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SDALPN

SDALPN

Peds(PICU, NICU float), PDN, ICU
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SDALPN specializes in Peds(PICU, NICU float), PDN, ICU.

SDALPN's Latest Activity

  1. SDALPN

    Travel PDN

    So I'm wondering if travel PDN exists. I've done some searching and can't find anything on it. It seems there is a need for it. I've heard of people living in rural places where less nurses live. It would be good for those times that agencies are short nurses. Or for when an agency is getting lots of new admissions until they can hire people. But I wonder if its even possible since reimbursement rates aren't that great. The cost of a hotel and possibly flight/rental car in additional to hourly wages may be why it doesn't exist or is hard to find. Any thoughts? Do you know of something like this that exists?
  2. SDALPN

    Nurses aren't maids!

    It's against my agency policy to use a phone or electronic device at work. However, we are told that we can do so if the family doesn't have an issue with it. Many families don't expect us to just sit there when everything is done. So I guess it depends on the agency. In my opinion, I don't see the difference between reading the news on a phone (since cartoons are on TV all day) and watching TV. Downtime is downtime. As long as the kid is monitored constantly, I don't think it matters. Now, if there is work to be done, it needs to be done first. But I refuse to do cleaning that isn't related to my work. I have no problem telling a parent that I won't do their laundry and then going back to whatever I was doing.
  3. SDALPN

    New vent, old topic

    A calendar. Write what you did on the day. Write the appointment on the date it is made for. Dry erase boards/calendars are my favorite.
  4. SDALPN

    Agitated Pt Makes for Hard G-Button Feedings

    You stated that the child has CP. Its not a matter of cooperation. Sometimes the child can't control their movements if the CP is severe enough. If the child has anxiety, the anxiety may show itself with increased movement and increased muscle tone. It takes a lot of patience with these kids at times. You have one patient and all day, there's no rush. I saw someone post that you are a new grad. If this is true, you are in the wrong area of nursing at this time. PDN isn't for new grads. It sounds like you have a lot to learn and your company is at fault for not training you. The majority of agencies won't train you or won't train you appropriately. They want a warm body with a license. They don't care about you or your license. Read through the forum and see what I mean. None of this is to be mean. It's just how it is.
  5. SDALPN

    Very trying peds pt

    I've found that once the kid has figured out that you can't discipline them, its time to move on. The parent won't do anything unless it bothers them. The kid has no motivation to correct the behavior. The behavior can get worse, but usually doesn't improve. There are things we can do such as taking toys away. But with just one night a week, it would be easier to replace the one shift.
  6. SDALPN

    Am I a bad nurse?

    When people use those responses with me, it seems fake and rehearsed. While it may work for some people, it won't always work. When I get those responses, I usually call those people out. I would rather someone be real with me. I just recently had a new supervisor use those rehearsed phrases with me. She was trying to be professional, and I get that. But it just made things cold and fake feeling. I told her to relax and just say it like it is. She did just that, and our communication is so much better now. Instead of trying so hard to sound good, she now gets her point across more efficiently. Instead of coming across cold, she shows a very nice personality. The same approach across the board doesn't work. Its better to cater to the family and their style of communication. On the flip side off that, sometimes it works with the right family. I'm with one now where the parent was asking how much there was left to do on a project. Instead of answering like that, I said "look how much we have accomplished". She saw through it and said something about viewing it positively. But she seemed less stressed by seeing that so much had been accomplished and there isn't much more to do. But...she saw through it. Personally, if I had a nurse with that approach, they wouldn't last long. I would prefer the warm and friendly type. If you aren't a fit for the family and you fake it, they will soon figure it out.
  7. SDALPN

    Am I a bad nurse?

    New grads don't belong in PDN. This is a bad situation.
  8. SDALPN

    Fleas!

    What does it have to do with being in a trailer park? I've been in spotless trailers in trailer parks. I've been in the nastiest homes in the best parts of town. Please don't judge. A trailer might be the best a family can do. Or they could be saving a ton of money so they can buy a nice home and retire sooner than you or me. Maybe their nice home burned down and it is temporary housing until insurance finishes taking its sweet time. And yes, I've been in those homes. I don't return. Some agencies will still take those cases.
  9. SDALPN

    Fleas!

