SDALPN

SDALPN

Peds(PICU, NICU float), PDN, ICU

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All Content by SDALPN

  1. Trach ties...

    SDALPN replied to SDALPN's topic in Private Duty

    That's different. I'm talking about the ties with Velcro. Dale makes one that you pull through and its an adult tie. But that is thinner on the part to pull through and meant for that. I've never...

  2. LPN vs RN vs MA- Doctor's Office Job

    SDALPN replied to WishfulLpn26's topic in LPN, LVN Corner

    Easy there, LPNs have a license and responsibility as

  3. LPN vs RN vs MA- Doctor's Office Job

    SDALPN replied to WishfulLpn26's topic in LPN, LVN Corner

    Very well

  4. Trach ties...

    SDALPN replied to SDALPN's topic in Private Duty

    Of course, assuming they aren't misplaced. On this case, I walk in and the kid is plugged or desatting and nothing is in its place. But yes, scissors if they are

  5. oh, you were just laying down?

    SDALPN replied to KATRN78's topic in Private Duty

    Ok, getting back to the topic. I'm actually on a case now that the mom requests we lay beside the child because that is what she is used to. No sleeping. It feels/seems weird, but it works. Once kid...

  6. Trach ties...

    SDALPN replied to SDALPN's topic in Private Duty

    I've seem it so much. But as you all know, if I ask the nurse...they may take it the wrong way or take it as complaining. I figure the ties are still secure in a way so its not causing harm at the...

  7. Trach ties...

    SDALPN replied to SDALPN's topic in Private Duty

    Right size trach ties. I've seen this a lot on quite a few different patients. Just can't figure out where its coming from. I can't find any logic behind it at

  8. The nurse you dread working after

    SDALPN replied to SDALPN's topic in Private Duty

    Please come work with me!

  9. Trach ties...

    SDALPN replied to SDALPN's topic in Private Duty

    This exactly. I just can't understand why they do

  10. New job working nights in Home Health - looking for advice in setting up schedule

    SDALPN replied to visionary123's topic in Private Duty

    New grads have no business in PDN. You are risking your license. Next, doing nights is worse because you have no clue what goes on during the day shift to learn skills you need for night shift. You...

  11. How many days off are appropriate?

    SDALPN replied to RNathome2010's topic in Private Duty

    Very true. I always say we are pawns in their chess game. I can't tell you how many times I've been asked to work at a different place than scheduled because a nurse can't go to a case, but can go to...

  12. Two patients one client-revisited

    SDALPN replied to ceebeejay's topic in Private Duty

    I had a case with two kids. One in school during the day and walked home. I did the major care stuff for the kid at home. Then did care for the other kid when he came home. But both were home and I...

  13. How much orientation should I expect to receive in private duty nursing?

    SDALPN replied to firefly101's topic in Private Duty

    They will tell you what you want to hear. You are a warm body with a license to them. When you mess up or lose your license, there will be another warm body to replace you. Happens all the time. If...

  14. How much orientation should I expect to receive in private duty nursing?

    SDALPN replied to firefly101's topic in Private Duty

    Don't do it. New grads don't belong in PDN. Read the past posts. I would explain, but time is limited right now. You will be putting your license in

  15. The nurse you dread working after

    SDALPN replied to SDALPN's topic in Private Duty

    There are some nursing interventions, that don't need orders. Kind of like gauze around a GT (although I see orders for that from some nurses). Or repositioning to avoid bed sores. If someone...

  16. The nurse you dread working after

    SDALPN replied to SDALPN's topic in Private Duty

    A pillow doesn't count when the HOB isn't up. A pillow won't do much in keeping acid from flowing. Also the 485 has specific instructions on how high to keep the HOB up. This is a kid with a history...

  17. New RN; Reporting to CPS

    SDALPN replied to ICUKeesh's topic in Private Duty

    Yep, I understand totally. Just recently found out the state took a child that I reported. Many reports had been made by others, so I acted as a mandatory reporter and thought nothing would happen....

  18. How many days off are appropriate?

    SDALPN replied to RNathome2010's topic in Private Duty

    You don't know why the nurse takes off "random" shifts. Maybe the nurse or their family has cancer or some other illness and goes in for Dr appts. Nobody wants to tell their employer that info, and...

  19. The nurse you dread working after

    SDALPN replied to SDALPN's topic in Private Duty

    Ok, fair enough. Your post came across wrong, though it seems you meant

  20. The nurse you dread working after

    SDALPN replied to SDALPN's topic in Private Duty

    Wow, guess you had a bad day to point fingers like that. I'm very competent at charting and don't need you to tell me what to chart. Since you feel the need to accuse someone instead of offering...

  21. The nurse you dread working after

    SDALPN replied to SDALPN's topic in Private Duty

    The reorganizing is a bored nurse in the wrong job. If you can't find what you need in an emergency, that's a real problem. Those nurses are quite annoying. And yep, the nurse that fills out the...

  22. How many days off are appropriate?

    SDALPN replied to RNathome2010's topic in Private Duty

    Ok, maybe its just my state. My state requires a 30 min break and 2 15 min breaks for an 8hr shift. When I've worked at facilities, we were forced to take a break so the law wouldn't be

  23. How many days off are appropriate?

    SDALPN replied to RNathome2010's topic in Private Duty

    Oh, and for the ample down time...not all cases offer that. Many higher skilled cases are really that busy. Doesn't matter if we stay busy or not. The law is the law. I have stopped to suction, change...

  24. How many days off are appropriate?

    SDALPN replied to RNathome2010's topic in Private Duty

    I've never seen a nurse do that. I've seen unreliable nurses either due to call outs or being consistently late. But I doubt most of them purposely over schedule themselves. You don't know what the...

  25. How many days off are appropriate?

    SDALPN replied to RNathome2010's topic in Private Duty

    So if you want to compare other jobs....I guess since other jobs get the 30 min break required by law and the 15 min breaks required by law, we should get the same. So I guess the parent should have...