CloudySue

CloudySue

Pediatric Private Duty; Camp Nursing

Member

  • Content

    710

  • Visitors

    16,623

  • Followers

    0

  • Likes

    18

All Content by CloudySue

  1. Independent LPN Private Duty?

    CloudySue replied to Jay7821's topic in Private Duty

    IMHO, life is much easier when just show up, do the work for my slice of the pie, and go home, and get my weekly direct deposit. No muss, no

  2. The OTHER nurse cleans... hint, hint

    CloudySue replied to CloudySue's topic in Private Duty

    I can see it if it's the client's exclusive/shared bathroom by the bedroom, I can see that. But if it were the family's downstairs/main bathroom, uh, no, that's not right. I think it depends on the...

  3. PDN Nurse Shortage?

    CloudySue posted a topic in Private Duty

    Within the last 4 days, I have had THREE different clients' parents have a conversation with me about their dissatisfaction with their children's overnight shifts not being covered. They've all been...

  4. Home care nurse experiencing verbal abuse by family member of patient.

    CloudySue replied to prada5's topic in Private Duty

    I concur, you need to call CPS. It will be anonymous. For all they (mom & office) know, it was the clinical supervisor or a neighbor in the next apartment who did it. If something happened to...

  5. Is Netflix your BFF? What do you watch?

    CloudySue replied to CloudySue's topic in Private Duty

    I gave up Candy Crush for my New Year's resolution (I hit level 485 and was waiting for a new level to come out anyway) and after over two weeks, I STILL grab my phone w the urge to play. I didn't...

  6. The OTHER nurse cleans... hint, hint

    CloudySue replied to CloudySue's topic in Private Duty

    When a toilet hasn't been cleaned in months it's tempting to give it a swish (since I have to use it myself) but I don't want anyone to get used to it so I just paper down the seat or

  7. Is Netflix your BFF? What do you watch?

    CloudySue replied to CloudySue's topic in Private Duty

    My husband just got hooked on American Horror Story. I'm not a fan of the scary

  8. The silliest thing you ever had to do in PDN

    CloudySue replied to dudette10's topic in Private Duty

    My VERY first night three years ago with one client, the family tells me they're having trouble with mice coming in some hole under the sink. They put a snap trap there. Very nice people, all really...

  9. Anyone working Pediatric Home Care?

    CloudySue replied to Baubo516's topic in Private Duty

    I think the reason I'm so adamant about getting proper training is that there are too many agencies that WILL let you go in cold with little orientation. All they care about is warm body w a license...

  10. Trach change disagreement with Case manager

    CloudySue replied to zook1065's topic in Private Duty

    Correct for a routine situation, incorrect if it was for a skills test. A facilitator needs to see it done like textbook to sign you off. But I wouldn't even think to ask, just take a new tie and...

  11. Anyone working Pediatric Home Care?

    CloudySue replied to Baubo516's topic in Private Duty

    These cases might have another source of payment rather than Medicare/Medicaid. That's a requirement that's specifically theirs. Private pay and some insurance co's might allow a new grad. Unless you...

  12. Help for a new private duty/HH RN. Suggestions, tips, and support all welcomed!

    CloudySue replied to Stressismyname's topic in Private Duty

    Some families can handle having nurses in their home. These families embrace them, make them comfortable, and treat them like family. They appreciate the extra pair of eyeballs, place trust in their...

  13. Help for a new private duty/HH RN. Suggestions, tips, and support all welcomed!

    CloudySue replied to Stressismyname's topic in Private Duty

    Make sure you have the client's clinical manager's name and have the best phone number ready to call her. (Some give out their cell numbers but many want you to call the office, which is the standard...

  14. 2014 camp work thread

    CloudySue replied to Alex Egan's topic in Camp

    Big Al came out to meet up w me at Chestnut Lake a few summers ago. It was a lot of fun to meet an Allnurses peep in person. Someday I have to get up to Indian Head for a tour! Now I'm in Milford, at...

  15. Help for a new private duty/HH RN. Suggestions, tips, and support all welcomed!

    CloudySue replied to Stressismyname's topic in Private Duty

    I think a lot of us started PDN with a bad case, either psycho moms, difficult clients, hands-y dads, you name it...think of it as hazing! Try to get some other cases, float if you can. I put up w a...

  16. Funny Mistakes

    CloudySue posted a topic in Private Duty

    So the other night, I'm trying to put a diaper on this squirmy baby and I am having trouble getting it under him. The lights were dim. He goes left, he goes right, he flips, he turns, all in his...

  17. Agency removing communication log?

    CloudySue replied to SDALPN's topic in Private Duty

    Those copies of shift notes are for the client's caregivers, they have a right to see what sort of care being done for their child. Parents should always insist their copy is left in the

  18. Funny Mistakes

    CloudySue replied to CloudySue's topic in Private Duty

    Putting a diaper on backwards is actually a pretty smart thing to do when your client is prone to removing his/her diaper. One of my clients is currently in that stage now! One morning I got home and...

  19. Physical Therapy

    CloudySue replied to raebabelvn's topic in Private Duty

    I think mom doesn't realize she's being taught the PT care, when she says she's being made to do the work. She may think PT comes in and does it all. It does sound like a communication problem, or...

  20. Sleeping with HMEs (Trach noses) safe?

    CloudySue replied to coraline44's topic in Private Duty

    My aforementioned two-year-old actually is happiest when she has NOTHING on her trach. Most nights I come in and she's free and open, and on the dryer side, but never too badly. I unwrap a new HME and...

  21. Let go from my first patient - Please help me understand!

    CloudySue replied to cazach0122's topic in Private Duty

    Re: hair, I would consider that reasonable for them to request that its neat and out of the way. If that's something you refused to do, it could be taken as a bit peculiar and possibly unsanitary....

  22. 485 and facesheets

    CloudySue replied to smartnurse1982's topic in Private Duty

    I document "WNL" under the neurological section, if there have been no changes, seizures,

  23. Sleeping with HMEs (Trach noses) safe?

    CloudySue replied to coraline44's topic in Private Duty

    I work w a now-2-year-old who stopped w the humidity collar at about age one, purely due to client intolerance. The second you'd try to pop it on as she slept, she'd wake up cranky. She also flipped a...

  24. Environmental Insanity!!

    CloudySue posted a topic in Private Duty

    OMG folks, we've had a bit of a warm snap this weekend in the northeast US, up to 68F. I'm on an overnight shift now (52F outside now) and these people, who usually don't heat their house well enough...

  25. Environmental Insanity!!

    CloudySue replied to CloudySue's topic in Private Duty

    One client I have has a mitochondrial disorder and will get feverish if he's warm. If his ax temp is above 97F he gets flushed and his HR and RR skyrockets. Mom leaves his two windows cracked 3...