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  1. gardenpartyy

    Hourly Rate for an LPN in Florida

    Remind me to never move to FL..wow.
  2. gardenpartyy

    Will an Incident Report get me Fired?

    I'm just shocked that the tea was so hot that it burned the resident. Most places I've worked, the food is luke warm at best.
  3. gardenpartyy

    What is a typical day working in a nursing home?

    It really depends on the facility you work at and the shift you're on. Some are less staffed than others and some require more of the nursing staff than others. You pretty much will get report, count your narcotics, start your first med pass, get interrupted 100 times by residents, other staff, families, etc.., chart, MAYBE get a lunch, next med pass, get interrupted some more, finish charting, make sure CNA's charted, give report, go home.
  4. gardenpartyy

    What does an RN supervisor do?

    Man, it must be like a running theme with RN supervisors. We just got rid of our new one after only 2.5 weeks because all she did was brush her hair and slowly walk around looking lost. When we'd ask the supervisor to change a PICC line dressing or something and it would take her three hours and 5 more times of requesting it to do it. She would always say, "i would help you out, but i don't know all this computer stuff." (we are computerized) But never even tried to learn. Hot mess....
  5. gardenpartyy


    I've never work-worked in a hospital, just spent a lot of Med Surg time in clinicals and I hated it. I love the nursing homes, mostly because you can get to know the residents and their families--learning their quirks and what not. When you're working in the hospital, there's much more uncertainty, plus you are always being bombarded with different doctors doing rounds, half of which are buttholes.
  6. gardenpartyy

    Paparazzi at work?

    I do believe I would be contacting your corporate office, or your DON at the very least. Maybe even your state's board of nursing.
  7. Here's a great opportunity for you guys to vent. I want to know what are the most frivolous/nit-picking complaints or comments that you have received from family members in private duty.
  8. gardenpartyy

    Old wives tales

    I have a parent who will lift the patient's arms up when patient is choking. The clinical supervisor has tried to explain this does nothing, but the parent refuses to listen.
  9. gardenpartyy

    THAT kind of nurse

    i cannot tolerate vindictive and catty behavior in general, but in the nursing setting, it makes me want to do thin that will land me in jail. i have a case I go to once a week and relieve the daytime nurse (after havin just worked 9 hours at another case, mind you). I'm always on time, I typically stock the patients room and areas with supplies, gather all the tube syringes that she leaves all over the house/in backpacks etc. The nurse presents herself as one of those "let me know if you have any questions" types because she has been with the patient for about 5 years now. So I get it, she's going to know patient inside and out. This does not equate to finding every little thing that I did "wrong" or forgot to do (things that in no way affect patient care..) and immediately bring them to the families attention. Like, I only work there one night a week and yet every night I work, the family presents something to me that I'm doing "incorrectly" because other nurse told them so. i get it, other nurse doesn't want to lose favor with the family, but makin me look incompetent is not the way to go about it. anyone else have a coworker like this?
  10. gardenpartyy

    My choice or required

    Literally all of this. I don't mind playing with my patient intermittently--but that's certainly not what I'm there to focus on. Especially when patient has seizures, I have a mountain of paperwork to complete, so I kind of HAVE to do it. I can do it while still providing the patient with attention-I'm THAT talented. They literally want me to do nothing else besides just sit in front of patient and "play" with them, which mostly includes patient throwing things at my head and crawling at the speed of light across the house to destroy something and me begging them to go back to just throwing things at my head. Letting me do anything medical is pretty rare. I get excited to change a diaper for gods sake! You guys are are making me feel better about my current position here.
  11. gardenpartyy

    Role during school settings

    Thanks for all the replies so far! It really makes me feel better about how I've perceived my role while there.
  12. gardenpartyy

    Question about med administration

    Oh, all the meds have orders, it was just an issue of them being drawn up by the family before school.
  13. gardenpartyy

    Role during school settings

    So I'm a little unsure about my role while I'm at school with the patient. As a private duty nurse, when you are at school with the patient, do you mostly work with them or are the teachers predominately supposed to do that. I do as much as I can, but I'm limited because of patient's comprehension level and attention span (teen-aged, non-verbal, unknown comprehension level-but likely that of a toddler). The only type of instruction that is done for the patient is either myself or the teacher will show patient two flash cards & ask patient to identify the correct one. Patient usually will look away and just grab the closest one to patient's hand. Sometimes patient gets it right, but I think it's just a guess. The classroom has about 8 other kids in it- all of which are at elementary school level comprehension, so they are certainly more advanced than patient, which leaves patient usually just sitting in their w/c, throwing around the toys that are tied to the w/c (which patient seems totally okay with). There are three teachers for the classroom and they will do activities as a class, but patient is left behind because patient is definitely not at a level to write the days of the week (or hold a crayon without throwing it). Sometimes they split off into groups of 2-3 kids per teacher and the teacher works with those in their group on things like words & number identification. So ultimately, because there isn't much patient is able to do and seems incredibly uninterested in anything presented to them other than throwing whatever they can, patient is left just sitting there. Patient will only allow you to go through flash cards once or twice a day, and after that, will refuse to look at them or will just grab them and throw them as far as they can. I don't know if I'm supposed to be trying harder to work with patient, or if that's even my role. I do the personal care stuff for patient while I'm there and administer meds through the tube, but other than that, I don't know what else to do. Is this the norm? Anyone want to share their experiences with what they do while they're at school with their patients? What about during summer break? Should I be required to work on patient's schooling with them during the summer break at the family's request?
  14. gardenpartyy

    Question about med administration

    Hmm, thanks for the advice! Luckily summer is almost here, so I can just pour the meds normally for a few months and then figure out what I'll do when school stars back up again.
  15. gardenpartyy

    Question about med administration

    Ok so I started a new thread for this since I have other questions on the subject. background: I am new to any type of home health/PD, so this type of situation is new to me. I have a patient (school aged child with congenital disorder that affects motor skills and ability to speak). Mom is great to work for and very down to earth, grandma is very type A, germaphobe and nit-picky (but still nice to me and good to patient). The family are naturalists and therefore give patient lots of supplements (ex: garlic, echinacea). They pre pour these things out (they dump them out of the capsules they came in an put them in a jar for me to add water to them) for me and want me to give them to pt via tube. We established in another post that this is not advisable since I am not dispensing the medication. Easy enough fix-I can ask the family to let me dispense them, as I'm sure they would accommodate me. The problem is that i go to school with pt during the day and pt is supposed to get them while there. It would be nuts if the family sent me with all the bottles (its probably about 6 or 7 different bottles and they already have me dragging around pts backpack, emergency bag, giant lunch box, huge shopping bag of sanitized toys and a huge cork board...don't ask)-I don't even know the school's policy on bringing medications). My shift starts as they're loading pt into the car for school so I can't do it before. Plus they're really particular about patient so I'm not sure if they'd be comfortable changing her med times. what would be the best option in this case