ventmommy

ventmommy

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All Content by ventmommy

  1. Tattle tale? Or my duty to report?

    ventmommy replied to CloudySue's topic in Private Duty

    What are the parameters for this girl's vitals in regards to notifying the parents/doctor? Did the Tuesday night nurse note whether her lungs were clear or not? Me personally? I read the notes every...

  2. What' s in your Pt's Go-Bag?

    ventmommy replied to smartnurse1982's topic in Private Duty

    My son had Bivona. They are both so different from each other that I can't imagine how one is a back-up for the other. What years was the larger trach routinely given to as a back-up? I wish to...

  3. What' s in your Pt's Go-Bag?

    ventmommy replied to smartnurse1982's topic in Private Duty

    I'm curious about the larger sized trach. Unless you have a custom trach, a larger diameter comes with a longer length. Without a scope to know the distance from stoma to carina, you'd risk a lot of...

  4. What' s in your Pt's Go-Bag?

    ventmommy replied to smartnurse1982's topic in Private Duty

    Here was ours which was our go-bag/diaper bag Outermost compartment had a plastic bag with: Trach tube, usual size Trach tube, downsize Scissors 2 precut trach ties 2 packs lube 1 chux pad (in case...

  5. Hospitalizations and Pdn

    ventmommy replied to smartnurse1982's topic in Private Duty

    A paramedic can use an ETT through the trach stoma but in most states can not insert a trach tube. Regarding supplies (which seems to be a carryover from another thread), we were never asked to use...

  6. Home care nurse experiencing verbal abuse by family member of patient.

    ventmommy replied to prada5's topic in Private Duty

    Huge bonus that the agency reported WITH you. We have a very, very good nurse (skills wise and personality wise) that was fired from an agency for reporting dangerous conditions to CPS even though...

  7. Hospitalizations and Pdn

    ventmommy replied to smartnurse1982's topic in Private Duty

    As a paramedic, let me put this out there for you. Most 911-based and lots of private paramedics are completely and utterly useless when it comes to trachs and vents, g-tube emergencies, colostomy...

  8. Hospitalizations and Pdn

    ventmommy replied to smartnurse1982's topic in Private Duty

    There is zero possibility that I could have taken my son to a medical appointment (or to the ER) without having a nurse with us since he couldn't be in the car by himself. I know that our nurses were...

  9. Hospitalizations and Pdn

    ventmommy replied to smartnurse1982's topic in Private Duty

    Our hospital only used the ICU vents if there was a respiratory problem and adjustments on the home vent didn't alleviate the problem. We went to the hospital a couple of times by ambulance and a...

  10. Home care nurse experiencing verbal abuse by family member of patient.

    ventmommy replied to prada5's topic in Private Duty

    That's beyond ridiculous. No one should treat someone else like this. She is modeling horrendous behavior for her

  11. Car or Public Transport

    ventmommy replied to souleater11's topic in Private Duty

    I don't really know what the right answer is. Our agency had no signs or stickers on their work vehicles but one of the hospital based home health care agencies has their name and number on every...

  12. Car or Public Transport

    ventmommy replied to souleater11's topic in Private Duty

    Most localities have online resources so you can find out the owners name(s) of any property so a kid with CP and an address would likely be able to get you the family's

  13. Car or Public Transport

    ventmommy replied to souleater11's topic in Private Duty

    Now I am curious how many nurses here can say that they have never told another person a single thing about any patient that when paired with the address would not be a HIPAA violation? How many...

  14. Can a patient be left alone?

    ventmommy replied to clearblue3's topic in Private Duty

    I know from my many years of EMS experience that if EMS is called and it's not an ideal situation, they will contact adult protective services if the adult truly should not be living on her/his own. I...

  15. Car or Public Transport

    ventmommy replied to souleater11's topic in Private Duty

    I disagree with your assessment. Addresses are public knowledge. Any criminal could drive around town looking for a house to break into. But what happens when someone shady drops off your nurse and...

  16. Car or Public Transport

    ventmommy replied to souleater11's topic in Private Duty

    Based on how much nurses have told me about other cases, I find it highly unlikely that the nurse has never said to her partner/friend "oh, tonight I work with a baby that was born at 24 weeks and is...

  17. Trach change disagreement with Case manager

    ventmommy replied to zook1065's topic in Private Duty

    I'm confused by this post and it may just be because my experience is with children. Does your patient have a tube with an inner canula? If not, the ties have to be messed with when you change the...

  18. Car or Public Transport

    ventmommy replied to souleater11's topic in Private Duty

    I wondered that myself. I think the issue is that some stranger has the family's home address. And since most nurses do talk about their cases, the child loses anonymity if the spouse/friends are...

  19. Car or Public Transport

    ventmommy replied to souleater11's topic in Private Duty

    I do not live in a majorly big city and we did have a nurse that used the bus to get to/from our house. I would much rather the nurse take a bus than have random friends/relatives dropping him/her...

  20. No trach experience

    ventmommy replied to chsc's topic in Home Health

    This is a very dangerous situation that you are putting yourself in (for your patient and for yourself). If you are not competent (although proficient would be better) in suctioning, trach changes,...

  21. any OB nurse worked with a gay nurse who has started to transtion into a female nurse

    ventmommy replied to A Gay Male Nurse's topic in Ob/Gyn

    My sister is a mental health therapist that works with TG clients. The one thing that stands out from everything that she has said that applies to you is this: If they are looking for a way to can...

  22. Let go from my first patient - Please help me understand!

    ventmommy replied to cazach0122's topic in Private Duty

    There can be a lot of insecurity in the parental relationship when you have a MF child. Throw nurses in to that mix and it can create jealousy. I know a mom that had a lot of relationship problems...

  23. 485 and facesheets

    ventmommy replied to smartnurse1982's topic in Private Duty

    Global developmental delay does not mean anything close to persistant vegetative state. GDD is a delay in skills in multiple areas of development (speech, vision, motor, cognitive, social). The...

  24. Physical Therapy

    ventmommy replied to raebabelvn's topic in Private Duty

    Totally inappropriate in my opinion. Babies roll because rolling has opened up a whole new world to them and they wish to explore their newly found "freedom" by using this new skill. It's always a...

  25. Sleeping with HMEs (Trach noses) safe?

    ventmommy replied to coraline44's topic in Private Duty

    I know of several trach/no-vent children and adults that are HME or PMV 24/7. I think in all of those cases, the mist collar is just too moist. My son was trach/vent. We used the HME when he was on...