SDALPN

SDALPN

Peds(PICU, NICU float), PDN, ICU

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All Content by SDALPN

  1. Anyone working Pediatric Home Care?

    SDALPN replied to Baubo516's topic in Private Duty

    Bad idea. New grads don't belong in private duty. Parents are not "back up" as part of the reason we are there is to teach the parents and continue educating them. There are plenty of threads on why...

  2. new grad

    SDALPN replied to lali_m9's topic in Home Health

    Sounds like private duty instead of home health. You didn't get hired out of luck...you're a warm body with a license (just being real). Very few are actually picky. You will need to bring your own...

  3. What do you love/hate about home health nursing?

    SDALPN replied to JJsMama79's topic in Home Health

    That's private duty, not home

  4. CEU's,Nurse Conferences.

    SDALPN replied to smartnurse1982's topic in Private Duty

    My agency doesn't pay for them or any classes unless we get the scholarship they offer. It's up to $1000/year. I go online for mine and use one that offers unlimited classes/tests and also gives lots...

  5. No trach experience

    SDALPN replied to chsc's topic in Home Health

  6. Help for a new private duty/HH RN. Suggestions, tips, and support all welcomed!

    SDALPN replied to Stressismyname's topic in Private Duty

    The above poster is right...home health = visits, PDN = hourly. You will get better answers from nurses in the PDN forum for sure. My advice...document well, change cases, float to get experience....

  7. No trach experience

    SDALPN replied to chsc's topic in Home Health

    Sounds like private duty, not home health. This is certainly not enough training and is very dangerous. Suctioning is one thing (even that still has its risks), but changing a trach is risky if you've...

  8. home health nurse to NICU primary pt?

    SDALPN replied to morebluetiful's topic in Home Health

    Sounds like private duty, not home health. But you can sign on to the agency the family chooses to continue to work with the patient. If the agency hires you, you can have the family request you. Its...

  9. IV starts, blood draws

    SDALPN replied to ceebeejay's topic in Private Duty

    Depends on the agency. We do everything from TPN/central lines, to IV therapy, to blood draws for labs. Some agencies will teach you. I learned in the hospital. Also depends in the scope of practice...

  10. Agency removing communication log?

    SDALPN posted a topic in Private Duty

    I'm not sure if this is agency wide or just my local office. But I was told they will be removing the communication log. How do we communicate with the other nurses about things that don't belong in...

  11. Charting for Home Health Pediatric Patient

    SDALPN replied to chickengirl1977's topic in Private Duty

    Sleep = resting with eyes closed. Can add things like...Resp even, unlabored....HR WNL...0 distress noted...0 s&s of pain observed...acyanotic, skin pink, warm, dry.... I alternate resting with...

  12. Charting for Home Health Pediatric Patient

    SDALPN replied to chickengirl1977's topic in Private Duty

  13. Agency removing communication log?

    SDALPN replied to SDALPN's topic in Private Duty

  14. Sleeping with HMEs (Trach noses) safe?

    SDALPN replied to coraline44's topic in Private Duty

    HME running? You mean the

  15. Sleeping with HMEs (Trach noses) safe?

    SDALPN replied to coraline44's topic in Private Duty

    The humidifier is the best option as long as it is tolerated by the patient. Next best is the HME. The reason for both is to warm and humidify the air inhaled. The HME also filters the air (somewhat)....

  16. Private duty lpn, rn supervisor??

    SDALPN replied to Frenchie10's topic in Private Duty

    Either way, the LPN must be supervised because no LPN in any state can work independently. If the LPN could work independently, there would be no real need to separate the 2 types of

  17. Funny Mistakes

    SDALPN replied to CloudySue's topic in Private Duty

    I'm not the only one that does this? I feel

  18. Environmental Insanity!!

    SDALPN replied to CloudySue's topic in Private Duty

    Most homes I work in are insanely cold or hot. It's rare to see a home where the temp is in the middle. The home is either in the upper 80s or low 60s. I document the temp in the home because these...

  19. Private duty lpn, rn supervisor??

    SDALPN replied to Frenchie10's topic in Private Duty

    When an agency is involved, the supervisor isn't physically there all the time and may never work the case. However, the supervisor is always available for clinical questions. The RN supervisor must...

  20. Private duty lpn, rn supervisor??

    SDALPN replied to Frenchie10's topic in Private Duty

    http://www.op.nysed.gov/prof/nurse/ This says in NY that LPNs must be

  21. Do you have nurses on call for extended care?

    SDALPN replied to Loodlow's topic in Private Duty

    I'd rather have cash or a gift card than the silly fake cash we get. Instant reward would make me more likely to agree to something rather than

  22. Private duty lpn, rn supervisor??

    SDALPN replied to Frenchie10's topic in Private Duty

    LPNs still can't do the initial assessment, etc. It is still out of out scope of practice, which is why an RN is

  23. Private duty lpn, rn supervisor??

    SDALPN replied to Frenchie10's topic in Private Duty

    I don't know any state that allows an LPN to work without an RN overseeing. LPNs can't work independently and must work under the RN. That is consistent state to

  24. Positive thread! Your best family/working environment

    SDALPN posted a topic in Private Duty

    Ok, we so often come here to vent or discuss solutions to common issues in the home. I was thinking that maybe we could discuss the best family we worked for, or maybe the best working environment...

  25. Private duty lpn, rn supervisor??

    SDALPN replied to Frenchie10's topic in Private Duty

    That's exactly what I've been trying to say....you just worded it better!