brillohead ADN, RN

Cardio-Pulmonary; Med-Surg; Private Duty

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All Content by brillohead

  1. brillohead

    Trach ties...

    brillohead replied to SDALPN's topic in Private Duty

    I wonder if someone did it thinking it would leave an "air gap" between the trach flange and the skin, to aid in healing of a red/raw stoma region? I would definitely question it every time I saw it,...
  2. brillohead

    Call Scheduled for Medical Unit Nurses?

    brillohead replied to Nik.S.RN's topic in Rural

    I agree about only being on call for your normal shift (days or nights). A 24-hour on-call sounds horribly problematic, particularly for those who have transportation or childcare issues that they...
  3. brillohead

    Trach ties...

    brillohead replied to SDALPN's topic in Private Duty

    Well, just a couple years ago, nursing school was still teaching twill trach ties! I've never seen it done with the foam pulled through...what a pain! I'm gonna go with improper training and/or odd...
  4. brillohead

    Two patients one client-revisited

    brillohead replied to ceebeejay's topic in Private Duty

    I've not been assigned to the case (with two kids) that my agency has, so I don't know what the billing situation is (private insurance, Medicaid, waiver,
  5. brillohead

    New job working nights in Home Health - looking for advice in setting up schedule

    brillohead replied to visionary123's topic in Private Duty

    Private Duty Nursing has its own forum: Private Duty Nursing There are also about 842,000 different threads about working night shift on the General Nursing forum. Most people find what is easiest...
  6. brillohead

    Two patients one client-revisited

    brillohead replied to ceebeejay's topic in Private Duty

    Let us know how things work out for
  7. brillohead

    Whooping cough redux; your story?

    brillohead replied to nurseprnRN's topic in General Nursing

    I just saw this article about measles in the Amish, thought I'd share it here. Ohio Amish Rethink Vaccines in Measles
  8. brillohead

    Night shift Home Care 2014? Thoughts Please!!

    brillohead replied to Vam.RN's topic in Home Health

    Sounds like you're talking about Private Duty Nursing, not Home Health? There's a separate AN sub-forum for PDN: Private Duty
  9. brillohead

    Two patients one client-revisited

    brillohead replied to ceebeejay's topic in Private Duty

    I would ask for an increase in pay for the period of time that you are taking care of two children. That equates the increased income to the increased workload/complexity. Also, since the agency...
  10. brillohead

    Two patients one client-revisited

    brillohead replied to ceebeejay's topic in Private Duty

    Not a case I'm on right now, but there is a case with my agency where there are two disabled kids in the same home, and that case pays $7/hour more than the regular rate to account for the fact that...
  11. brillohead

    Nursing notes, need help quick with times

    brillohead replied to Bensonya's topic in Home Health

    This actually sounds more like Private Duty Nursing than Home Health Nursing. My agency requires that we chart "something" at least hourly, so I make sure I have an entry at least every hour. Some of...
  12. brillohead

    Has home health ruined your bladder?

    brillohead replied to TXRN44's topic in Home Health

    Paranoid,
  13. brillohead

    Torn apart in PDN

    brillohead replied to doodlebuttRN's topic in Private Duty

    And for the record, you're not the only one who has become attached.... my guy was hospitalized for a week, and I went to visit him twice. (And while I was there I cleaned around his Mic-Key, brushed...
  14. brillohead

    Bed Bugs!!!

    brillohead replied to tcooks7's topic in Private Duty

    I had an instructor tell about when she was orienting for a home health agency (visits, not PDN). Her preceptor told her, "do what I do in this house, don't sit down, don't put anything on the...
  15. brillohead

    Torn apart in PDN

    brillohead replied to doodlebuttRN's topic in Private Duty

    You already love this child, so it's kind of hard to "pull back". I think the biggest thing to do is fix it in your head that the whole "favorite" thing doesn't matter in the least. Go in, love the...
  16. brillohead

    Bed Bugs!!!

    brillohead replied to tcooks7's topic in Private Duty

    It's really pretty easy to prevent bringing bedbugs home -- they can't climb bare metal, so put your bag on a chrome folding luggage rack like this one. And they are unlikely to be chomping on you...
  17. brillohead

    Water based lubricants moisturizers ?

    brillohead replied to shermrn's topic in General Nursing

    My understanding (and I don't have a source, sorry) is that the tubing material itself can break down due to contact with petroleum products. I know that's the case with Mic-Key g-tubes. Kind of...
  18. brillohead

    Water based lubricants moisturizers ?

    brillohead replied to shermrn's topic in General Nursing

    Petroleum based products are contraindicated with oxygen tubing
  19. brillohead

    How much free water to put in G-tube?

    brillohead replied to JerseyCCRN's topic in General Nursing

    My patient gets 960mL of formula (960 calories, 85% water) and 960mL of water per day. He weighs 53kg, and his weight has been stable for over a year. His urine is clear-to-light yellow. I can't...
  20. brillohead

    buying books

    brillohead replied to Hereford14's topic in General Students

    You can get all kinds of NCLEX study guide books (great for studying during nursing school) and careplan books for dirt-cheap on BetterWorldBooks.com. Most of their stuff is $3.99 with free shipping....
  21. brillohead

    Causes of sudden diaphoresis

    brillohead replied to bruto's topic in MICU, SICU

    Needle
  22. brillohead

    Not all nurses wear scrubs

    brillohead replied to rosen60's topic in Nursing Professionalism

    I'm a Private Duty Nurse right now, and there can be a bit of a bias against that, too. There are two hospitals in my town, and I always get the "which hospital do you work at?" question. I simply...
  23. brillohead

    TEACHERS>>>UMPH>>I"M DONE

    brillohead replied to mycsm's topic in School

    I'm afraid my response would have been, "Here's a quarter, call someone who
  24. brillohead

    CNA before RN

    brillohead replied to HealingThoughts's topic in Michigan Nursing

    Most community colleges have a CNA program that is reasonably priced and certified. I highly recommend working as a CNA during nursing school -- it helps you to have experience in healthcare upon...
  25. brillohead

    If you're thinking about leaving....

    brillohead replied to mluvsgnc's topic in Private Duty

    I think it would depend on the situation. If I'm leaving a particular case because it's just a completely ***** situation, I'd just tell the agency and let them be the ones to tell the family. If...