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nursenmom3's Latest Activity

  1. nursenmom3

    Admit to discharge: integration of peds imc and ICU

    Can you explain a little bit more about what you mean by this?
  2. nursenmom3

    Hijab (headscarf) Nurses

    The women I know who wear hijab have hijabs that match their clothing. They change them frequently. I don’t see how a piece of cloth on someone’s head, securely fastened, and changed and washed with the same frequency as her scrubs would be more of a germ risk than any other article of clothing.
  3. nursenmom3

    Scabies patient

    My kid has scabies. It can live in the grass so It is easy for a kid to catch if they play outside in places where other kids play. The doctor said he likely got it from a soccer field. It was mildly itchy and cleared up with one application of lotion. We also vacuumed the house and car and washed the bedding on hot. He was at an age when he was cuddling parents and wrestling friends and siblings. No one else got it. We have dealt with ringworm, lice, fleas, and ticks. So far we have avoided bed bugs, but I see signs of them all the time on patients so I am neurotic about avoiding bringing them home. Of those things, scabies was by far the lowest stress.
  4. nursenmom3

    How to make a PDN job appealing?

    That's good advice. It's becoming very clear to me that I probably need to spend a lot of time going over expectations for communication, but also for other things. For example, it would never have occurred to me that a nurse would be involved in laundry beyond putting things into a hamper after you use it, but now I feel like I might need to say something specific "Here is the laundry hamper for any dirty clothing or towels, he might need you to remind him to put things in there, please do not do any laundry!"
  5. nursenmom3

    How to make a PDN job appealing?

    And hopefully the nurse will understand that it's not personal. He'd really rather Mom didn't do it either, even though I'm the one who taught Dad!
  6. nursenmom3

    Admit to discharge: integration of peds imc and ICU

    I have not encountered this, but as a parent of a technology dependent child who spends a lot of time in the PICU, I would love to learn more.
  7. nursenmom3

    How to make a PDN job appealing?

    @Orion81RNThank you for taking the time to type that out three times, because it's super helpful for me to understand the other perspective! Obviously, it's hard to know what it will be like having nurses in the house until it happens, but to me it's not about trust as much as it is about parenting. This is a kid who is just relearning what it means to have parents, and one of the ways we reinforce the idea of what a mom or dad is, is by being the ones to take care of him whenever we can. If there's a concrete reason why we're delegating, like we're asleep, or at work, he understands that. In the hospital, he knows that there are things that we can't do due to hospital policy. But I'm not sure how he'd make sense of it if we were home, and available, and delegating. In addition, there are still some parts of his care that he's uncomfortable with. A simple example is anything that involves his feet. He really doesn't want anyone messing with his feet, but if someone's going to mess with his feet he wants it to be Dad. The fact that I have years of school, and more years of training in how to care for people is irrelevant. Apparently Dad is better at things like attaching/detaching pulse ox sensors on toes, or putting on AFO's, or washing and drying feet than I am. And given how little control he has about so many things, we honor those kinds of preference as much as possible. So, for example, if you were home with him in the morning, and Dad was coming home at 9, we'd ask that he just kept his resting splints on until Dad came home and helped with the shower and getting clothes on. If there was an urgent reason why something with his feet couldn't wait, then we'd get through it. I'm the one who takes him to most of his therapy and doctor's appointments, and he'll let me put his AFO's and shoes on afterwards if need be, but if he can wait for Dad, we let him wait. Sorry this is so long. I think I wrote it more for my benefit than yours, but it's helpful for me to start thinking about how communicate both to him and to potential nurses about this so that it doesn't seem like a trust issue. How to give the message that "It's fine to wait for Daddy to put your shoes on, but just so you know, Ms./Mr. Orion (?) is also very good at putting shoes on. If we're ever not here and you need shoes, he/she can help." or "I know you know how to do this. I respect your skills. I just prefer to be the one to do it when I have the opportunity." The other thing is that it probably doesn't make a lot of sense, in our specific situation, to schedule nursing so that there are long blocks of time when we're home and awake and a nurse is there. However, I get that that also needs to be balanced with the nurse's need for consistent hours. My impression, for example, is that if a nurse was scheduled to work, because I thought I'd be working, but then it turned out I wasn't scheduled, I should either have the nurse come in, or if we've gotten to the point where I have a phone number maybe call and offer a choice.
  8. nursenmom3

    Sunday Breakfast Recipes

    If you find a breakfast food that makes kids sit still you would definitely be God’s Nurse in my house! We pretty much rotate 3 breakfasts in the house. On the days that I work, it’s always steel cut oats in the crockpot with some choices about what to stir in (e.g. fruit, almond butter, cinnamon, raisins, applesauce etc . . .) if I wanted to make it special I’d add chocolate chips to the mix in choices. If I am home to cook breakfast, it’s usually either scrambled eggs with fruit smoothies, or pancakes that I’ve doctored up with bananas and whole grain. But for us, church service means leaving 2 hours later than we’re out the door for school on a weekday, and 3 hours later than I’d leave for a shift, so it’s the morning you’re most likely to find me making pancakes or turning those eggs into omelettes. Let me know if you want recipes!
  9. Do you have to live alone? For the first year, I worked as a CNA and lived with other students near campus. 4 of us crammed into a 1 bedroom apartment to save money. It was tight, but also lots of fun. The second year one of the nurses at the hospital, whose husband was deployed, let me live with her for free in exchange for being there overnight for her 2 young teenagers. Not having to pay rent was great.
  10. nursenmom3

    How to make a PDN job appealing?

