SDALPN

SDALPN

Peds(PICU, NICU float), PDN, ICU

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All Content by SDALPN

  1. Vent...lying families

    SDALPN posted a topic in Private Duty

    I guess I just need an ear and a little support. I've been doing PDN since I started nursing. I'm very comfortable with the work I do and I really love my job most of the time. I understand that I...

  2. Vent...lying families

    SDALPN replied to SDALPN's topic in Private Duty

    So things got worse. The scheduler decided to take me off of my regularly scheduled case and move me to another case for the day that is just too far. I told her it was too far and that the traffic in...

  3. odd case

    SDALPN replied to KATRN78's topic in Private Duty

    I have a case very similar to that (not the same case as mine due to a few differences). I don't go to the case unless I absolutely have to. The Dr and agency are aware of the demands of the...

  4. Can a new nurse be a case manager for a Home Health Agency

    SDALPN replied to SWRNUSA's topic in Home Health

    Keep trying and eventually something will come through. I got my start with a PDN agency that had a daycare for medically fragile kids. I practiced my skills there along with learning skills for the...

  5. Can a new nurse be a case manager for a Home Health Agency

    SDALPN replied to SWRNUSA's topic in Home Health

    Scary! Too many things that can go wrong. Your license is on the line if something goes wrong and you are trying to tell a nurse what to do without experience. I would suggest working in the field...

  6. Funniest or worst PDN notes.

    SDALPN replied to KATRN78's topic in Private Duty

    The OP asked how documenting that the child is playing could be written more professionally. I also document that I'm reinforcing therapies as directed by therapists. Or that I'm encouraging...

  7. Funniest or worst PDN notes.

    SDALPN replied to KATRN78's topic in Private Duty

    Resting with eyes closed is because we aren't doing tests at the moment that prove the pt is sleeping. You can also add that they are easily aroused from resting with with eyes closed if that helps....

  8. A question about home health nursing

    SDALPN replied to kje22's topic in Private Duty

    I write a very similar note with every pt at the end of my shift. It covers me for anything I can think of. I would take this as a lesson and make sure you document well at the end of your shift. I...

  9. Funniest or worst PDN notes.

    SDALPN replied to KATRN78's topic in Private Duty

    Oh, the title should say "worst", not "worse".

  10. Funniest or worst PDN notes.

    SDALPN replied to KATRN78's topic in Private Duty

    Sometimes nurses write playing with toys to indicate that the child is ok at the moment. The law requires a note at least every 2 hours and there may be nothing else to document. And with the gtube, I...

  11. What school in Raleigh did you attend? HELP!!

    SDALPN replied to secureinhislove's topic in North Carolina Nursing

    I went to Vance Granville and was very happy. However, you may want to talk with each school to see what their requirements are. You can minimize the number of classes you take by talking to the...

  12. Recent grad starting in Home Health

    SDALPN replied to Sooziq's topic in Home Health

    Sounds like you are talking about private duty nursing instead of home health nursing. But what you are going through is typical. You have to adjust and be very flexible to each family. Some people...

  13. How does anyone do double shifts? I'm tired after 40 hours

    SDALPN replied to pinkiepieRN's topic in General Nursing

    I work as a PDN, so it's fairly easy. But when I was a CNA, it was very hard. You get used to it after a while. Plus with experience, you learn how to manage time better. I pace myself through the day...

  14. I saw a huge cockroach at my patient's house

    SDALPN replied to 50kn's topic in Private Duty

    I sure couldn't find any stories about it on google or Yahoo. I guess those kids that had roaches crawl in their trachs were named lemonjello and female too! *insert

  15. I saw a huge cockroach at my patient's house

    SDALPN replied to 50kn's topic in Private Duty

    I should also add that not just roaches can crawl into a trach. One ant could be searching for that one drop of formula and find it's way to the trach and you'd never know. Or a housefly sneaks in...

  16. I saw a huge cockroach at my patient's house

    SDALPN replied to 50kn's topic in Private Duty

    Not all agencies require roaches to be reported. If you see one roach, it may not be a problem or the family could already have an exterminator involved. If you see them frequently, it may be a good...

  17. Advice on how to keep skills fresh?

    SDALPN replied to hezasan's topic in Private Duty

    Trach and vent skills are more complex. But rarely used in facilities because respiratory therapists usually do those tasks. TPN is certainly not a basic skill. GT skills are simple and some states...

  18. Bad move to interview in your scrubs?

    SDALPN replied to newtress's topic in Job Search, Interview, Resume

    Green34, have you ever thought that the interview was before work and that the scrubs are clean. And work is not always at a facility. I work as a PDN and our schedules are very random. I also work 6...

  19. Bad move to interview in your scrubs?

    SDALPN replied to newtress's topic in Job Search, Interview, Resume

    I've had interviews that were scheduled on a day I was working. As I scheduled my interview I informed the person scheduling the interview that I would be going to work right after and would need to...

  20. Advice on how to keep skills fresh?

    SDALPN replied to hezasan's topic in Private Duty

    6 months really isn't enough experience to be doing pdn. This topic has been brought up on here a few times. As for skills, you can float to gain skills or keep them up. Or you could take a job at a...

  21. New Private Duty Nurse PLZ HELP!

    SDALPN replied to MsHope6307's topic in Private Duty

    I work for an agency. But I always ask the new families I work for what their preferences are. If there is a chance to meet before working, that's when I ask. I ask them everything from where to park,...

  22. noting orders..... who is licensed to do this?

    SDALPN replied to eyknough's topic in General Nursing

    I think you need to check out the LPN score of practice. At least in my state, we can take verbal orders over the phone and assist with care plans. We can also write orders in the MAR. MAs in my...

  23. Annoyed with nurses at PDN case (vent)

    SDALPN posted a topic in Private Duty

    I'm on a new case, meaning a newly trached patient. I'm the primary nurse on the case. I take care of the typical primary nurse duties such as ordering supplies and meds, inventory of supplies, Dr...

  24. How do I find private duty work outside of an angency?

    SDALPN replied to studentnurse2175's topic in Private Duty

    Usually there is a discharge planner our case manager that works at the hospital that does referrals to the local agencies. Maybe you could speak with that person and get work. Cap-c in NC offers...

  25. Does this sound wrong to you?

    SDALPN replied to CloudySue's topic in Private Duty

    This happens all the time. 14 year olds can babysit and it's quite common as well in my state. I would be more concerned leaving a 14 year old alone with a special needs child. Some agencies require...