SDALPN

SDALPN

Peds(PICU, NICU float), PDN, ICU

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All Content by SDALPN

  1. Private Duty for New Grads

    That's true, but the 485 is good for 60 days. Lots of changes can happen in that time. Its best to look at the most recent orders. If there is conflicting info our something, is best to clarify the...
  2. Private Duty for New Grads

    Document. And keep your own documentation as well. Most agencies don't have time to read the notes. Some will read all of
  3. Private Duty for New Grads

  4. Ped client with a difficult mom! HELP!!

    Ignore it. I recently ran in to a parent while working on another case. I left the family because they were nuts. I told them the agency wanted me to help with some other cases so that I didn't make...
  5. I don't understand this...(vent)

    I agree with that. Its important to try to involve the parents. Though so many push it all on us. I get that its our job while we are in the home. But its the parents job to bond with the child and be...
  6. I don't understand this...(vent)

    I think that applies to some families, but not all. There are families out there that use nursing to raise their kid while they collect a check. I've had parents admit that to me. I even had one...
  7. I don't understand this...(vent)

    Very interesting. That makes a lot of sense. I guess the next question is how to help the parent through those issues. This is such a common problem. I also see parents distance themselves to avoid...
  8. Of course! :-) I think we would all love to work in your
  9. Night nurse sound asleep!

    I have that same problem. One problem I don't have is not being able to sleep because I let something go that could harm a
  10. things said wrong that drive you crazy

    But there is no"r"after the "o". So the vowel has a different sound. "og"is a different sound from "or". Following the same set of rules, form would be pronounced farm. Just doesn't make sense to me....
  11. I don't understand this...(vent)

    I see it all the time. I wish I understood it. Each situation is different, but I have guesses about why they do it. I'd love to see each case we have assigned to a psychologist to help the family...
  12. things said wrong that drive you crazy

    That drives me crazy. I can't stand it when I hear it pronounced that way. If I remember right, the dictionary says it can be pronounced either way. But to me (personal opinion and not an attack)...
  13. Ew!

    Been there, done that. Yep, it's awkward. Still haven't found a solution other than changing cases. Good
  14. no dose to give written on MAR anymore?

    I think the reason is to protect the agency from making a mistake on a calculation on the mar. That puts it on the nurses. It's obvious where their priorities
  15. Ok, if you have ever done PDN for a while you know you've run into some weird things. What have you seen? I had the Mexican Family (Mexican old wives tale) that placed a red string moistened in their...
  16. How to gain a child's trust?

    My agency says we wear scrubs unless the parents request different. Most parents don't care. If they do care, it seems they are one extreme or the other. I suggest avoiding scrubs if it is beneficial...
  17. How to gain a child's trust?

    Time and patience. You must show consistency. Mom needs to reinforce that you are a "safe"person to be with. I'm not sure of the Childs age. But maybe they see scrubs and think of whatever happened....
  18. Please post if you are an LPN doing a job that isn't the typical clinic, hospital, LTC, PDN type job. I'm thinking of changing my area of nursing. I have no interest in the typical jobs. I'm getting...
  19. Charting for Home Health Pediatric Patient

    Oh yeah, I will add that I document when the parents are attentive to the patient. Great for cases where there are questions about the parents involvement or if something comes up in the future. You...
  20. Charting for Home Health Pediatric Patient

    I remind those parents that our charting is how they get their hours. Usually those parents are the ones that are sue happy and know the less you chart, the easier it is to burn you. But I avoid those...
  21. That's so
  22. How do I get my pt to cooperate?

    Its hard to comment without observing the interaction. Some kids are like this with every nurse. Sometimes its the parents. Other times its the nurse. I've found that once you get to this point, its...
  23. Charting for Home Health Pediatric Patient

  24. Crazy old wives tales and odd customs...

    That's different than when people say that the cold temp outside is the cause of the common cold. If the common cold was named "hot", the same people would probably believe it was caused by heat. I...
  25. Dont wake me, just let yourself out

    I had a case where I left in the middle of the night. The mom just asked that I turn on the monitor before I leave. The pt was very stable. I would only wake mom if the kid was sick or something. If...