Mabel 29

Mabel 29

geriatrics / peds private duty

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All Content by Mabel 29

  1. When my children were babies I had one of those carriers that you wore over your shoulders and the baby hung in a pack on the front of you. It was called Sarah's Ride Carrier. This item had a tag...
  2. Computers-You DON'T have to use ALL the features!

    One or two days a week I work in LTC and do the med pass, the rest of the week I ride a little yellow bus with my pediatric clients....I prefer the
  3. IV fluids in LTC setting?

    I remember a similar situation to the above post. The fellow was young and lived home with his spouse. He was admitted to the LTC facility /Rehabilitation Center for ABX IV therapy. He used to sign...
  4. IV fluids in LTC setting?

    i'm a lpn working in ltc in pa. just went for iv therapy certification last week. the facility is taking more iv, midline and picc
  5. Online classes

    I've taken many classes on line - Algebra, Statistics, Chemistry of Life, Sociology.... This month I start A & P II online. I like not having to drive to the college at a scheduled time. I can...
  6. J Tubes... checking placement/residual???

    I had a toddler in home care with a JG Tube which was placed by Interventional Radiology. Feeds went into the J, the G was for meds only. We were told not to aspirate the J because the tube would...
  7. A&P Course ..HELP!

    How about comparing treatment with a wound vac and treatment with another type of dressing? Or maybe compare a venous stasis ulcer treated with a Unna's Boot to treatment with silvasorb gel and a dry...
  8. Quick question about nasal sprays

    I had a MD prescribe nasal spray to me one time and he said to aim out and away from the septum, because the sprays can dry out the septum and cause damage. I have read cases of holes in the septum...
  9. Lvn?!?!?

    In some states LVN (licensed vocational nurse, I believe) is used instead of LPN (licensed practical nurse), but they are the
  10. Do I go with client....or go home?

    Hi all. I'm new to pediatric private duty and I work for an agency, 7a - 3p. My current case is a child who is a patient at a Children's Hospital two hours away from the home. Recently the child...
  11. Do I go with client....or go home?

    The child was not really being cared for by the hospital. We sat in an exam room for 6 hours, seen for 5 minutes by NP and then 3 minutes by Chief of Surgery. Other than that, no care given by...
  12. Tell me the good things about LTC!

    I'm a LPN and I worked LTC / Rehab for a couple of years, and then I left to take a fulltime private duty position, BUT.... I keep going back to the LTC facility. I take a shift about once a week or...
  13. Feeding tube question!!

    The issue with the feeding tube - NG or G - may be aspiration precautions. This may validate the need for night
  14. Hi All. I'm calling on all of you creative, been there/done that type of people. I'm currently working with a 1 year old girl who has, among other things, a G-tube and a J-tube. This child is becoming...
  15. Hi All. I'm calling on all of you creative, been there/done that type of people. I previously posted this in the pediatric forum, but received no posts, so I thought I try it here. I'm currently...
  16. I need a waterproof abdominal wrap for a tot...

    I thought of tegaderm, but isn't that porous? I'm also cautious because of her sensitivity to adhesives. I could use the film from a would vac, but again, it may irritate her skin. The plastic part...
  17. Left LTC for HH Peds - any advice?

    Hi All. I recently left LTC for Pediatric Home Health. No experience at all in this new field, but I felt that I needed a change. So...any advice that would calm my nerves at this point? My first...
  18. horrible weekend

    And this is why I recently resigned my full time LTC position and accepted a much more quiet position caring for 1 child... on her couch... without 63 other screaming patients chasing me....AND with...
  19. Want to move! Just do not know where.

    Any place has to be better than St. Louis. Just drop a coin on a map and go where it lands!!! I've visited St. Louis and surrounding areas twice, and I'll never go back. I can't think of anything...
  20. Promotions in LTC?

    How about joining the skin team and doing wound care. I pushed a med cart for a year or so until I got really bored with it. After that I had an opportunity to do the weekly wound assessments and...
  21. Turnover

    I turned in my resignation yesterday. I gave them 2 - 1/2 weeks notice. I've been at a LTC facility for 18 months, my first job as a new LPN grad. Yes, turnover is high. At this time, they can't...
  22. white skin around wound

    I have seen Silvasorb packing used with positive outcome on wound similar to this. The antimicrobial properties keeps the bioburden down and promotes healing. The dressing should be changed
  23. What have patients told you that they shouldn't?

    I had a patient in LTC who wheeled herself up to my medcart and asked me if I had a permit to pedal drugs on her street? I replied that I had a license, and she seemed happy with that and went on her...
  24. I was an administrative assistant for a civil engineer for eight years prior to nursing school. Sometimes I miss being able to go to the bathroom when the need arises, and being able to come and go...
  25. CNA troubles

    I experience the same complaints from the aides at the LTC where I work. It gets so bad that I have contemplated working in home care so that I don't have to listen to them anymore. I think I heard...