    It would be great if you could explain why you can't leave the case. As others said, report them and get out. You are a mandatory reporter.
  10. That's the truth! Hrtsnstrs, those same families/personalities end up at the hospital too. The only difference is you work with a team of people that can help you. The environment/atmosphere at the hospital helps too. Its just different when you're left to fend for yourself on their territory.
  11. SDALPN

    Nurses aren't maids!

    Because then the parent expects it. And it puts other nurses in a bad position. The rest of us hear "nurse supernurse does it". Its not our job and it takes away from our job. We are there to monitor the pt and do nursing. It makes the other nurses look bad and feel bad when one nurse does that stuff and the rest of the nurses do what they are supposed to be doing. We are there to care for the child so the parent can work/run errands/rest. We are there to catch things the parent wouldn't catch and to be the Dr's eyes. We are there to teach the parent how to care for their child and to reinforce the proper way to care for their child. That is why they get hours. If a parent wants a maid, they need to hire one. If they want a babysitter for their 8 kids, they need to hire one. There are boundaries in place for a reason.
  12. SDALPN

    Old wives tales

    I've done stuff like that before. When the room becomes intolerable, things temporarily get moved from the room. I love air freshener. But there is one that smells like cheap mens Cologne. I've unplugged/bagged those before, just for my shift.
  13. SDALPN

    Am I a bad nurse?

    That's why experienced nurses tell new grads PDN isn't for new grads. They don't listen until its too late. You signed a year contract? I haven't heard of any reputable agency requiring this. Contact a lawyer. If they don't have work for you, but you are stuck for a year, how will you get paid and pay bills? Get used to not being wanted on a case. That's part of PDN. Most of the available cases are the ones nobody wants with the difficult parents. Learn what you can from it and move on. You have to have thick skin in this job. These parents spend more time looking for a reason to hate you than they do trying to find reasons to be a team with you. The parents take things out on their nurses often. Not all parents are like that. If you find a good case you will see why they don't have openings often. What I'm saying above even happens to experienced nurses. But like the others have said, your lack of experience (no fault of your own) contributes to the problem. Its great that you know the area you want to work in. But without experience, you may want to gain experience elsewhere first. Oh yeah, and parents WILL lie about you to get rid of you. Its not enough for them to be honest and say its not a good fit. They will exaggerate and get creative in order to create trouble for you. Not all of them do this, but many will. Maybe one day, someone will realize that these parents need counseling to work through their feelings. If you really did do something or didn't do something that you should have, learn from it and keep going. If its your personality, keep being who you are. Eventually you will find the right fit.
  14. SDALPN

    Terrible Twos?

    Can you imagine going to court explaining that? Your honor, on that day I was busy doing laundry and making lunch for the patient while watching the patient play. The trach fell out and the child ran and wouldn't come back. Judge: I thought you were the nurse? Nurse: I am the nurse. But I babysit, I'm the kids personal chef, and maid. Judge: So how can you be a nurse while you're doing all of those other tasks?
  15. SDALPN

    Terrible Twos?

    Omg. Locked you out? That's messed up! I've had my share of the terrible twos. They turn in to terrible threes and so on. Its usually bad parenting. The parent feels guilty or bad for the kid and spoils the kid. They don't want to discipline their kid which creates a disaster. If its not cute at 20, its not cute at 2. It sucks that the kid has to start life rough. But its only going to get worse if they have a bad attitude. Usually I walk away from those cases as soon as I can. The kids know we are unable to do much. I will do what I can if I'm stuck on a case. If the kid throws a toy, I take the toy away. If the kid loves attention, I'll "ignore" the bad behavior/child. Of course I monitor the kid. I reinforce good behavior with attention. If the parents aren't around, this works better. Some don't like that approach. But if we can't put them in time out or something, that's the best we can do. I've asked parents about time out and stuff. Some parents are ok with it and others are offended. But if we don't have control over the kid, how will the kid act in an emergency? Will it effect care? If the child won't come when called and the trach is out, then what? It won't look good telling EMS that the kid wouldn't come and ran away and the stoma closed up in that time. This is another reason nursing needs to be our only job. If the parents want a babysitter, they need to hire one.
  16. SDALPN

    Old wives tales

    Agreed. I think she was just mentioning some off label, stuff we don't see often kinda things. I wish we could write a book for these parents explaining everything. But the book could have a chapter on folk remedies/old wives tales that don't work. I had one parent who put onions on the windowsill. I think it was to remove germs from the room or something. I can't remember exactly. It didn't hurt anyone, so I didn't bother wasting my energy explaining that one.
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