smartnurse1982

smartnurse1982

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All Content by smartnurse1982

  1. Hospitalizations and Pdn

    smartnurse1982 replied to smartnurse1982's topic in Private Duty

    Well then,maybe every home with a trach/vent peds pt and Private Duty nurse should have a defibrillator and PALS drugs on hand? Maybe it won't be a bad idea,esp here in the woods of South

  2. Hospitalizations and Pdn

    smartnurse1982 replied to smartnurse1982's topic in Private Duty

    We are not allowed to go to Dr appointments with out a parent. I think that's the difference between my cases and Beachy's cases. I have never heard of a nurse going to Dr appointments without a...

  3. Hospitalizations and Pdn

    smartnurse1982 replied to smartnurse1982's topic in Private Duty

    Yes,I'm aware. None if the peds pts have been diagnosed with arrhythmias,however. Plus,usually in Peds pts,if the heart stops,its usually related to respiratory issues, unlike adults where its mostly...

  4. Hospitalizations and Pdn

    smartnurse1982 replied to smartnurse1982's topic in Private Duty

    Just to add,I wonder why she thinks compressions aren't enough if his heart

  5. Hospitalizations and Pdn

    smartnurse1982 replied to smartnurse1982's topic in Private Duty

    I know in Nj,most kids get transported to Doctor's appointments using an ambulance. I haven't seen any kids where Mom drives them to appointments. There are ususally 3 EMT's,and a critical care RN on...

  6. Hospitalizations and Pdn

    smartnurse1982 replied to smartnurse1982's topic in Private Duty

    They don't switch vents until 2 hrs later. Many don't have the common in home vent ,the Ltv

  7. Patients with sticky fingers!

    smartnurse1982 replied to Emergent's topic in Emergency

    As home care nurse who has went plenty of times to the ER with pts,sadly,I will admit I "steal". The families really do need the chux..the plastic ones anyway. We can't bring our own equipment from...

  8. Ventilator pt chokes on food

    smartnurse1982 replied to bcassella2007's topic in Patient Safety Issues

    Hmmm...my pt is vented and he is 22. He eats everything,including milk duds candy. He doesn't have a cuffed trach either. Many ENT's in my area are actually doing away with cuffs on all trach pts. One...

  9. The OTHER nurse cleans... hint, hint

    smartnurse1982 replied to CloudySue's topic in Private Duty

    Nurses getting bored should even fly anymore as a reason to clean everything,as that's what tablets,smartphones,etc are for. If I get bored(which is very often at night) I just watch a movie or pay...

  10. Hard and Soft Skills

    smartnurse1982 replied to TheCommuter's topic in Nursing Professionalism

    This what I most worry about when I hear about "customer satisfaction" and getting along with other nurses.. I don't want to sound like a complainer but there was a time when I was the only "young"...

  11. Attitudes of nurses who don't work in ltc

    smartnurse1982 replied to lauriepat's topic in Geriatric, LTC

    Hey,I work private duty with chronically ill children and I still get the side eye. I worked the first 5 yrs per diem in a nursing home. Ithink anyone who doesn't work in a hospital settings gets...

  12. Car or Public Transport

    smartnurse1982 replied to souleater11's topic in Private Duty

    No,I'm in Nj and this happened on one of my cases. I also had another case(nurse has since been fired) that would bring her boyfriend with her so parents could sign off her timesheets. I remember a...

  13. LPNs make RNs seem more impressive?

    smartnurse1982 replied to RN-HSA's topic in Patient, Colleague Relations

    I also understand a big problem with nursing is that there is no national standard. Some nurses in some states can't push Iv meds,but in another they can. Meanwhile,some Lpn's in some states can't sit...

  14. LPNs make RNs seem more impressive?

    smartnurse1982 replied to RN-HSA's topic in Patient, Colleague Relations

    It had nothing to do with how you present yourself. Some Medical Assistance presnt themselves as nurses,does that make it right? For what its worth,I also work with lots of Filipino nurses,all of whom...

  15. i'll probably get flamed to the moon and back for this but..

    smartnurse1982 replied to elijahvegas's topic in General Nursing

    Someone please tell me where is the money?

  16. Car or Public Transport

    smartnurse1982 replied to souleater11's topic in Private Duty

    One case,the nurse's boyfriend was dropping her off. Well,one day nurse's boyfriend came looking for her at the home,and she wasn't there. I guess that's the Hippa

  17. LPNs make RNs seem more impressive?

    smartnurse1982 replied to RN-HSA's topic in Patient, Colleague Relations

    I agree,and I'm an Adn Rn. Demote all non-Bsn Rn's to Lpn's,and all Lpn's to something else. Any Lpn schools should be made into 2 yr programs. I want it set up like the Canadian system. I wouldn't...

  18. i'll probably get flamed to the moon and back for this but..

    smartnurse1982 replied to elijahvegas's topic in General Nursing

    Well,I'm not sure what to say. My heart is in Private Duty Nursing,yet many nurses(even on Allnurses) tell me "You need to work in another specialty) Why? Because some nurses think my skills aren't...

  19. Do you have to do bedside nursing

    smartnurse1982 replied to dulcet's topic in Nursing Career

    Part of your question involves defining what bedside nursing really is. I fond when most people say "bedside nursing" they mean med surg. That,however,is a VERY limited definition. Ltc,Private...

  20. OMG Say it correctly!

    smartnurse1982 replied to seanynjboy's topic in Patient, Colleague Relations

    Another one I don't understand....mellitus,as in Diabetes Mellitus. Is it Mell-i-tus,with a short "I" sound? My professor used to say it that way. Or is it pronounced like "Me-light-us? Everyone I...

  21. OMG Say it correctly!

    smartnurse1982 replied to seanynjboy's topic in Patient, Colleague Relations

    What is the right pronunciation of Yankauer? Is it Yank,as in yank-au-er? Is the au pronounced like it is in "audition"? Is it prononuced

  22. Car or Public Transport

    smartnurse1982 replied to souleater11's topic in Private Duty

    I always wondered if having friends/boyfriends taking you to and from the home was a HiPAA

  23. Is LPN nursing a good choice in this economy?

    smartnurse1982 replied to RainbowHead's topic in LPN, LVN Corner

    I think it depends on where you live. In some states the only difference that separates the 2 is Iv pushing. It seems the western and southern states allow Lpn's to practice in a wider capacity vs Nj...

  24. Car or Public Transport

    smartnurse1982 replied to souleater11's topic in Private Duty

    I used the Path train and Nyc subway all the time when I had a Ny nursing license and lives in Hoboken. That's the only way to get around,unless your agency wants to pay your parking and ticket...

  25. Obamacare and Nursing.. what do you think?

    smartnurse1982 replied to OKNurse2be's topic in Activism, Healthcare

    Why can't EMTLA be revoked? I know Ronald Reagan signed it into law. I'm just curious. Many politicians and citizens think that the treatment they receive in the ER is free. I know my state gives...