SDALPN replied to Live_Life's topic in Private Duty
These agencies never think long term, they only worry about today. That's why stuff like that happens. If the agencies looked more long term, they would do what they needed to get us to stay and the...
SDALPN replied to CloudySue's topic in Private Duty
Makes sense. But I've seen some cases like that where the family gets the hours because the parents think they know best, but really they need teaching by the nurse. Or ins hasn't caught on yet. Hard...
SDALPN replied to Live_Life's topic in Private Duty
The agencies will do anything to pay less. Nothing is below these agencies. They will stoop to the lowest levels in order to avoid paying. I've never seen an agency that
SDALPN replied to CloudySue's topic in Private Duty
Its a PDN board, not home health...PDN hourly, home health visits. CPS isn't the only reason a parent would want that. I've worked in places where the family has had a string of bad nurses who...
SDALPN replied to CloudySue's topic in Private Duty
You must not do PDN. Many parents won't allow the nurse to call the PCP until the parent has been contacted. Some parents don't want to nurse to contact the Dr for anything. Maybe at the point that it...
SDALPN replied to CloudySue's topic in Private Duty
You can report the nurse, but expect that to cause you trouble due to politics. I agree that if the parents want a call before calling the Dr, that's what you do. Some parents want to make that...
SDALPN replied to BrookeVStaden's topic in Home Health
Sounds like private duty, not home health. To get your foot in the door you will need to drive 40 miles. At first, you will get the worst cases because they are typically the only ones available....
SDALPN replied to smartnurse1982's topic in Private Duty
This would be a great question for a nurse that works for a lawyer or is a lawyer. Just to be safe. The bad thing is laws can be interpreted differently by different
SDALPN replied to smartnurse1982's topic in Private Duty
Get out if it isn't clear cut. Yes, they can change their mind at any time. But as things are happening its a bad time to change their mind. Our notes are only as good as our credibility in court. If...
SDALPN replied to smartnurse1982's topic in Private Duty
What do you all mean, you don't check it? What if something were missing/borrowed and wasn't returned? You don't have time in a real emergency to run all over the room finding things. And people for...
SDALPN replied to smartnurse1982's topic in Private Duty
Go bag has emergency back up items based on the pt needs. Diapers and clothes are nice, but probably aren't life saving items. Meds should be given unless you get an order to hold the meds or the...
Don't be so surprised. Happens all the time. And if you fight it, don't expect for anyone to hire you. These agencies are shady. An honest agency is rare...if it
SDALPN replied to smartnurse1982's topic in Private Duty
I've used that same argument. MAs can't touch a trach/vent. But the Dr can. What Dr is going to suction the pt while s/hes waiting to be seen? I've also seen where parents let nurses go early based on...
SDALPN replied to souleater11's topic in Private Duty
But that doesn't mean they are going to work. Could be a friends house or a family member. Neighbors typically know from word of mouth by neighbors and the family why the home gets freq
SDALPN replied to smartnurse1982's topic in Private Duty
Medicare/medicaid doesn't pay for nursing while a patient is in a Dr office or hospital because it's considered double billing. So the agencies here all tell the nurses that they can't go with the pt....
SDALPN replied to AnaCatRN's topic in Private Duty
Gotcha! Yep, I've had that happen and been yelled at when I explained that I needed to complete my charting for the day and wouldn't have time to do it. Then got yelled at because I could have at...
Do you really think the agency is going to look out for you? You can write it and keep it locked up. Use initials. Or if you're that uncomfortable, you could write it and hope your atty can get the...
SDALPN replied to Oldfashion's topic in Private Duty
I never mean harm to anyone, just saying it like it is. I don't want to see a new nurse lose a license when they mean well. And I don't want to see a child harmed by the well meaning nurse....
SDALPN replied to Oldfashion's topic in Private Duty
Not taken the wrong way at all. Honesty is appreciated. You may not have been put into a situation over your experience. You may just have missed something and not realized it. Hard to say. Maybe...