lot of great experiences. However, I have only briefly worked with trach patients and never vent patients, and would not consider doing so unless I had a LOT of training first. And I mean a LOT of training. I realize you need a job but working alone with a patient on a vent is not the job. Trust those of us that say that, we are looking out for the patient, family, and you and your license. We do not have any hidden agendas.
I have been a nurse for 20 years and have had a lot of great experiences. However I have only briefly worked with trach patients and never vent patients, and would not consider doing so unless I had a LOT of training first. And I mean a LOT of training. I realize you need a job but working alone with a patient on a vent is not the job. Trust those of us that say that, we are looking out for the patient, family, and you and your license. We do not have any hidden agendas.[/quote']
Exactly!
If it were possible, I'd love to let nurses shadow as I work so they could learn and watch when things go wrong. But agency insurance won't cover it and hipaa probably wouldn't allow it. Its not that a new nurse can't learn...we all learned. Its just that experience can't be taught.
I trained a nurse the other day. My pt plugged and I had to do an emergency trach change. For me, its as routine as changing a diaper. So I went through the procedure as the nurse watched me since I had to work quick. The nurse responded that she could handle that if she were on her own and it didn't seem that bad. Well the next time she came to train was trach change day. I had her do the trach change. I let her set up everything. I pulled the trach and let her insert it. I ended up inserting the trach because she was shaking and couldn't get it in. Experienced nurses make it look easy. For the routine trach change she had time to gather supplies and talk through the process before doing it. In the little "emergency" she wouldn't have had that time if she were alone on the case. And the outcome could have been very bad.
wyogypsy, RN
197 Posts
I have been a nurse for 20 years and have had a lot of great experiences. However, I have only briefly worked with trach patients and never vent patients, and would not consider doing so unless I had a LOT of training first. And I mean a LOT of training. I realize you need a job but working alone with a patient on a vent is not the job. Trust those of us that say that, we are looking out for the patient, family, and you and your license. We do not have any hidden agendas.