    That's a good idea. Having your forms does seem like it would make it easier. When I say I'm not worried about the documentation piece, it's not because I mean I won't take care of it. It means that pinning down doctors and getting them to write their orders correctly is a skill I've honed over the past 15 years.
  11. nursenmom3

    How to make a PDN job appealing?

    For the bolded, I guess what I'm asking is what happens if I transport the nurse one way, away from their car, and then can't transport them back? For example, nurse is working until 5, at 2 kid spikes a fever and we decide to go to get it checked out and the hospital ends up keeping him overnight for IV antibiotics. How does the nurse get back to their car, if I'm not providing the transportation?
  12. nursenmom3

    Do you have a side hustle?

    That is an awesome plan! I would love to visit someplace like that with my kids. One thing that would make it more interesting to us would be wheelchair access, and clean accessible bathrooms! Another thing that would make it more interesting would be to able to get our hands dirty doing real tasks, and to relate it to the larger world. I accompanied my son's class on a field trip to a working organic farm in our area that employs farmers with intellectual disability, and raises vegetables that are served in group homes, and other places where people are nutritionally at risk. They had the kids pulling weeds and picking rocks and dong real farm tasks. It was much more educational than riding the hay ride at the pumpkin patch to the "field" where they have dumped all the previously picked pumpkins for you to "pick" them again!
  13. nursenmom3

    How to make a PDN job appealing?

    Thank you! I am eager to read it. Your insight here has been super helpful.
  14. nursenmom3

    How to make a PDN job appealing?

    Thank you everyone! That is super helpful. We haven't even requested day nursing, but if we did, we'd request on the days when I work. Our infusion schedule, and therapy schedule is set. We're always at the hospital the same two days a week, and as much as possible we try any fit doctors around that, and so of course, I never work those days. But, you bring up a good point, which is not to cancel at the last minute. I work per diem/float, because my availability to work is too variable. But if I thought I was going to work, and then something came up (another kid was sick, or they didn't have a shift for me, or whatever), I should have the nurse work anyway. And yes, I get that all changes are in writing, and signed, and need to be specific. Now you made me think of a few questions. 1) What happens if a shift ends and we are away from home? For example, let's say there's a one off doctor's appointment at that hospital an hour away, and it runs super late, or they decide they want to run tests that take a long time, or they admit him. You need to get back home (if you came by public transportation) or to our house (if your car is there). Can I just call you an Uber on my account? Or give you taxi fare? Will the agency cover the extra hour to get you home, or can I pay you for that hour in cash? 2) What exactly are the rules about transporting you and the child? I know you have to be in the same vehicle, and you can't be the one driving, but can you drive with anyone? Or just a parent? For example, our son likes to watch his brothers' games and practices. If a relative or neighbor offered to pick you and him up to go watch the game, assuming our permission and appropriate carseat in the vehicle, is that an option? Also, if he wanted to go for a walk with his brothers and Grandpa to the local playground or ice cream store, could you do that? 3) How much specificity do you need about what goes in the g-tube, and how much flexibility is there? Generally, at night the g-tube is easy because it's the same formula, for the same rate, at the same amount of time each night. That's all that's on his 485 right now, because we've only asked for night nursing. But of course we'd need to change that. But in the daytime, I make a lot of judgement calls. I decide how much to give based on how well he eats, and also on what he tells me about how he's feeling. So, for example, if the goal is 600 calories across breakfast and lunch, and he eats half of what I offer, then during his afternoon nap he gets 300 calories through his tube. I don't usually use the tube when he's awake, but if we're outside and it's really hot, I might bolus some water. If he tells me he's got nausea from a medication, I might let him take a break, but if he's actually throwing up then I might run pedialyte. . . . All of it is done with input from his dietician and medical team. Is it possible to write a 485 that reflects those kinds of judgement calls?
  15. nursenmom3

    On Vacation - Would You Intervene?

    In the second situation, it sounds like you didn't know what the situation was when you said "yes", so watching to see if it was enough of an emergency to warrant the risk of identifying yourself as an RN wasn't an option, is that right? I feel as though once you've ID'd yourself as an RN, then whatever you say carries some risk. If you say "Oh, that's not worth my input, carry on", you're still in some way approving of their actions. I think personally, I'd ID myself because I'd worry about it being a much more serious situation, and then once I've done that, I feel as though I'd be stuck and need to follow through.