brillohead ADN, RN

Cardio-Pulmonary; Med-Surg; Private Duty

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All Content by brillohead

  1. brillohead

    Lie on notes? Don't follow care plan.

    brillohead replied to anangelsmommy's topic in Private Duty

    And if we don't take care of ourselves, we can burn out to the point that there won't be any more shifts at all..... better a night off every now and
  2. brillohead

    How much personal info do you share with parents?

    brillohead replied to smartnurse1982's topic in Private Duty

    This wasn't really a situation where a "nurse" was needed, but rather just someone who was capable of caring for a child with a Mic-Key button. An older child was in a drama production at school, and...
  3. brillohead

    How much personal info do you share with parents?

    brillohead replied to smartnurse1982's topic in Private Duty

    Well of COURSE we're making money off their kids.... this is OUR JOB, for crying out loud! This is how we pay our bills, buy our food, and pay for the transportation to get to their house to provide...
  4. brillohead

    Does pdn count in the "real" nursing world?

    brillohead replied to rnrg's topic in Private Duty

    I think it depends on how you sell yourself... The way I see it, PDN / home health involves being autonomous and having critical thinking skills. We have to be able to Macgyver things together to...
  5. brillohead

    HELP

    brillohead replied to erohan's topic in Private Duty

    You'll probably get more responses in the LTC forum, where they deal with lots of dementia patients. Off the top of my head, though, I would recommend things like "busy aprons" (with zippers and...
  6. brillohead

    How much personal info do you share with parents?

    brillohead replied to smartnurse1982's topic in Private Duty

    Actually, the comment about Christmas and birthdays makes me think of Jehovah's Witnesses. I do not typically use Wikipedia as a source, but in this instance, the information is sufficient for the...
  7. brillohead

    RN documentation dilemma -medicaid

    brillohead replied to Real_Ninja's topic in Home Health

    I'm the primary nurse for my agency for one PDN patient, and I did this month's supervisory visit in combination with my regularly scheduled shift. No way in heck would I have filled out that...
  8. brillohead

    How much personal info do you share with parents?

    brillohead replied to smartnurse1982's topic in Private Duty

    I talk about my son and the fact that he plays hockey (and that I drive him 50 miles one-way to hockey practice), and if they are an animal family, I talk about my two rescued black Labs and their...
  9. brillohead

    How much orientation should I expect to receive in private duty nursing?

    brillohead replied to firefly101's topic in Private Duty

    In my area of SW Michigan, hospitals start around $26-$27, and pediatric PDN (through Medicaid) is $21-$22 for RNs (the LPN rate is lower, but I don't know how low b/c I'm an RN). It's all tied to...
  10. brillohead

    What's the funniest most unusual baby name?

    brillohead replied to nirvana1's topic in Nursing Humor

  11. brillohead

    oh, you were just laying down?

    brillohead replied to KATRN78's topic in Private Duty

    :eek:
  12. brillohead

    What might I be doing wrong?

    brillohead replied to bikegal50's topic in General Nursing

    You could also look into Private Duty Nursing, which is shift work (rather than short visits) with just one patient. I never considered it until it was offered to me, and I quite enjoy it -- you get...
  13. brillohead

    What eveyone should know before working in an assisted living facility.

    brillohead replied to sandygirl123's topic in Geriatric, LTC

    Reading comprehension problems? I clearly stated that I would be on the phone to GET parameters if I did withhold, or to otherwise notify the physician of a change in the patient's condition....
  14. brillohead

    Trach ties...

    brillohead replied to SDALPN's topic in Private Duty

    Sounds like you need a new DME supplier.... Pepper Medical ALSO makes the kind with the velcro to connect the two ties
  15. brillohead

    What is a "passing grade" for your nursing program?

    brillohead replied to aspiringrn1987's topic in General Students

    I recommend all nursing students to get a bunch of NCLEX study books and read, read, read. Make sure that your book doesn't just have questions and answers, but also the rationales for each right and...
  16. brillohead

    What is a "passing grade" for your nursing program?

    brillohead replied to aspiringrn1987's topic in General Students

    My program required a 78.0% to pass a class...That was a "C" grade -- a 77.9% was a C- and meant you failed the class and were out of the program. However, that was an average, so you could fail an...
  17. brillohead

    What eveyone should know before working in an assisted living facility.

    brillohead replied to sandygirl123's topic in Geriatric, LTC

    I disagree. If I have orders to give insulin, but my patient's accucheck shows a blood glucose of 60, I will use my nursing judgment to hold the insulin as it is NOT appropriate (read: safe) for my...
  18. brillohead

    The best excuses for positive drug screens

    brillohead replied to rnaturcervix's topic in Ob/Gyn

    My interpretation would be that consent (or a warrant) is only needed for criminal charges to be filed, which is different than CPS taking custody of the child. CPS takes lots of kids without pressing...
  19. brillohead

    Which inhaler needs to be given first?

    brillohead replied to solanim's topic in Patient Medications

    I'm guessing that the OP is a student. Let me give you some advice: NEVER give ANY patient ANY drug if you don't know what it is, what it's supposed to treat, and what the safe dosage amount is. As...
  20. brillohead

    Trach ties...

    brillohead replied to SDALPN's topic in Private Duty

    Not the guaze, the FOAM of the ties is going through the flange. The ties are a foamy strap material with a skinny velcro strap on the end (separate from the wider piece of velcro that fastens the two...
  21. brillohead

    The best excuses for positive drug screens

    brillohead replied to rnaturcervix's topic in Ob/Gyn

    I don't see at as any different from any other screening. Diabetes, STDs, Strep B.... all of these are things that can impact the development/health of the fetus, and knowing about them changes the...
  22. brillohead

    How well do you deal with vomit

    brillohead replied to Infofreak411's topic in General Nursing

    What does swabbing the nares for flu have to do with vomiting? Are there STILL nurses who don't understand that "the flu" is influenza, which is a respiratory illness? Yes, people call it "the...
  23. brillohead

    The best excuses for positive drug screens

    brillohead replied to rnaturcervix's topic in Ob/Gyn

    IMO, it should be a standard test for all pregnant women... if the child's development has been compromised by maternal drug use, that's info that, as a healthcare provider, I would want to have at my...
  24. brillohead

    oh, you were just laying down?

    brillohead replied to KATRN78's topic in Private Duty

    Pass the brain
  25. brillohead

    oh, you were just laying down?

    brillohead replied to KATRN78's topic in Private Duty

    Why didn't she just affix the paci around the kid's head with some trach ties or some twine or