SDALPN

SDALPN

Peds(PICU, NICU float), PDN, ICU

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All Content by SDALPN

  1. Nurses in trouble get second chances - Minnesota

    SDALPN replied to Brian's topic in Nursing Career

    I agree that there needs to be a limit to extra chances. If a mistake is made more than once and the nurse doesn't learn their lesson the first time...its not a mistake. But if the nurse makes a med...

  2. New PDN; sent in papers now what?

    SDALPN replied to ceebeejay's topic in Private Duty

    You may need a job. But if you lose your license because of an error, your career is over. Plus the family can sue and you can lose everything. It seems the odds of not getting a job after 1000 apps...

  3. New PDN; sent in papers now what?

    SDALPN replied to ceebeejay's topic in Private Duty

    There are tons of posts on this. Its very dangerous for a new grad to do PDN. Medicare/medicaid require at least one year of experience as

  4. Nurses in trouble get second chances - Minnesota

    SDALPN replied to Brian's topic in Nursing Career

    I think each situation needs to be evaluated separately. Nurses are human and deserve another chance just as any other person in any other job. What these nurses did was wrong and they should be...

  5. How do you do nights?

    SDALPN replied to PerfectlyPlump's topic in Private Duty

    When I worked nights, I kept a regular schedule of being up at night even on my nights off. I'm a might person, so it wasn't too bad. I'm unable to flip back and forth between day and night, so its...

  6. Can a PA-C sign off on Doctors Orders in Home Health Agency

    SDALPN replied to torshi's topic in Private Duty

    You would have to check with insurance guidelines to see if it is acceptable. Each state may be different. Do a google search in your state for medicare/medicaid guidelines. It will explain their...

  7. What do you do when you have cancelled shifts?

    SDALPN replied to tots24's topic in Private Duty

    Multiple agencies. Downside is getting a regular schedule to work and not getting overtime unless one company is PRN. I'm considering taking a full time job and doing PDN PRN because of it. I was...

  8. How does your agency handle narcotic counts?

    SDALPN replied to Loodlow's topic in Private Duty

    Writing "mom gave valium" is ok if we witness it drawn up. But I won't document the amount because most parents would be offended if we checked behind them. I will also document it as "mom stated" if...

  9. How does your agency handle narcotic counts?

    SDALPN replied to Loodlow's topic in Private Duty

    That's a common situation in this job. Its best to document and leave it alone. If anything comes up I'd offer to take a drug test on the spot to prove you aren't taking the meds. They would still...

  10. Can a PA-C sign off on Doctors Orders in Home Health Agency

    SDALPN replied to torshi's topic in Private Duty

    I don't see why it would be a problem. Their scope of practice allows them to write orders, at least in my state. Probably best to contact the board for PAs or to call medicare to clarify and to get...

  11. How does your agency handle narcotic counts?

    SDALPN replied to Loodlow's topic in Private Duty

    Every agency I've worked for has their own narcotic sheet. I've personally never seen any problems unless a nurse would give the med and forget to document it on the narc sheet. But when the family...

  12. M.D. Orders (pediatric HH) off the prescription bottle?

    SDALPN replied to RNcourage's topic in Home Health

    Oh, and always check with the Dr if you feel that the dosage is wrong. I've found errors by the Dr before and called to get it straightened

  13. M.D. Orders (pediatric HH) off the prescription bottle?

    SDALPN replied to RNcourage's topic in Home Health

    Sounds like PDN instead of home health. Yes, we can use the prescription bottle to write an order. Some places require the order to then be sent to the Dr to sign. And yes, agencies will chew you out...

  14. Home health as first job out of school?

    SDALPN replied to SpunkRN's topic in Home Health

    If you are talking about private duty (shifts, not visits), its never a good idea as a new grad. Especially with peds because they can change so quickly. There are tons of posts about why in the PDN...

  15. A typical day at a plasma center?

    SDALPN posted a topic in General Nursing

    I'm considering work at a plasma center doing the mini-physicals. Can anyone tell me what is like in detail? What's a day like? Pros and cons? Anything else?

  16. Family Locator App a HIPAA Violation?

    SDALPN replied to BerkeleyBSN's topic in Home Health

    I've never heard that a violation has to have 2 identifiers. Are you sure? If only one person in the world has a certain name and you use it, you have identified the pt. If only one pt in town has...

  17. Typical Illnesses seen in Peds Home Health?

    SDALPN replied to uthscsa2011's topic in Home Health

    https://allnurses.com/private-duty-nursing/diagnoses-youve-seen-856916.html

  18. Am I getting paid enough..??

    SDALPN replied to TS73's topic in Agency Nurses

    Sounds like PDN instead of agency. But most companies give shift differential even to part time employees. I'm never afraid to ask for more and what I'm worth. The worst a manager can say to that is...

  19. A typical day at a plasma center?

    SDALPN replied to SDALPN's topic in General Nursing

    I work in the homes of the same crowd that frequents that type of facility. But I'm thinking that it will be better since I won't have to put up with their behavior like I would in their home. Plus if...

  20. Craziest PDN/PDN Venting Thread

    SDALPN replied to Adele_Michal7's topic in Private Duty

    Some states have laws about how many people (especially non-related) can be in the same home. Apartment complexes and landlords sometimes limit the number of people. The parents behavior sounds...

  21. Family Locator App a HIPAA Violation?

    SDALPN replied to BerkeleyBSN's topic in Home Health

    I don't see that its a problem if its used because you haven't been heard from for longer than usual. But if its used because someone is being nosy, that's a violation. I use an app called where's my...

  22. Typical Illnesses seen in Peds Home Health?

    SDALPN replied to uthscsa2011's topic in Home Health

    If this is private duty and not home health, there is an entire conversation on it on the PDN forum. We see trachs, vents, tpn, feeding tubes, etc for all sorts of illnesses and

  23. Vent- Client's Mom Stabbed Me in the Back (not literally)

    SDALPN replied to Not_A_Hat_Person's topic in Private Duty

    Interesting. I'm talking to a plasma center now...depends on if they will pay me what I'm worth. Maybe you could try a plasma center. I'm surprised mollen is having trouble. What next? Medicare shuts...

  24. A typical day at a plasma center?

    SDALPN replied to SDALPN's topic in General Nursing

    That sounds about like my understanding so far. What made you

  25. Diagnoses you've seen?

    SDALPN replied to CloudySue's topic in Private Duty

    A few more... Sarcoidosis Hemangioma Quadriplegic from car accident x6 (vent dependent) ALS (worked a couple of adult cases) Plus a few others have mentioned as well. I'll keep thinking of more. I'm...