SDALPN

SDALPN

Peds(PICU, NICU float), PDN, ICU

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All Content by SDALPN

  1. The pt that always slides down

    SDALPN replied to SDALPN's topic in Private Duty

    So that's why the night nurse looked at me funny at change of shift!

  2. The pt that always slides down

    SDALPN replied to SDALPN's topic in Private Duty

    Haha! I found something that works for now. Too hard to explain, would have to show a pic...which I can't do

  3. The pt that always slides down

    SDALPN replied to SDALPN's topic in Private Duty

    I was thinking that. Even mentioned it to the parent. Have you tried

  4. Ways to chart about mucus?

    SDALPN replied to brillohead's topic in Private Duty

    Wouldn't it be nice if we could just follow the care plan and just do charting by exception. Even just a daily signature to say that yes we followed the care plan, followed by charting by exception....

  5. Ways to chart about mucus?

    SDALPN replied to brillohead's topic in Private Duty

    I write the same thing for mine. "Suction x1 for x amt of thin/thick, white/off white/yellow/green secretions from trach." Its descriptive, describes intervention, and can be followed with an outcome...

  6. Medicaid paid company, but company didn't pay me! ADVICE PLEASE!!!

    SDALPN replied to edwardsrn62's topic in Private Duty

    Says a lot about the company if they only value their nurses at minimum wage. Even as a new nurse, you're worth way more than

  7. Medicaid paid company, but company didn't pay me! ADVICE PLEASE!!!

    SDALPN replied to edwardsrn62's topic in Private Duty

    I don't have time to reply to everything at the moment. But you can call your labor board. I found out from my labor board that employers are only required to pay minimum wage, anything more is up to...

  8. Where do I get guidance?

    SDALPN replied to ardeasnest's topic in Private Duty

    Medicare/medicaid (in my state and most states) require a note every two hours that must reflect the care plan has been followed. You can google the

  9. PDN shot and killed

    SDALPN posted a topic in Private Duty

    I posted an article about a nurse that was killed on the job. Its under nursing news. Can't post link with my phone. I thought a good topic would be on safety. Many of us have been in dangerous...

  10. Medicaid paid company, but company didn't pay me! ADVICE PLEASE!!!

    SDALPN replied to edwardsrn62's topic in Private Duty

    I posted a link to information from the source. Doesn't get any more clear than that. If that is spreading false info, I guess the link I posted is lying about their own rules as

  11. Medicaid paid company, but company didn't pay me! ADVICE PLEASE!!!

    SDALPN replied to edwardsrn62's topic in Private Duty

    As I stated, it may vary by state. But many states are very similar to what I posted. I'm at work and on my phone, so I haven't had a chance to find the other one yet. It seems some people get very...

  12. Medicaid paid company, but company didn't pay me! ADVICE PLEASE!!!

    SDALPN replied to edwardsrn62's topic in Private Duty

    The law doesn't consider it a break if you are clocked in. Doesn't matter if you eat, drink, or whatever. I get time between tasks to eat, drink, sit, or whatever but I'm still caring for my pt at...

  13. Medicaid paid company, but company didn't pay me! ADVICE PLEASE!!!

    SDALPN replied to edwardsrn62's topic in Private Duty

    I'm not saying that the agency is right in not giving us a break. Yes, labor laws require us to take a break. I agree with that and a break would be nice, real nice. But its not realistic with most...

  14. Medicaid paid company, but company didn't pay me! ADVICE PLEASE!!!

    SDALPN replied to edwardsrn62's topic in Private Duty

    I'm not sure who you work for or what state, but getting a break like that is a rarity. And if you are taking a break on the clock with insurance, its fraud and it will catch up to you. Insurance is...

  15. Medicaid paid company, but company didn't pay me! ADVICE PLEASE!!!

    SDALPN replied to edwardsrn62's topic in Private Duty

    This link has the info that explains that the agency is responsible for making sure that the nurse has a year of experience/training. I'm still looking for the link about staying in the same room....

  16. Medicaid paid company, but company didn't pay me! ADVICE PLEASE!!!

    SDALPN replied to edwardsrn62's topic in Private Duty

    They actually do require you to be in the room at all times. They of course allow you to use the bathroom. But sitting outside of the room and things like that aren't allowed. I'll add that if someone...

  17. Need advice!

    SDALPN replied to AmandaJeanIngram's topic in Home Health

    Sounds like you do private duty nursing, not home health nursing. Home health nurses do visits, PDN is shifts. Its a health issue. If she's in an apartment or rental, the owner is responsible. If she...

  18. Trach dislodged

    SDALPN replied to MendedHeart's topic in General Nursing

    This is a good question for PDN nurses since that is a large part of what we do. Most people here have answered correctly. I didn't see how long the pt has had the trach. But with a new trach, the...

  19. Medicaid paid company, but company didn't pay me! ADVICE PLEASE!!!

    SDALPN replied to edwardsrn62's topic in Private Duty

    First mistake, new grads don't belong in PDN (home health is visits, PDN is shifts. Neither are good for new grads). Next, this is PDN...you don't get a lunch break. You work straight through your...

  20. Keeping my patient's dignity intact? Please help me!! (long but urgent)

    SDALPN replied to KateyBug's topic in Private Duty

    Or if the pof profile gets

  21. It drives me nuts when....

    SDALPN posted a topic in Private Duty

    Finish that sentence. Could be clinical, could be every day annoyances. I'll start. It drives me nuts when nurses pull the rings to open the binder/chart. It breaks them and then the rings stay...

  22. It drives me nuts when....

    SDALPN replied to SDALPN's topic in Private Duty

    That may depend on the state. They require that the agency have an office in the state you practice in and the nurse must also be licensed to practice in that

  23. Keeping my patient's dignity intact? Please help me!! (long but urgent)

    SDALPN replied to KateyBug's topic in Private Duty

    Was wondering if she trolled other places. Many people here check screen names. If people don't want to be identified here, they need to make sure they are anonymous. Why are you so protective of this...

  24. Keeping my patient's dignity intact? Please help me!! (long but urgent)

    SDALPN replied to KateyBug's topic in Private Duty

    http://www.pof.com/member15574858.htm Is it

  25. It drives me nuts when....

    SDALPN replied to SDALPN's topic in Private Duty

    Yep, that! No boundaries, no respect for nurses type of parent or they want to try to get more time out of us. If the kid vomits 5 min before the end of the shift, that's one thing....its another when...