Hello! I recently took a job with a home health agency. I took a PRN position and am wondering if I should have done so. I have a few questions, so I will start with the one concerning IVIG. I was hired by an LPN, who runs the company. The problem is that LPN's cannot infuse IVIG, so she therefore cannot provide me any training regarding this. She has me set up with a patient who receives IVIG and called the patient to inform her that I would be coming TOMORROW without even asking me. The patient had the supplies taken to her house and is awaiting me in the morning. My problem: I have been a hospital RN for three years, but have only given IVIG once or twice. I have an order for the specific rates to infuse, and understand that I need to monitor vital signs, lung sounds, etc. However, I am unsure if I need to piggyback it into something (Like NS with blood?), or if I run it alone. Also, I know that PRBC's cannot be run over 4 hrs. Does IVIG have any time restrictions? The LPN told me to take about five hours, but when I calculate the rates given to me, it seems like it will only take 2 and 1/2 hours. I am very concerned about administering something I am not comfortable with, but feel obligated as she set this up without my knowledge. I called the patient to see if I could set it up for another time, and she started crying!! I am really unsure what to do, and appreciate any help!
Ok, so for my other questions. I am wondering if this job is like all home health agencies, or if I should start looking for another job. I am an RN, I took a PRN position because I am attending school full-time for my MSN. I was told I could choose my own hours and own patients being PRN. My manager called me today with two days worth of patients - one admit, and other supervisory visits and recertifications. I have never done any of these. She gave me the forms and told me they were pretty self-explanatory. I did not receive any training and am worried about completing things I never have done before. I do not have home health experience. The agency has about 80 or so patients and is currently picking up more, and only has one full-time RN and myself (there are also a few LPN's). I feel like I am going to be expected to see many more patients than I was told I would if there is only one other nurse (who is also brand new). I had to ask them to give me equipment - cuff, gloves, thermometer. I was told they didn't have pulse oximeters and other things because they aren't Medicare certified yet. I feel like they have just thrown me into this and I have no idea what I am doing!!! I'm sorry for writing a book here - I have no one to ask about this stuff!! I appreciate any advice, thanks for taking the time to read this!! :)