SDALPN

SDALPN

Peds(PICU, NICU float), PDN, ICU

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All Content by SDALPN

  1. You may get more answers in the PDN area. But I've seen this with lots of agencies. More reputable agencies aren't as bad. It shouldn't be more lax, but it
  2. I had to do something tonight that drives me crazy. I despise hearing a parent ask me to "write a note to the other nurses". Usually because its a complaint. Then I look like the bad guy. I'm not the...
  3. How about looking at what you can do vs what you can't do? Maybe the problem is your frame of mind and how you approach things. Look at the positive things and start from there. Maybe the pt is...
  4. Background checks for parents

    So tonight there was a series of events at the home I was working in that led me to this thought. I'm working in a home where the parents are pretty out there. One of the parents has been...
  5. I just recently was removed from 2 cases. One parent complained that I was using my cell phone. Yes I was using it....to look up the hours for the childs Dr. office on the weekend since the parent was...
  6. Surveillance cameras in pedi patient's home?

    Lots of those cameras have audio. Your workplace will do nothing if you call them. However, you would look suspicious calling your work about it. Some cameras are so good that they can tell you the...
  7. Home health pediatric...demanding parent tips??

    I have a family who made "family tapes"for the child to listen to. It's tapes of them just being together at different times and tapes of family from out of town reading. It really does seem to calm...
  8. How To Get Trache and Vent Experience

    Ventmommy is
  9. Working home health, but no benefits?

    Some agencies do offer insurance. Either it's super expensive, or you have to work when they say work to get it. I'm with a national company and get insurance pretty cheap through them. But I'm...
  10. VENTILATOR TRAINING

    Try the equip companies that supply the vent. When I worked the equip side, we taught a class once a month to nurses on the most basic vent
  11. What is your Achilles heel?

    I'm the odd one out on this one. I love working with trachs. It doesn't bother me a bit. But certain odors will get me every time! I can see or hear most anything. But if I catch a whiff of certain...
  12. Vent...non nursing managers

    I'm frustrated. Nothing I can do, so I really should just let it go. But it seems this issue always shows it's face when something comes up that the office staff needs to be informed of. It's...
  13. Vent...non nursing managers

    I never expected this to happen. But one of the managers I vented about is off the job! Unexpected too! I should have bought a lottery ticket!
  14. New Grad PDN (Advice, please?)

    First off being a new grad in PDN is a bad idea. Search the threads for previous discussions. Next, the scheduling is fairly typical and there is never a guarantee of hours. Anything can happen for...
  15. Vent...non nursing managers

    I always document with quotes when that stuff happens. I'm not getting taken down for another persons errors. And I'm showing my competence and their ignorance by writing it in that way. I base it on...
  16. Home health pediatric...demanding parent tips??

    Well played! I must remember that one! That made me
  17. Vent...non nursing managers

    The title is director, but she supervises the clinical manager who is an RN. She also supervises field staff which are all nurses. And she supervises the office staff. But the clinical manager who is...
  18. How To Get Trache and Vent Experience

    Thought sounds like private duty nursing instead of agency nursing. But usually they start you off on a simple trach (no e on the end) case and you orient with a nurse for a few hours. If you are with...
  19. Home health pediatric...demanding parent tips??

    Sounds like you are cornered. And sounds like the agency really can't afford to lose the case and has no backbone. They are they type to put the families first and the nurses last. I would keep my...
  20. Funniest or worst PDN notes.

    Pt tol well is a vague statement. I was taught to write what we observe to show they tolerated something well. Ex: Pt tol TF without emesis or s&s of aspiration. Pt tol neb tx aeb increased o2 sat...
  21. DME problems

    It's not your place. The family is taking it out on you. Refer the family to your supervisor when they discuss this with you and let your supervisor know about the issue. This needs to be handled by...
  22. Home health pediatric...demanding parent tips??

    Oh wow, where to start. I've dealt with this type plenty of times. The family is being unrealistic in their expectations. They are probably doing it because it's the only control they have. The agency...
  23. Need Your Input Regarding Homecare

    I think it should depend on a few things. One being the POC. The family participates in the POC, and if it is documented to do a 2 person transfer/lift then a family member would have to help. If a...
  24. Funniest or worst PDN notes.

    In my state when they review the notes to decide on hours, they look at every skill performed. They don't use the flow sheets. If they don't see that you have done a certain number of tasks and a...
  25. question on trilogy 100

    YouTube