brillohead ADN, RN

Cardio-Pulmonary; Med-Surg; Private Duty

Member

  • Content

    1,781

  • Visitors

    24,858

  • Followers

    0

  • Likes

    85

All Content by brillohead

  1. brillohead

    Home Health Rapes

    brillohead replied to RubicsCube's topic in Home Health

    I've got a migraine just reading about it! BLECH! Smoke is a deal-breaker for me... I just can't handle
  2. brillohead

    Advice on creepy doctors?

    brillohead replied to carterr's topic in Patient, Colleague Relations

    ^^THIS^^ I'm hoping all goes well with your meeting. I'll be waiting with everyone else to hear how this turns
  3. brillohead

    Calling a transgender patient an "it"

    brillohead replied to Angeljho's topic in Patient, Colleague Relations

    You can "unlike" the comment that you "liked" in error.... underneath where you see the list of names of people who liked it, off to the right should be a link to "UnLike" it. Click on that, and your...
  4. brillohead

    New grads and Home Health -placed on Vent Cases

    brillohead replied to ShannonShidler's topic in Private Duty

    Also, please note that I used "typically" and "in my area" a lot in the previous post. There is no hard-and-fast rule on any of this, and things can and do vary significantly from one area to...
  5. brillohead

    New grads and Home Health -placed on Vent Cases

    brillohead replied to ShannonShidler's topic in Private Duty

    "Home Health Nursing" is typically task-oriented intermittent visits -- you go to a client's home to accomplish a particular task (or list of tasks), and then you leave and go to another client's home...
  6. brillohead

    New grads and Home Health -placed on Vent Cases

    brillohead replied to ShannonShidler's topic in Private Duty

    As stated, this is Private Duty Nursing rather than Home Health Nursing. And in the vast majority of states there is nothing preventing the hiring of a new grad for PDN work paid for by Medicaid....
  7. brillohead

    New to PDN, please lend your wisdom

    brillohead replied to spiderslap's topic in Private Duty

    Things I've learned about PDN: * Be completely self-sufficient for your own personal needs. Don't assume that you can drink their water, use their coffee machine, eat their snacks, etc. I look like...
  8. brillohead

    Stories of the pre-vaccine days

    brillohead replied to dinah77's topic in Disaster Preparation

    I don't think this video has been posted before: [h=1]
  9. brillohead

    Does your agency staff private insurance cases before Medicaid cases regardless of acuity?

    brillohead replied to smartnurse1982's topic in Private Duty

    I'm surprised that your agency doesn't have a Task Record (like a MAR, only for tasks instead of meds) for things like equipment cleaning. Things like the days that trachs / vent circuits / suction...
  10. brillohead

    Does your agency staff private insurance cases before Medicaid cases regardless of acuity?

    brillohead replied to smartnurse1982's topic in Private Duty

    Around here, agencies pay the nurses based on the payor rate -- I make $30/hour on my car insurance cases and $20/hour on my Medicaid cases. So that money is being passed along, to some extent....
  11. brillohead

    Reusing suction catheters

    brillohead replied to Gooselady's topic in Private Duty

    None of my Intermittent Straight Cath patients reuse urinary catheters even once, let alone over and over throughout the course of an entire day -- not even the ones with Medicaid. UTIs are hard...
  12. brillohead

    Does your agency staff private insurance cases before Medicaid cases regardless of acuity?

    brillohead replied to smartnurse1982's topic in Private Duty

    I work for an agency that only does Medicaid and an agency that only does private insurance. Pay is $20/hour for the first one and $30/hour for the second agency. If an agency can only bill $40 for...
  13. brillohead

    Reusing suction catheters

    brillohead replied to Gooselady's topic in Private Duty

    I had a client who used homemade acetic acid to rinse the catheter between uses. They only used two per
  14. brillohead

    CNA impersonating RN

    brillohead replied to Heaven-Leigh's topic in General Nursing

    In my area, the kids who are truly medically fragile either have a Private Duty Nurse who accompanies them to / from school, or else they are in a special education room that has its own nurse for the...
  15. brillohead

    CNA impersonating RN

    brillohead replied to Heaven-Leigh's topic in General Nursing

    Ditto this -- Michigan is DEAD LAST in number of school nurses per student in the USA. The school's secretary was the one who slapped bandages on skinned knees and administered medication when I was...
  16. brillohead

    How do you sign your name?

    brillohead replied to ohiobobcat's topic in General Nursing

    Brillo Head, RN And like so many others in this thread, this is also how I usually sign permission notes for my son's school, banking paperwork, etc. Even when I consciously think, "This is not for...
  17. brillohead

    Mic-key Buttons

    brillohead replied to Elle23's topic in Private Duty

    Petroleum products are actually contraindicated for use with Mic-Key buttons as it can break down the silicone in the product (just like using Vaseline with a condom can lead to pregnancy!). You may...
  18. brillohead

    Communicating with Doctors on 3rd shift

    brillohead replied to ButterflyBreath's topic in Private Duty

    Order clarifications all go through my agency office, unless it's an urgent/immediate need that I have to do over the phone in the middle of the night. If I fax something in to the doc's office...
  19. brillohead

    Unfrickenbelievable!

    brillohead replied to pedinurse003's topic in Private Duty

    Holy crap! I worked for a longtime client three nights this week in a hotel so he could attend a school function that was held in another town (still in our home state, so there were no issues w/...
  20. brillohead

    How many hours is too many

    brillohead replied to mb1949's topic in Private Duty

    For my cases, the hours are "per week" and the parents can decide when/how to use those hours. Most of my cases have 12 hours / 7 days a week for a total of 84 hours a week. The parents could use...
  21. brillohead

    Why is it so hard to find part-time work?

    brillohead replied to mclennan's topic in General Nursing

    Must be a regional thing..... there are all kinds of part-time PDN positions available in my area. Good
  22. brillohead

    Getting more hours as an OR RN?

    brillohead replied to mhy12784's topic in Operating Room

    Not sure if you're interested in non-OR nursing at all, but you could look into Private Duty Nursing. It's very easy to pick up part-time work in PDN, particularly on weekends. The downside is that...
  23. brillohead

    patient requests hand mitts

    brillohead replied to newone2015's topic in Emergency

    Am I the only one who cringed, flinched, and crossed my legs upon reading
  24. brillohead

    Mispronunciations That Drive You Nuts

    brillohead replied to ixchel's topic in General Nursing

    My first in-laws were from Bowling Green, Kentucky. I was in that family for two whole years before I realized that "Lovell" (LUH-vul) was actually Louisville (LOO-ee-ville)! (It probably doesn't...
  25. brillohead

    Mispronunciations That Drive You Nuts

    brillohead replied to ixchel's topic in General Nursing

    Maybe it was originally "immortal" hell and it was morphed into