smartnurse1982

smartnurse1982

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All Content by smartnurse1982

  1. Taking a trach/vent pt to school

    smartnurse1982 posted a topic in Private Duty

    This is just too much,but i was wondering what supplies you guys bring with you when you take a vent patient to school. I would act as the Pdn for the school day. Suction machine Back up trachs BVM...

  2. BSN premium on the table.

    smartnurse1982 replied to tokmom's topic in Collective Bargaining, Union

    If that is the case,then why do some places with Lpn's and Rn's pay the Rn's more for doing the same

  3. Bring Your own TP

    smartnurse1982 replied to Catcar1963's topic in Private Duty

    Maybe the hard chair is for night shifters? I(night shifter) actually hate soft chairs ,as they encourage me to

  4. Taking a trach/vent pt to school

    smartnurse1982 replied to smartnurse1982's topic in Private Duty

    You cannot store O2 tanks and BMV's at the school because you still have to bring it on the bus with you just in case you actually need to use it while on the bus. The family only gets 1 feeding...

  5. What offends you (nursing related)?

    smartnurse1982 replied to milesims's topic in General Nursing

    Nurses who think they are superior just because they can perform certain skills. Case in point-I work Pdn. Many of the clients have an IV,and my agency prohibits us from touching them. Why? I do not...

  6. Reasons to lose nursing license?

    smartnurse1982 replied to Srobbins2310's topic in General Nursing

    This probably doesn't qualify for losing a license,but when an Lpn receives an Rn license some states terminate the Lpn license. Some states allow you to keep both,and you choose which one you want to...

  7. Taking a trach/vent pt to school

    smartnurse1982 replied to smartnurse1982's topic in Private Duty

    I only work 2 day shifts but now i am going back to an all-nights schedule. My agency has more trouble filling day shifts more than evening and night shifts. Many nurses do not like going to school...

  8. Taking a trach/vent pt to school

    smartnurse1982 replied to smartnurse1982's topic in Private Duty

    I believe the school district is paying to send the child to school. The school is private. My agency does pay more for high tech cases if the child has private insurance. They do tell us if a client...

  9. Taking a trach/vent pt to school

    smartnurse1982 replied to smartnurse1982's topic in Private Duty

    Compared to taking a basic non vent,non feeding tube kid to school. Same pay hourly but this is high tech. I might as well save my back and take on a basic

  10. Hey RN's that used to be LPN's !

    smartnurse1982 replied to Tieuana's topic in General Nursing

    I recommend going back immediately for the BSN; skip the Lpn to Rn programs because in many areas,Adn's have a hard time becoming employed in acute

  11. Reported for this?

    smartnurse1982 replied to smartnurse1982's topic in Private Duty

    According to posts on pg 1,its a med error,maybe through negligence. I think that she was just threatening us,because so far nobody has heard anything from the BON nor the nursing supervisor. The...

  12. Reported for this?

    smartnurse1982 replied to smartnurse1982's topic in Private Duty

    If mom prepares the feeding,and you still give it,how is that different from what I am doing? As I understand it,if mom prepared the feeding "the wrong way" and something happened after you fed...

  13. Trach suctioning without gloves??

    smartnurse1982 replied to HopefulRN7's topic in Home Health

    I think it depends. I do not wear gloves when suctioning if using an in-line suction catheter on a vented pt. If the catheters have sleeves,I might not use

  14. Reported for this?

    smartnurse1982 replied to smartnurse1982's topic in Private Duty

    I have an update. The nursing supervisor for this case has been out since Tuesday. Another nursing supervisor asked Mom again about the feeds and she denied it. Mom demonstrated to that supervisor the...

  15. Reported for this?

    smartnurse1982 replied to smartnurse1982's topic in Private Duty

    So let me guess,you refuse to give PO feeds too? They are usually made by someone else.(I assume you work

  16. Reported for this?

    smartnurse1982 replied to smartnurse1982's topic in Private Duty

    One post on pg 1 even admitted she uses formula made by other

  17. Reported for this?

    smartnurse1982 replied to smartnurse1982's topic in Private Duty

    I cannot just make a separate feed for my shift. Its impractical when a feed consists of 500ml peptamin,360 ml h2o, and 1/8 tsp lite salt given over 12 hours(just an example) Also,insurance companies...

  18. Reported for this?

    smartnurse1982 replied to smartnurse1982's topic in Private Duty

    First,I work nights. She makes formula during the day. Also,the office is closed during the night. Second,I thought it was ok because past nursing supervisors were ok with it as well. let me ask this:...

  19. Reported for this?

    smartnurse1982 replied to smartnurse1982's topic in Private Duty

    I think I got mixed up. Someone suggested letting mom pour the total volume needed for the 8 hr

  20. Reported for this?

    smartnurse1982 replied to smartnurse1982's topic in Private Duty

    My pt is a PEDs pt. The volume of the bag doesn't matter. If a client is getting feeds over 4+ hours,we can only add 4 hours worth of volume,then keep refilling every 4 hours. For the example in the...

  21. Reported for this?

    smartnurse1982 replied to smartnurse1982's topic in Private Duty

    Are most of them like that? Well,I know the big "M" is

  22. Reported for this?

    smartnurse1982 replied to smartnurse1982's topic in Private Duty

    I believe its just "something" she thought might be a brilliant idea. All of these calories,but pt gained 2 pounds in 6 months. Pt is between 10-13 yrs old. Child seems to actually tolerate it,but...

  23. Reported for this?

    smartnurse1982 replied to smartnurse1982's topic in Private Duty

    k pump bag only holds 500 ml. Plus,we were told we can no longer add more than 4 hrs of volume,due to bacterial growth. So we can only add 280ml every 4 hrs to the

  24. Reported for this?

    smartnurse1982 replied to smartnurse1982's topic in Private Duty

    I guess I could say in my notes"Mom made formula" but somebody still has to refill it at

  25. Reported for this?

    smartnurse1982 replied to smartnurse1982's topic in Private Duty

    We were doing that,but once the feed runs low we have to refill it. We did that by using the already made formula in the plastic