Katy1

Question: I consider my expertise with developmentally disabled individuals with medical needs: I am trying to find out how I can find a resource where I can contract myself out to provide care for families that need a nurse when they travel to hotels or on vacation with their family member. When I tried to do a search it keeps hooking me up with travel nurse companies. I do not wanna travel nurse company. Any direction in this would be really helpful thanks so much and thanks for all you do

Hello, you can always open the tube and roll the abdomen to try to dispel air you feel is trapped in a patients abdomen if it becomes distended. When you check residual, sometimes the air will come out before you get to the residual. The most important intervention in any scenario where the patient vomits is aspiration. Usually the feedings will be held for a period of time and/or pedialyte will be hung to replenish. If aspiration occurred, symptoms may not show immediately. I have worked with many developmentally disabled individuals with many medical conditions and G tubes You are doing great because you are critically thinking and asking questions!

Unfortunately, when people move up to administrator positions, they have a different role and the patients become numbers and budgets. In my professional career, I try not to do too many management roles because I feel I can make a bigger difference while advocation on the floor. Go with your gut on any conversation or support you would like to give. Sometimes just mentioning you noticed they appear more stressed, makes them take a look at it. If your manager/director is stressed, it trickles down unfortunately. Good Luck