smartnurse1982

smartnurse1982

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All Content by smartnurse1982

  1. Do private duty LVN/LPN ever get a pay raise?

    smartnurse1982 replied to Live_Life's topic in Private Duty

    Well,as the above said,never. Come to think of it,I actually got a rate DECREASE because of declining reimbursement from insurance

  2. WHY do I need a BSN?

    smartnurse1982 replied to AnnMarie52471's topic in Diploma, ADN, BSN

    So an Excelsior grad will still be able to have licensure endorsement to Georgia after 5 yrs as an

  3. WHY do I need a BSN?

    smartnurse1982 replied to AnnMarie52471's topic in Diploma, ADN, BSN

    So an Excelsior grad will still be able to have licensure endorsement to Georgia after 5 yrs as an

  4. WHY do I need a BSN?

    smartnurse1982 replied to AnnMarie52471's topic in Diploma, ADN, BSN

    Am I right that Excelsior does accept work experience (lpn) as counting toward Rn clinical experience? I went through both an lpn program and lpn to Rn program,and I really didn't see the difference...

  5. DNR Orders

    smartnurse1982 posted a topic in Private Duty

    I just started a new case(maybe a month ago). Baby is 9 months old trach/vent/tpn. Needs to be Ambubag a lot(maybe 2x a week) Anyway,she has a DNR order. It says DNR to be followed at parent's...

  6. WHY do I need a BSN?

    smartnurse1982 replied to AnnMarie52471's topic in Diploma, ADN, BSN

    Its important to be clinically competent. I did get to do some things during clinicals,but IV's were hands off. My professor had 10 students in clinicals,and she could not supervise us all. Also,per...

  7. WHY do I need a BSN?

    smartnurse1982 replied to AnnMarie52471's topic in Diploma, ADN, BSN

    No,I'm right. You can check out their program. At the end of the program,they do have to go to one of four testing centers to pass the two day clinical testing;if they pass,they are awarded an Adn....

  8. DNR Orders

    smartnurse1982 replied to smartnurse1982's topic in Private Duty

    I understand what you are saying,but during an emergency parents tend to be

  9. DNR Orders

    smartnurse1982 replied to smartnurse1982's topic in Private Duty

    Yes. I was esp thinking that if nobody is home and its an emergency,and I don't have time to call the parents,then what? Of course,I would just save the child's life. I do wonder what the penalty...

  10. What' s in your Pt's Go-Bag?

    smartnurse1982 posted a topic in Private Duty

    I'm just curious. Some people have suction caths,diapers,chux,extra meds,extra change of clothes,extra formula,extra gtubes in addtion to the extra trach(one sixe larger,one the same size,and one...

  11. WHY do I need a BSN?

    smartnurse1982 replied to AnnMarie52471's topic in Diploma, ADN, BSN

    I think you might be thinking of Excelsior,but those are Lpn's who go work on their Adn Online. I might be wrong though,but their work experience is counted as their clinical

  12. WHY do I need a BSN?

    smartnurse1982 replied to AnnMarie52471's topic in Diploma, ADN, BSN

    HOLY COW!!! There are some states you don't need nursing clinicals? Which states are those? My state requires it,but we never,ever got to do any "hands on" skills for fear of lawsuits(as per the...

  13. WHY do I need a BSN?

    smartnurse1982 replied to AnnMarie52471's topic in Diploma, ADN, BSN

    I need some advice. I don't want to work in acute care settings. I work in Private Duty and want to until retirement(33 years away) Do you guys recommend an ADN who doesn't want to work in acute care...

  14. What' s in your Pt's Go-Bag?

    smartnurse1982 replied to smartnurse1982's topic in Private Duty

    I really sont know the rationale for the larger size trach. When I first started back in 2005 that's what I was told to have on hand in the go bag.I was also told at the time back up vents didn't need...

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

    smartnurse1982 replied to CloudySue's topic in Private Duty

    I don't watch Netflix because I can't get into a movie when I have to get up every 5 minutes to suction. I just use the internet and drink lots of soda and

  16. What' s in your Pt's Go-Bag?

    smartnurse1982 replied to smartnurse1982's topic in Private Duty

    I don't know the rationale,but I know they have since stopped requiring the larger size trach tube. I do know several kiddos who use Bivona trachs,but their back up trachs are Shiley trachs(both the...

  17. What' s in your Pt's Go-Bag?

    smartnurse1982 replied to smartnurse1982's topic in Private Duty

    I know yrs ago,some companies used to tell us to have a larger size trach,a sma e size trach,and a downsized trach. I was never sure of the reason why we would need a larger trach,but as I understand...

  18. DNR Orders

    smartnurse1982 replied to smartnurse1982's topic in Private Duty

    I guess I just don't understand the point of having a DNR if the parents can change their mind at any

  19. What' s in your Pt's Go-Bag?

    smartnurse1982 replied to smartnurse1982's topic in Private Duty

    I'm talking about while the pt is waiting in the ER. Say we they got to the ER at 2am,and neurontin is due at 3am. You still give that med? I usually hold it. Of course,I also give the hospital staff...

  20. What' s in your Pt's Go-Bag?

    smartnurse1982 replied to smartnurse1982's topic in Private Duty

    Haha....me too. I've worked nights my whole working career,even before nursing,ever since I was 18! I usually just check it

  21. Hospitalizations and Pdn

    smartnurse1982 posted a topic in Private Duty

    When you pts have an emergency and need to go to the hospital,does your agency make you go with the parents and child? Most agencies tell us to go,but follow the ambulance in our own car. Some say...

  22. I never, ever went to ER when I was a kid

    smartnurse1982 replied to Emergent's topic in Emergency

    I went for the first time at 15,without an adult. I was really sick. My grandma thought that 15 wasn't a child,and that I could be seen without a caregiver with me. I treid to tell the ER staff my...

  23. Patients with sticky fingers!

    smartnurse1982 replied to Emergent's topic in Emergency

    That's different. I'm talking about an Emergency. Children don't get admitted during power outages. At least not in the hospitals around

  24. Patients with sticky fingers!

    smartnurse1982 replied to Emergent's topic in Emergency

    With my current agency,we are NOT allowed to order supplies. Nothing I can do on that part. Also,as I said, many parents are going to have a hard time with bringing supplies intended for home to the...

  25. DNR Orders

    smartnurse1982 replied to smartnurse1982's topic in Private Duty

    Nj has some really,really weird laws. I better hurry and get back to