SDALPN

SDALPN

Peds(PICU, NICU float), PDN, ICU

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All Content by SDALPN

  1. My choice or required

    SDALPN replied to Rdforever's topic in Private Duty

    It will never happen. They want the money from these cases. As long as another warm body with a license walks through their doors, they will send nurses to those type of homes and make what they

  2. Craziest PDN/PDN Venting Thread

    SDALPN replied to Adele_Michal7's topic in Private Duty

    I've seen where nurses document when they aren't there. Yep, that's crazy. And just because something is policy doesn't make it right. My company (and others) say they won't pay until they get...

  3. Craziest PDN/PDN Venting Thread

    SDALPN replied to Adele_Michal7's topic in Private Duty

    How to document initials correctly could be the difference between winning or losing a lawsuit/license. I can see it now. A nurse in court getting questioned. The nurse is asked why they initialed...

  4. Craziest PDN/PDN Venting Thread

    SDALPN replied to Adele_Michal7's topic in Private Duty

    Initial and circle means the med wasn't given...period. That's different. And yep, we always document when another person gives meds or

  5. Question about med administration

    SDALPN replied to gardenpartyy's topic in Private Duty

    I have seen some nurses pre pour meds for school. However, that's asking for trouble if something gets mixed up. Its best to bring the meds. Most schools require meds to be locked up so other kids...

  6. Craziest PDN/PDN Venting Thread

    SDALPN replied to Adele_Michal7's topic in Private Duty

    Not all agencies use "pcg". Some write "f"for family or write "mom" if they witness the parent give the med and pour it. Each agency policy is

  7. Craziest PDN/PDN Venting Thread

    SDALPN replied to Adele_Michal7's topic in Private Duty

    Probably should have started a new thread. I know this type. Run. Run fast. And the meds thing...you are responsible for every med given. Documenting that you don't know what you are giving is...

  8. a new grad (sorta) opinion of HH.

    SDALPN replied to cat1235's topic in Private Duty

    Oh wow, the misinformation. One person has it right...home health is skilled visits, private duty nursing is in shifts. The beauty of PDN is you pick your shifts and hours. You work as much or as...

  9. My choice or required

    SDALPN replied to Rdforever's topic in Private Duty

    You can always remind the parent they need to pick up a med or something....so you can take a break! Seriously, these parents need to learn what nurses do. We aren't maids, we aren't babysitters, we...

  10. My choice or required

    SDALPN replied to Rdforever's topic in Private Duty

    Not necessarily. The agency may know how the family is and they may just be trying to make the money while they can. I've seen that happen and then the agency discharges the family when nobody will...

  11. My choice or required

    SDALPN replied to Rdforever's topic in Private Duty

    Uuuggghhh. I dread those cases. Delusional parents that think all of that forced interaction will help their child. I hate to tell ya, but the parents will win every time on this one. I had a pt that...

  12. New grads and Home Health -placed on Vent Cases

    SDALPN replied to ShannonShidler's topic in Private Duty

    LPNs can do IVs. Depends on your state. We are taught IVs in school in my state. No certification needed. Some states require certification or classes beyond nursing school, but not all states. I do...

  13. New grads and Home Health -placed on Vent Cases

    SDALPN replied to ShannonShidler's topic in Private Duty

    This is PDN, not home health I assume. No new grad should be doing PDN. Too many risks. Many think they can handle it, not realizing they are over their head til it's too late. A good agency will...

  14. New home health nurse, what should I expect?

    SDALPN replied to smartypants22's topic in Home Health

    You are taking about private duty, not home health. PDN is never for a new grad. In my state, medicare/medicaid doesn't even allow a new grad to do PDN. There is way too much that can go wrong. The...

  15. Meeting 1st Client - NERVOUS

    SDALPN replied to Baileynewf's topic in Private Duty

    Good luck. After some time/experience, try a shift or 2 in PDN. Maybe a weekend shift or one after work. Extra money and you'll see if it's a good

  16. Private Duty Nursing

    SDALPN replied to Dad of Quad's topic in General Nursing

    Keep in mind pay depends on the area. $23/hr may be the norm there. In my area, some agencies pay more than that and others pay slightly less than that. If it's private duty without an agency, the...

  17. Private Duty Nursing

    SDALPN replied to Dad of Quad's topic in General Nursing

    Oh, and as far as quality and dependable goes...I've seen the worst of the worst and the best if the best. Interviewing weeds through some of the bad ones. You can also have them do something like a...

  18. Private Duty Nursing

    SDALPN replied to Dad of Quad's topic in General Nursing

    I work PDN. I wonder if you'd get more response in the PDN area. Personally, I don't stay on some cases for long if there are major issues or conflict. On the other side of that, I had a case for...

  19. Meeting 1st Client - NERVOUS

    SDALPN replied to Baileynewf's topic in Private Duty

    As a new grad, pretty much all cases are above your skill level. Anything can happen at any moment. Not only that, how do you know about supplies/ordering/quantities allowed/equip maintenance/etc.? If...

  20. OMG-OMG-OMG ROACHES!!

    SDALPN replied to CloudySue's topic in Private Duty

    I've brought roach gel in the little syringe to work. It's better than nothing. A few places that I have worked have had it sitting in the paperwork box. Nurses buy it and leave it in the box for...

  21. BORED

    SDALPN replied to ptcwhit's topic in Private Duty

    It's not a job for those who need to stay busy constantly. However, some cases are much busier than others. So the case may not be a good fit for you. You can find another case that is busier, float...

  22. Meeting 1st Client - NERVOUS

    SDALPN replied to Baileynewf's topic in Private Duty

    Private duty isn't for new grads. Read previous posts for more info on this. Some will agree and some won't. But the more experienced nurses who have seen it all will tell you, you need everyone....

  23. OMG-OMG-OMG ROACHES!!

    SDALPN replied to CloudySue's topic in Private Duty

    Been there, done that. Sorry :-( Even if the family is clean, the neighbors might not be. Or the complex is infested. The complex must use an exterminator. There are minimum standards for housing....

  24. Oh, the places you'll go!!

    SDALPN replied to CloudySue's topic in Private Duty

    Insurance simply covers hours. They can be used the way the family wants. If the family wants nurses on a trip, the company must have a local office. The family must pay all expenses. You must be...

  25. Does your agency staff private insurance cases before Medicaid cases regardless of acuity?

    SDALPN replied to smartnurse1982's topic in Private Duty

    We call it a communication book. We used to have communication logs, but nurses ruined that. Then families and nurses kept communication books (spiral notebooks) to leave report or updates in. They...