kaliRN

kaliRN

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All Content by kaliRN

  1. How do I transfer non ambulatory pt from WC?

    Agree with all above and enjoy the dialogue on here and multiple responses especially Ktiger spot on information- ceiling lifts are often the ideal solution for space, ease of use, limited disruption...
  2. Does your agency still use paper charting?

    Can any of those who posted about using electronic charting share what systems they are on? We are looking at potentially converting but have thus far only found charting modeled for intermittent...
  3. If you provide PDN services at school?

    Agree that there’s certainly challenges with using a school nurse - just giving the OP another perspective as I would if she was one of my patient’s parents to consider. This might be a...
  4. How to make a PDN job appealing?

    I would ask your agency the question on hours, for us, there are certainly ebbs and flows to nurse availability, with the most difficult to staff almost always being weekend and NOC hours (which it...
  5. Terminated in probation - no reason given

    The entire response was Hppy was very insightful, I did want to add the review of your personnel record is also subject to state mandates. In our state, the employee may request to review AND receive...
  6. Forced 24 hr shift

    As all have stated, you need to look out for yourself and be able to guarantee your patient’s safety so you don’t end up making a costly error where your license or your patient’s life is at...
  7. Forced 24 hr shift

    This is spot on - child or adult - willing and available caregiver should be a requirement for any agency in my opinion (here it’s state mandated but I would absolutely make it a requirement to be...
  8. Is my situation normal?

    I find this statement so sad “the agencies encourage this behavior because the nurses are expendable” - my nurses are the reason our agency stays in business. They are the very backbone of what we...
  9. Is my situation normal?

    It does not sound worth it to your mental or emotional health, if this was reported to me by a nurse I would work to re-staff them with anything I had available and then explain to the family exactly...
  10. If you provide PDN services at school?

    Is it your choice to have a PDN nurse attend school with your child because the school is using trained medical 1:1 aides and you are uncomfortable with this? Have you explored requesting/ requiring...
  11. How do I transfer non ambulatory pt from WC?

    Just wanted to provide a last bit of encouragement, do not feel like you have to disclose your injury to refuse this case. Simply state the truth, that there is no lift in the home and the child is...
  12. How to make a PDN job appealing?

    Well I hate to read that, having a trained nurse employed to provide skilled nursing services for a child who qualifies for them is the exact reason these programs are in place, a parent is certainly...
  13. How to make a PDN job appealing?

    Not sure where you are located, but here in California, recruitment is the most difficult part of the job. LVNs are required to have a year of experience before working for an agency and reimbursement...
  14. How do I transfer non ambulatory pt from WC?

    Parents may be resistant to putting a Hoyer lift in their home and counting on agencies to place “stronger” nurses or “only male” nurses (males and females all only have one back) Our agency...
  15. Ask Me If I'm Safe At Home

    @Ruby Vee Thank you for being courageous enough to share your story so transparently, I felt the mental and emotional turmoil so powerfully. Brought me to tears - so grateful your resilience is...
  16. I thought this the best place to ask this question. I wonder what you may have seen that worked well for clients in the home as an alternative to a hospital bed - to aid in giving the client some time...
  17. So I recently learned on allnurses that California is the only state that has mandated nurse-patient ratios. I was honestly shocked and found it educational how hard fought a battle that was and how...
  18. Since your case was "sealed" there is different access based on the company performing the background check. Be thoughtful when filling out applications about your disclosures. Read carefully the...
  19. Teaching clause

    Check the stickies on this board. Also - have you asked your agency? Generally they have a wealth of resources. At ours, we have the patient sign a copy of handouts/education materials left in home....
  20. RN: 1 pt, this could possibly be a vent

    I got "lucky" and came into the position of clinical supervisor at my private duty agency. I was working a private duty case - the opening occurred - and my administrator thought I would be a good...
  21. It is refreshing to hear that so many nurses are working with ratios that they feel comfortable with to provide safe care. As I read through so may threads on here - it seems that nurses are being...
  22. Landed my first HH job!!

    Congratulations on this new opportunity! I hope you enjoy it and it fits you. So wonderful you had a shadow day ... I think that makes all the difference in taking the first steps into a very...
  23. Medication orders

    Home Health agencies who are Medicare/Medicaid certified are regulated by the Centers for Medicare/Medicaid Services. Here is an excerpt regarding verbal orders from the Medicare Benefit Policy...
  24. Moving to Guam

    I just wanted to state that I find this thread even at old as it is a tremendous source of misinformation. While I believe any person moving to a new location should visit before moving and creating a...
  25. Making Reservations for the ER

    There are several local hospitals that are allowing patients to make reservation to the Emergency Room. I don't work in the ER - but I just don't "get" how this is an acceptable practice. Would you be...