SDALPN

SDALPN

Peds(PICU, NICU float), PDN, ICU

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All Content by SDALPN

  1. National agencies don't seem to give raises as often or easily. Smaller agencies seem to give them easier. Even then, it's not always easy. The best time to negotiate is when getting hired. Also...
  2. Incompetent Supervisors

    First off, thank you for your service. In my opinion, references are ridiculous. When we give personal references, we find friends that are willing to talk well about us. You can even go online and...
  3. Just saying it happens often. And there is a reason it happens. Is not just RNs. It's both LPNs and
  4. Annoyed with nurses at PDN case (vent)

    The parent is new to how the supplies work. It will take time for them to understand how things work. The mom isn't the brightest
  5. Is taking the job because the OP needs it more important than the patients best interest? What about the long term...if a nursing license is lost because of inexperience and taking a job they aren't...
  6. Nycclara, I'm not talking about your own insurance. I'm talking about the agency insurance company. The companies that insure the agencies require them to hire nurses with a year of experience. And...
  7. Annoyed with nurses at PDN case (vent)

    Yep, the incompetent nurse was that much worse. Amazing, huh? That nurse documented a blood pressure without a blood pressure cuff. Then went 4 hours without charting. And spilled formula in front of...
  8. Pt on bi-pap with supp liquid O2 at HS

    I never said anything about a ventilator. I was talking about a bipap. If there are desats while on the bipap, the bipap settings may need to be checked and the bipap may need to be checked itself to...
  9. Pt on bi-pap with supp liquid O2 at HS

    The vents are one way valves. They work as the patient exhales to prevent rebreathing exhaled air. (carbon dioxide) You should be fully trained on the equipment before taking care of a patient on...
  10. Do you feel like a babysitter?

    I keep one regular case and I float other than that. I also stay with at least 2 agencies for a number of reasons. If you are concerned about losing skills you can float so you aren't doing the same...
  11. Pediatric patients...parents are KILLING me!

    Its interesting that the nurses posting haven't worked private duty or have only worked a few cases. Not all parents are like that. But the ones that are like that act entitled and unappreciative. It...
  12. Pediatric patients...parents are KILLING me!

    That behavior is common. Nobody tells these parents how things should work because the agencies are scared if running the parents off to another agency. Right now I'm lucky that I have a parent that...
  13. Without experience, private duty work is not a good idea. There are tons of new grads and lots of experienced nurses. So employers have a choice. Also employers are insured and insurance requires a...
  14. Roaches are very common in PDN. Most agencies won't do anything about it to avoid upsetting the family. I hate roaches and worry about the health of my patients when they are present. The fact that...
  15. Asked not to come back to work for the family?

    Very typical of these types of families. I've seen it happen over and over to the best nurses. These parents (not all) have no understanding of our job and boundaries. They act like its to much work...
  16. always afraid of doing something wrong

    Caliotter is right. Just keep in mind there is always another patient. The grass may not be greener on the other side. But there will always be another case. Some parents are on a power trip because...
  17. Surveillance cameras in pedi patient's home?

    Esme, your info is wrong. There have been cases in court for private duty nurses on nanny cams. There is one on the internet of a nurse who got caught urinating in a kitchen sink at a patients home....
  18. Background checks for parents

    I disagree that most agencies won't tell you if there are roaches. I've been doing this for about 7 years. And any time I've directly asked I've gotten an answer. Worst case being its a new case and...
  19. Background checks for parents

    Now I just wish there was a way to warn other nurses about a family. Too bad HIPPA keeps us from doing that. The patients and families are more protected than we
  20. Background checks for parents

    I kinda wondered about the "pat on the back" approach too. They do still have work available. But another agency I'm with contacted me about a week before this happened asking me to work a case for...
  21. Thats what the orientation is for. If you work in a hospital all you get is report and then you are on your own. If you are uncomfortable with the typical private duty cases then it might not be the...
  22. Background checks for parents

    I found out the dad told the office "I needed to be put in my place as a nurse" and that I needed to be "submissive". He told the office that they had to write me up and he wanted to see the...
  23. Background checks for parents

    There is no real abuse to the child. The only thing I've seen is an occasional missed feed by the family....bolus feeds every hour. The kid is an active toddler and all toddlers have days where they...
  24. This concerns me a bit. If it wasn't charted it wasn't done!! Also its good to have a record of how frequently you are suctioning to monitor increases in the need or decreases in the need for...
  25. I interview with mom tomorrow- any advice?

    No problem! Good luck to