brillohead ADN, RN

Cardio-Pulmonary; Med-Surg; Private Duty

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All Content by brillohead

  1. brillohead

    How much do you make?

    brillohead replied to middleagednurse's topic in Private Duty

    Must be nice to have those kinds of funds available -- your patient is very, very
  2. brillohead

    It drives me nuts when....

    brillohead replied to SDALPN's topic in Private Duty

    Client gets hospitalized on Thursday, but nobody tells anyone. I get a call from the on-call supervisor three hours before the start of my Sunday shift telling me that I've been called off. I had...
  3. brillohead

    What counts as PDN?

    brillohead replied to KateyBug's topic in Private Duty

    Worker's comp is
  4. brillohead

    What counts as PDN?

    brillohead replied to KateyBug's topic in Private Duty

    NONE of my jobs are private pay, out-of-pocket costs for the client. All of my services are paid for by either private health insurance, paid for by private auto insurance (for patients who were...
  5. brillohead

    What counts as PDN?

    brillohead replied to KateyBug's topic in Private Duty

    Private Duty Nursing is doing a whole shift (typically 8-12 hours at a time) in a patient's home, providing NURSING care. This is different than being a Home Health Aide, who also works a whole...
  6. brillohead

    Pt stable with a very low Bp?

    brillohead replied to sugar12's topic in General Nursing

    I've personally been A&O with a BP of "56 over I'm not sure.... ????" (taken in my doctor's office when I was being checked out for syncope). Not sure how low it actually was to cause the...
  7. brillohead

    Thinking of moving from the hospital to home care

    brillohead replied to daisyRN1's topic in Home Health

    I was going to suggest Private Duty Nursing (what caliotter3 meant by "extended care home health") over Home Health Visits. With PDN, you do an entire shift in the patient's home. You provide all...
  8. brillohead

    the "sleep-nazi"...(please take no offense, I didn't)

    brillohead replied to bb007rn's topic in Private Duty

    Oh, and I'm the biggest Hydration Nazi you'll ever meet when it comes to my SCI patients! Why do they not like to drink????
  9. brillohead

    the "sleep-nazi"...(please take no offense, I didn't)

    brillohead replied to bb007rn's topic in Private Duty

    I have two different clients who could make a sailor blush with their potty mouth language.... and when I'm with them, I "speak their language". I have another client who is a very conservative and...
  10. brillohead

    I'm just as good as you...

    brillohead replied to rnrg's topic in Private Duty

    My standard response is, "I do Private Duty Nursing. I work overnights keeping medically fragile individuals alive in their homes so their parents can sleep." Most people are satisfied with that, and...
  11. brillohead

    How do you all cope with stress and overbooking?

    brillohead replied to KateyBug's topic in Private Duty

    I struggle with the "saying no" part. When you've experienced a week or more of no pay b/c your regular client is in the hospital, you're not eager to alienate second/third agencies who are offering...
  12. brillohead

    How much do you make?

    brillohead replied to middleagednurse's topic in Private Duty

    Is the family independently wealthy? Where does their funding come
  13. brillohead

    Regulating Feeding Times When Pt is Getting Continuous Feeding along with PO Feeding

    brillohead replied to NURKeish's topic in Home Health

    Actually, it sounds to me like you're doing Private Duty Nursing rather than Home Health. PDN = shift work in the home, several hours at a time, usually 8-12 hour shifts. HH = short visits to the...
  14. brillohead

    Question Re Medicaid Pediatric Private Duty

    brillohead replied to SLHLPN's topic in Private Duty

    One of my cases involves a teenaged boy who is on a vent and must be cathed Q4H. He has three adult siblings living in the home in addition to the two parents who are authorized as "able to report...
  15. brillohead

    Diaper Changes

    brillohead replied to Nibbles1's topic in Private Duty

    I have a 25yo DD client that I'm constantly battling diaper rash on, including yeasty stuff. My fave routine is lots of direct air exposure and, provided that it's not a respiratory...
  16. brillohead

    What's the funniest most unusual baby name?

    brillohead replied to nirvana1's topic in Nursing Humor

    [h=1]Mutated Pediatric Names Linked to Higher
  17. brillohead

    some people might not like this, but I though it was funny...

    brillohead replied to psu_213's topic in Nursing Humor

    OMG, if I had a nickel for every time someone says/posts, "The only time I ever got the flu was a year that I got a flu shot!" and/or "Every time I get a flu shot I get sick 2 / 3 / 10 / days later,...
  18. brillohead

    It drives me nuts when....

    brillohead replied to SDALPN's topic in Private Duty

    Backwards layering of the "chux" disposable blue pads. I work with adult-sized patients, and one chux is not enough coverage, so we put two down with them overlapping. Typically the distal pad will...
  19. brillohead

    Attachment to patient and vice versa

    brillohead replied to BertG77's topic in Private Duty

    If you do figure out the parents, please share... I think we'd all love to understand that!
  20. brillohead

    Attachment to patient and vice versa

    brillohead replied to BertG77's topic in Private Duty

    The family I've been with for three 12s/week for over six months is going to find out soon that they're only going to have me for one 12/week starting in October. Rather than being grateful for what...
  21. brillohead

    If you could change medicare/medicaid...

    brillohead replied to SDALPN's topic in Private Duty

    I specifically remember someone posting here that they didn't understand how their patient had approval for nursing hours, b/c all the kid had was a GT and he/she was perfectly healthy in every other...
  22. brillohead

    If you could change medicare/medicaid...

    brillohead replied to SDALPN's topic in Private Duty

    My question is, why do stable kids with *just* a GT get state-paid nursing coverage in the first
  23. brillohead

    Recycling HMVs?

    brillohead replied to middleagednurse's topic in Private Duty

    You could suction the loogies out of the HME as soon as she hacks one up, then switch it out and let that one air dry before putting it back on her. That might keep the filter from disintegrating and...
  24. brillohead

    How much do you make?

    brillohead replied to middleagednurse's topic in Private Duty

    Basically... the state decides "we will pay $XX.XX/hour for LPNs doing PDN work and $YY.YY/hour for RNs doing PDN work"... taking into account the typical wages for nurses in that area, cost of...
  25. brillohead

    3rd shift challenges in home care

    brillohead replied to ButterflyBreath's topic in Private Duty

    Also, I spread my assessment out as appropriate throughout the shift, particularly for a relatively stable patient with whom I am already very familiar in general. For example, I don't flip them all...