SDALPN

SDALPN

Peds(PICU, NICU float), PDN, ICU

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All Content by SDALPN

  1. safety in the field

    SDALPN replied to shefrn1's topic in Home Health

    I've worked and currently work in unsafe areas. In those areas, word gets out quick once you visit regularly. You most likely won't be bothered once word gets out. I always am aware of my surroundings...

  2. Peds private duty nursing experience

    SDALPN replied to bub&sis's topic in Private Duty

    You may want to read the posts about new grads trying to do PDN. It's a very bad idea because so much can go wrong so easily and you won't have backup. Yes, it can be a simple job...but that's until...

  3. Peds private duty nursing experience

    SDALPN replied to bub&sis's topic in Private Duty

    You can always ask to float to increase your skills and maintain current skills. If you are an LPN, most hospitals won't hire LPNs. So other areas for different skills would be at a Dr office, ltc,...

  4. Is 21$ an hour for new grad (ADN), home health too low?

    SDALPN replied to hnammahp1990's topic in Private Duty

    You can do a little research and find out what the state pays the agencies. It does depend on the case and the skills required for the case. But once you know what your agency is paid, you will know...

  5. Is Pediatric HH a good start for future in nicu/picu

    SDALPN replied to mpihl's topic in Home Health

    The reason the comment was made is because there is a private duty forum (shifts) and a home health forum (visits). S/he would get more replies in the right forum. Also, in my state insurance uses the...

  6. Is 21$ an hour for new grad (ADN), home health too low?

    SDALPN replied to hnammahp1990's topic in Private Duty

    You can find the info on your states website for dept if health or dss or something along those lines. Asking the agency could lead you to not having a job. They usually only want you to know what...

  7. Is 21$ an hour for new grad (ADN), home health too low?

    SDALPN replied to hnammahp1990's topic in Private Duty

    Also, medicare/caid requires a year of experience to do the job. The agency is hoping to get a warm body with a license and not get

  8. Is 21$ an hour for new grad (ADN), home health too low?

    SDALPN replied to hnammahp1990's topic in Private Duty

    Sounds like private duty nursing and not home health. I've seen and been paid anywhere from $17-26/hr ding PDN. The medicare/medicaid is just an excuse to pay less. Yes, they dropped the rates they...

  9. Is Pediatric HH a good start for future in nicu/picu

    SDALPN replied to mpihl's topic in Home Health

    Sounds like private duty, not home health. But medicare/medicaid requires a year of experience. Some agencies cover for you, but if you are found out, you can get in trouble. Private insurance may...

  10. Do you work full time?

    SDALPN replied to PerfectlyPlump's topic in Private Duty

    I work full time and then some! My agency has a f/t option that makes benefits cheaper and I was lucky enough to get the position since they don't offer many f/t positions. But they require me to work...

  11. Legal to have 2 patients to one nurse in home care?

    SDALPN replied to luvtwilight's topic in Private Duty

    I had a case with 2pts. The way they worked it it was that one kid stayed home all day and the other went to school. One on tpn and the other only gt. I took care of the one all day and charted on him...

  12. Nurses aren't maids!

    SDALPN replied to AnaCatRN's topic in Private Duty

    Maybe each state is different or can change the rule. I'm with a national agency as well. But each agency I've been with here has been the same on the

  13. Peds nurse with no kids

    SDALPN replied to Kaci82's topic in Pediatric

    I'm another peds nurse without kids. I love kids, but it doesn't mean I want a 24/7 job without vacation for at least 18 years! I have and am considering foster/respite care for medically fragile kids...

  14. Funniest or worst PDN notes.

    SDALPN replied to KATRN78's topic in Private Duty

    Its not a requirement to document which side the pt is turned to for most cases. I agree that just writing suction is ridiculous. But they will hurt themselves and possibly the agency with that. Just...

  15. Nurses aren't maids!

    SDALPN replied to AnaCatRN's topic in Private Duty

    I'm on my phone and the page I pulled up is in pdf format. I can't post it from my phone (if I can, I don't know how). I won't be home this week to use my laptop to share it. But I'm sure someone else...

  16. Nurses aren't maids!

    SDALPN replied to AnaCatRN's topic in Private Duty

    It's is your responsibility to do the pts laundry if the family requests it. But not the family laundry. Medicare/medicaid states that doing the pts laundry is part of caring for the pt. But doing...

  17. New Grad in PDN!

    SDALPN replied to Radiant91's topic in Private Duty

    When I'm on a new case I use the tab at the top of the notes we tear off to write times down. I know to look at the MAR at those times. I do it at the beginning of the shift and I am organized for the...

  18. New Grad in PDN!

    SDALPN replied to Radiant91's topic in Private Duty

    Preparing at 330 is fine. You made it sound like you are doing the prep when you arrived to work for the day. But if you prepare it at 330 and the med is due at 4, why don't you just give the med at...

  19. Do you "friend" your pts on Facebook???

    SDALPN replied to CrazyGoonRN's topic in Private Duty

    My phone has an option to block my number when calling out. It doesn't block my number on text messages though. My agency doesn't even have my cell number because there are times that I don't want to...

  20. New Grad in PDN!

    SDALPN replied to Radiant91's topic in Private Duty

    In my state, it's against the law to pre-pour meds. And with one patient, that seems ridiculous. You should have no trouble managing your time with one patient. Also, some meds are meant to stay...

  21. doing duties I dont think I should be

    SDALPN replied to jess_v's topic in Home Health

    This could also be considered fraud. Medicare/medicaid says that if you are doing things outside of the care plan that you aren't doing the job you are getting paid for and that is fraud. Talk to your...

  22. Need Advice on TRACH LTV 1150

    SDALPN replied to bdbrdb's topic in Home Health

    Bad idea. Also sounds like you are talking about private duty and not home health. Before doing a vent case, you should get trach experience first. Then I would suggest that you do a vent case where...

  23. Mom has problems getting the right DME

    SDALPN replied to PerfectlyPlump's topic in Private Duty

    Some were almost as good as the ones of us that were licensed working there. The rest were the reason for the majority of my phone calls. Even worse was being on call and having to fix their screw...

  24. Mom has problems getting the right DME

    SDALPN replied to PerfectlyPlump's topic in Private Duty

    I used to work for a DME company. They do hire right off the street for warehouse and driver. They are the ones filling the orders. The driver is required to have a CDL due to transporting oxygen....

  25. Funniest or worst PDN notes.

    SDALPN replied to KATRN78's topic in Private Duty

    Snot and junk seem very inappropriate to me. I would use "secretions"or describe the drainage from the nose. Maybe something like "copious, thin, clear secretions observed in nose"....or whatever fits...