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PDN and Pregnancy

Private Duty   (2,103 Views | 6 Replies)

3,158 Profile Views; 139 Posts

Hi ladies,

I'm really considering PDN. I want to leave the ICU/hospital setting sooooo badly but I've only been there 4 months. I'm trying my best to wait it out until the very least 6mo (December).

I am newly pregnant and my job is really taking a toll on me. I've really been wondering since I started though if hospital nursing is the right fit for me. I'm not good at working 3 12s. I prefer one on one off or two in a row max. I'm just a ****** nurse on the 3rd day. I live far from work and have to wake up at 0300 to get to work and maybe if I'm lucky get 5-6 hours sleep between shifts and that's with me going to bed as soon as I get home. I was having a hard time before I was pregnant, now I'm wiped after 2 shifts. So much so that people comment on how wiped out I look.

We have self schedule and I schedule myself the way I know I can handle. But they always move me around without asking and this next schedule I work 3 and 4 in a row and I know I can't handle that.

I'm wondering if anyone has done both hospital and PDN while pregnant and is PDN a little less stressful on the pregnancy? This is my first baby and I want to be as healthy as I can.

Thanks ladies.

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5 Followers; 37,760 Posts; 104,843 Profile Views

The problem with trying to do extended care nursing while pregnant, is the clients have a tendency to use any little excuse to get rid of you to get someone else and pregnancy gives them the excuse they need. Of course, they won't tell the agency that they don't want a pregnant nurse. Extended care work is iffy at best. If you can find a family/patient that you mesh with fine, but don't count on that. If you need steady employment, best to stick it out where you are, or better yet, find a more suitable position closer to home. Not to say it can't be done, just not statistically a winner. And if you are beat as it is, then you most likely won't be able to succeed at both.

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cayenne06 has 10 years experience as a MSN, CNM and specializes in Reproductive & Public Health.

1,394 Posts; 18,696 Profile Views

Can you get FMLA paperwork to allow you to not to 3 shifts in a row? Or can you move to PRN status for the duration of the pregnancy?

Another thought- I work an hour from home, and sometimes when I am doing 3-4 shifts in a row, I will get a cheap hotel room for a night to allow me to catch up on sleep. Some nurses will sleep here, but I just CANNOT relax at work, so I don't mind spending 60-80 bucks for a decent night's sleep.

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Not_A_Hat_Person has 10 years experience as a RN and specializes in Geriatrics, Home Health.

1 Follower; 2,900 Posts; 38,098 Profile Views

First of all, congratulations on your pregnancy!

I work private duty, and I had twins in March. The biggest problems, especially toward the end, were repositioning patients and fatigue. All of my clients had mechanical lifts (except one, whose parents fired me for other reasons) so lifting and transferring weren't a problem, but repositioning was. One client was heavier than me. Another client's foster mother was not happy about helping me get my client into the shower (the other 2 nurses on the case had bad backs, so she had to do all of the transfers). It was able to sit when I needed to, but sometimes I had to get right back up.

I took on a new client soon after I learned I was pregnant. It was a 90-minute drive one-way. I had to drop the client because I nearly fell asleep at the wheel too many times. My others were within 40 minutes of home.

Be aware that working Private Duty means you may not have backup. I started bleeding at work when I was 10 weeks along. My OB wanted to see me right away, but my client and I were home alone. I had to wait 90 very long minutes for someone to take over so I could go to my OB's office. Everytthing turned out well, but it was a very scary shift.

Edited by Not_A_Hat_Person

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139 Posts; 3,158 Profile Views

First of all, congratulations on your pregnancy!

I work private duty, and I had twins in March. The biggest problems, especially toward the end, were repositioning patients and fatigue. All of my clients had mechanical lifts (except one, whose parents fired me for other reasons) so lifting and transferring weren't a problem, but repositioning was. One client was heavier than me. Another client's foster mother was not happy about helping me get my client into the shower (the other 2 nurses on the case had bad backs, so she had to do all of the transfers). It was able to sit when I needed to, but sometimes I had to get right back up.

I took on a new client soon after I learned I was pregnant. It was a 90-minute drive one-way. I had to drop the client because I nearly fell asleep at the wheel too many times. My others were within 40 minutes of home.

Be aware that working Private Duty means you may not have backup. I started bleeding at work when I was 10 weeks along. My OB wanted to see me right away, but my client and I were home alone. I had to wait 90 very long minutes for someone to take over so I could go to my OB's office. Everytthing turned out well, but it was a very scary shift.

Those are good things for me to think about. And I bet that was very scary!! I would freak out. Thanks so much for the input!

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96 Posts; 2,665 Profile Views

I did PDN while I was pregnant with my 3rd and final child. Thank god because I tailored my client case load around what type of care I could tolerate. It's MUCH easier during pregnancy. Afterwards eh, not so much. People were REALLY freaked out about my having to pump while in their home. Dispite my being a peds nurse who works with mostly infants. Kinda ironic but I finally found a few families who didn't care. I just ended up working one or two shifts per case/clients then switching so not to burn out my families. Worked ok.

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96 Posts; 2,665 Profile Views

First of all, congratulations on your pregnancy!

I work private duty, and I had twins in March. The biggest problems, especially toward the end, were repositioning patients and fatigue. All of my clients had mechanical lifts (except one, whose parents fired me for other reasons) so lifting and transferring weren't a problem, but repositioning was. One client was heavier than me. Another client's foster mother was not happy about helping me get my client into the shower (the other 2 nurses on the case had bad backs, so she had to do all of the transfers). It was able to sit when I needed to, but sometimes I had to get right back up.

I took on a new client soon after I learned I was pregnant. It was a 90-minute drive one-way. I had to drop the client because I nearly fell asleep at the wheel too many times. My others were within 40 minutes of home.

Be aware that working Private Duty means you may not have backup. I started bleeding at work when I was 10 weeks along. My OB wanted to see me right away, but my client and I were home alone. I had to wait 90 very long minutes for someone to take over so I could go to my OB's office. Everytthing turned out well, but it was a very scary shift.

I had a similar experience. I almost lost my daughter while on duty. Drove 1.5h home bleeding it was the worst day ever. Thank god, she's beautiful and perfect (born a little early @36w) in the middle of Hurricane Sandy 10/31/12 my little Halloween baby!

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