SDALPN

SDALPN

Peds(PICU, NICU float), PDN, ICU

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All Content by SDALPN

  1. Private Duty for New Grads

    I'm on my phone, so I can't post the pdf file from the state with the requirement. PDN is for all nurses. However, very rarely there are RN only cases for cases that require services outside of the...
  2. Private Duty for New Grads

    The problem is new grads think they are prepared with the "training" they get. What you don't know, will hurt you. But the agency will be quick to sign you off and have you sign to say you are...
  3. am I a nurse or home maker???

  4. am I a nurse or home maker???

    Its is in our job duties per medicare/medicaid to clean the things the pt uses. But not to clean the other areas. I find it funny that nurses get so worked up over this, but they have no problem...
  5. Private Duty for New Grads

    Its really much better to get experience in a facility first. Maybe you can find a peds facility that has trach/gt pts. Its a risk to your license, the pt, and your career. Also peds and adults are...
  6. Gtube Feedings Help please!!

    New grads shouldn't do PDN. Its just not wise until you are experienced. GTs are as easy as a skill gets in PDN. Shaken baby syndrome can be more complex. Its best to gain experience for the patients...
  7. Craziest PDN/PDN Venting Thread

    Well written! I understand how that feels to go through that. I think this story would be great for other nurses to read when considering doing PDN. Its also a great reminder to us seasoned nurses....
  8. Ped client with a difficult mom! HELP!!

    You can make her feel like you are a friend while maintaining professional boundaries. But parents like this almost never back off. They tend to be a waste of energy. They are even more tough when you...
  9. Ped client with a difficult mom! HELP!!

    Adults and peds are very different as far as
  10. Ped client with a difficult mom! HELP!!

    On my phone so I can't post the link to the OPs last post. Its under home health. There is more to this story. 3 agencies in 6.5 months.... Ventmommy, check out the other post and maybe that will...
  11. Rude Co-Worker

    Haha! For anyone reading this though, we may want to be careful. I'd hate to get blamed for joking. The salt in the cookies is harmless. But the miralax could be dangerous. We know better, but who...
  12. transitioning out of home health

  13. That requires lots of money. A friend of mine used to own an agency. She said at minimum you need 6 months salary for you and any other employees because reimbursement can take a long time. On your...
  14. Uncooperative child with trach/on vent

    That kid had Ativan ordered PRN. We could reposition him in bed or move him to a therapy chair or w/c. We could hold him when we were able to (he had lots of meds, tx's, etc) and "put toys in his...
  15. Uncooperative child with trach/on vent

    Oh yeah, one nurse made bibs out of washcloths and we would place that over the trach and vent. Because it was made out of washcloths it could be cut easily in an emergency. We got an order to place...
  16. Uncooperative child with trach/on vent

    You can make a holder out of trach ties to hold the trach in place and keep the vent connected. We had to do this with a pt who had no purposeful movements, but he had a repetitive movement that was...
  17. Rude Co-Worker

    Hot peppers could be an option, especially if you like them and she doesn't. I carry a lunch bag that has pockets and is expandable. I use an ice pack to keep things cold. I use the pockets and...
  18. Rude Co-Worker

    Have you seen those plastic storage bags that make the item inside look moldy so nobody touches your sandwich? I would talk to her and let her know that if it happens again that you will bring it to...
  19. New PDN; sent in papers now what?

  20. Vent: Difficult Case

    The agency will overlook all of that to make the money that case provides. Sad, but
  21. Nurses aren't maids!

    The only problem is that it sets up other nurses to be expected to do it. Then the family looks down on them because they are doing their job. Plus if insurance caught you, you could be charged with...
  22. Nurses aren't maids!

    Part of the job is monitoring. There is nothing wrong with multi tasking and reading while caring for the pt. I'd be worried that the nurse would have a hard time monitoring the pt if they were that...
  23. New PDN; sent in papers now what?

    Where is ventmommy?..... I agree you can lose your license in any setting. But PDN is completely different and it seems nobody understands that until something happens on their shift. Just read...
  24. Surveillance cameras in pedi patient's home?

    I don't think its about hiding something. Its the creepy feeling of being watched. I have nothing to hide. But cameras make me uncomfortable, even in public places like a store or on the