SDALPN

SDALPN

Peds(PICU, NICU float), PDN, ICU

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All Content by SDALPN

  1. If you could change medicare/medicaid...

    SDALPN replied to SDALPN's topic in Private Duty

    That depends on the state. I threw out a random number on that one for example. But the reimbursement rate depends on many things in my state. It isn't a set

  2. If you could change medicare/medicaid...

    SDALPN replied to SDALPN's topic in Private Duty

    Exactly but I've never seen a separate fee for operations, just a rate for hourly nursing which covers nurses and

  3. If you could change medicare/medicaid...

    SDALPN replied to SDALPN's topic in Private Duty

    I've never seem that in the paperwork. I've only seen a specific number per hour paid. Maybe it's different in different states? Do they leave that other amount off the paperwork where the state says...

  4. If you could change medicare/medicaid...

    SDALPN replied to SDALPN's topic in Private Duty

    How would the agencies make money if they don't pay less than the funded amount? If they are getting $40/hr for a case, they can't pay us $40/hr or they wouldn't stay in business. But I'm sure they...

  5. Co-Worker gave expired prescription med

    SDALPN replied to maryen's topic in Private Duty

    Communicating with another agency about one of their employees is dangerous. They may not believe you...you are the competitor. You may work for that supervisor in the future and s/he may not trust...

  6. Breaking up is hard to do

    SDALPN replied to ceebeejay's topic in Private Duty

    I've found that kind of bad news in a few ways. That is hard. Same for when I've found out a parent passed that I

  7. If you could change medicare/medicaid...

    SDALPN replied to SDALPN's topic in Private Duty

    Yeah, that doesn't make sense. I've seen those cases. There are parents that manipulate the system to get free child care. There needs to be checks in place for

  8. If you could change medicare/medicaid...

    SDALPN replied to SDALPN's topic in Private Duty

    Some of them have other conditions that require hours. Some have seizures and desat, but aren't quite ready for a trach or don't need one. They may require lots of meds that don't allow the parent to...

  9. How do I report fraud and neglect?

    SDALPN replied to AshleyPCA's topic in Private Duty

    CloudySue, that's reasonable. :-) I guess with all the red flags there, it's just over the

  10. How do I report fraud and neglect?

    SDALPN replied to AshleyPCA's topic in Private Duty

    This sounds fishy. This doesn't add up at all. Just being honest and offering an honest opinion. Your story doesn't add up. Your story comes across as someone who got burned and wants to retaliate....

  11. Surveillance cameras in pedi patient's home?

    SDALPN replied to lovelane78's topic in Private Duty

    Yep, I'm sure I've entertained plenty of landscapers, meter readers, waste removal guys, apartment workers, etc. The things only a PDN would understand! Has anyone ever felt creeped out by cameras or...

  12. Can I still work as an LPN after I become an RN?

    SDALPN replied to BlackBettyRN,OCN's topic in LPN, LVN Corner

    They are if they don't want to lose the case and they are looking at long

  13. Can I still work as an LPN after I become an RN?

    SDALPN replied to BlackBettyRN,OCN's topic in LPN, LVN Corner

    I'm going to come across wrong. But it seems like the ones who won't work with a different title feel like they are too good to work at that level. Work is work and if my company will pay me the same,...

  14. Can I still work as an LPN after I become an RN?

    SDALPN replied to BlackBettyRN,OCN's topic in LPN, LVN Corner

    There are reasons to work in a different position. Sometimes just to fill in for someone. Nothing wrong with it. I don't understand why people complicate this and make it such a big deal. Its quite...

  15. Can I still work as an LPN after I become an RN?

    SDALPN replied to BlackBettyRN,OCN's topic in LPN, LVN Corner

    Some state boards won't slow that. And why would you need an LPN license when you have RN. RN covers and exceeds the LPN score of practice. That just seems silly and sounds like a misunderstanding of...

  16. Can I still work as an LPN after I become an RN?

    SDALPN replied to BlackBettyRN,OCN's topic in LPN, LVN Corner

    This question is asked all the time. My nursing program even went over the answer to that question. You can work as a CNA, LPN, or RN. You will be held to the standards of RN level of care. But the...

  17. Family members recording nurses doing pt teaching

    SDALPN replied to artistnurse's topic in Patient, Colleague Relations

    And I'll add that I just recently saw pics of a nurse on a Facebook trach page with negative comments about the nurse. Another person posted video of a nurse and made negative comments. That's going...

  18. Family members recording nurses doing pt teaching

    SDALPN replied to artistnurse's topic in Patient, Colleague Relations

    I work PDN, so we could be recorded at any time. And yes, its uncomfortable knowing that at any time they could be watching or catch the moment a nurse adjusts her bra or fixes her wedgie. I would...

  19. How much do you make?

    SDALPN replied to middleagednurse's topic in Private Duty

    Each state varies. In my state, they pay based on the complexity, age, etc of each pt. Some agencies are paid a minimum of $30 something per hour (may have changed from the last I saw). I think I...

  20. LPN Job Duties

    SDALPN replied to Hoping2BeANurse's topic in LPN, LVN Corner

    CNAs are nursing assistants. That means they assist the nurse with nursing tasks that a less trained person can do. But they are still nursing tasks. They still require supervision. But in the end,...

  21. Recycling HMVs?

    SDALPN replied to middleagednurse's topic in Private Duty

    That sounds like a challenge! Maybe the Dr or an RT would have more ideas. Here's another thing you could try. If you can get the Dr prescribing the HMEs to write a letter of medical necessity to...

  22. Recycling HMVs?

    SDALPN replied to middleagednurse's topic in Private Duty

    Can't wash filter inside of them. They are based on tidal volume for the pt. So while I have never seen a study on it, I would guess that maybe the tidal volume the HME is made for would be different...

  23. Recycling HMVs?

    SDALPN replied to middleagednurse's topic in Private Duty

    Do you mean

  24. If you could change medicare/medicaid...

    SDALPN replied to SDALPN's topic in Private Duty

    I'm talking about PDN related, that's why I posted it in the PDN section. Not the rest of the

  25. It drives me nuts when....

    SDALPN replied to SDALPN's topic in Private Duty

    I posted this in the PDN area for PDN related stuff. Some of us must eat at the bedside since insurance requires us to be in the same room as the patient and we don't get breaks. We also take calls....