clearblue3

Hi all! I am a first semester nursing student and in my first clinical. From my understanding "non-pitting" edema was not rated. Is that correct? My instructor has taken points off twice for not rating my "non-pitting" edema. At first I thought s...

Hi! Just wondering why a WBC would be normal in the presence of an infection. This particular patient was admitted with cellulitis. His labs are 5.3 (4.2-10.5). So not even close to being high. All numbers in the differential are WNL. Is it just...

I am not sure if this applies to working for an agency (can you request time off with an agency??) but if you are working as an independent private nurse, how do you ever plan a vacation? One case I work on has plenty of back up nurses and one nurse...

Thanks for the advice! I should add that the family covers shifts that are not covered but they do live over an hour away. I know that it is a major pain for them, but like you said...this job isn't my whole life. It is funny how patients seem to th...

I am surprised the agency only pays for care in the home....clients often go out in the community with their nurses so is there a certain distance from home at which they stop paying? All the nurses I know are independent and bill medicaid on their ...

Hi! I am new to PDN so I just have a question about getting an order route changed :-) My client has an OTC cold med that is ordered to be dissolved in her G-tube but she wants to let it dissolve in her mouth as she has apparently done in the past. ...

Hi! Sorry it took me so long to respond to your comments! Thanks for the suggestions!! My patient is AOx3 but does not have the physical ability to take his own medications. SDALPN, I am an RN, so you mentioned I can change the POC? What we have ...

ok so don't eat me alive for this, but if you were an RN on this case and had questions but no agency, who would you direct them to? For policy questions, forms etc.?

I don't have one. I don't work for an agency. I am hired by the client and bill medicaid directly. The RN at the MD office said she would get me a verbal order for the route change today. I am just trying to contact Medicaid right now so that I c...

Well, thank you...I think. I don't work for an agency. Yes, lack of training can be very scary...however, you make it sound like I am risking my patient's life. I have paperwork questions. I have gone through everything on the POC and have called...

Hi all! I am new to private duty and had a couple questions about meds...my client only takes a variety of vitamins and has an albuterol neb. The POC doesn't have a dose for the neb...just says "one ampule." There is a box of them in the med cabine...

Thanks!! I know the other nurses there are wonderful (and so is the client :-)) so I figured they knew what they were doing...but the worrier in me always has to ask :-) The experience and knowledge on this board is always priceless :-)

Also what do you do if the patient always declines basic assessments....respiratory, GI etc. This is a very stable patient who only used to have CNAs and isn't used to all the documentation and assessment or so he says. I tried to sweetly talk him ...

Thanks everyone!! I don't work for an agency...so no policy there. I think that working without an agency is more common in WI?? It seems like the PDN nurses I meet are all working that way...probably because the pay is much higher and it is very ...

Thanks! And as for the vitamin...the order is for 300mg and the one they have is 1000mg. How do OTC things work? Say you are out and about with your client and they want to stop at walgreens and buy cold meds or supplements etc. can you administer th...

Where I am from, I believe that NPs can also be hired to teach...at least at the associate degree level. So maybe NP would give you the option to work as an NP or teach?

Did you figure things out?? I took mine today and I am on hold too :-/

Thanks!! We had always talked about not choosing the "notify MD" answer in school....funny though since I have had several practice questions that the answer WAS notify MD. But it usually made sense compared to the other answers....maybe it was just...

I work private duty as a caregiver (not RN). Sometimes the client is left alone with an emergency bracelet on. Is this legal? I have refused to do it in the past but the other staff say it is fine. Does Medicaid require round the clock care or is it ...

Thanks caliotter! I agree! It jus isn't worth the risk. This patient doesn't have a vent but I anything can happen! I would be so nervous all of the time! I can't believe they were leaving a vent patient alone. Scary!

I see BuckyBadger....so a case couldn't have all LPNs working on it? I also think that as an RN I wouldn't want to sign off as a supervisor of someone that was working when I wasn't actually there. seems risky? I am really new to all of this so an...

my group only lost maybe 4 by the half way point and then maybe 1 or 2 after that. But there were some groups behind me that lost more....second semester was tough. If you can make it through that you will be fine. Third is also a lot of work, but...

No....they phased out the part-time program :-( yes...some worked and some didn't. It all depends on the person....do you have kids or other things going on as well?? We had students with lots of obligations do well and graduate and then some with...

yes...I see what you are saying. I really have no idea how the LPNs I know are doing things....who is supervising at their non-agency PDN jobs or how that works if LPNs are allowed to do non-agency PDN and bill medicaid...but then of course they won...

Well, in my state the gov. website specifically states that LPNs can do PDN and be bill medicaid with an NPI number, so no, I don't think they are doing it illegally :-) I have no idea what the application asks for though :-)