PerfectlyPlump ADN, RN

Peds, developmental disability
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PerfectlyPlump is a ADN, RN and specializes in Peds, developmental disability.

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  1. PerfectlyPlump

    How many hours is too many

    It surprises me that your agency is so loose about all this. As a licensed nurse, you need orders just to be in the home, according to my understanding! This is what protects the public and the nurses. Call it Plan of Care, or 485. You surely ne...
  2. PerfectlyPlump

    PDN role at school

    How did you find out that it is illegal to transport patients? Does your agency give the nurses that information?
  3. PerfectlyPlump

    PDN role at school

    Actually, I do watch my patient. It is not hard with the rear view mirror in the small care I drive. If need be I can quickly pull over and get back there in this small town setting. She is quite stable, with no history of respiratory issues, no se...
  4. PerfectlyPlump

    PDN role at school

    Being at school I end up doing 3 times as much lifting as I do't at home. They don't act like they want to handle her. And for various reasons I am driving her to school. So I load carseat, stroller and bucking preschooler in and out twice. PDN ...
  5. PerfectlyPlump

    PDN role at school

    Being at school I end up doing 3 times as much lifting as I do't at home. They don't act like they want to handle her. And for various reasons I am driving her to school. So I load carseat, stroller and bucking preschooler in and out twice. PDN ...
  6. PerfectlyPlump

    Never a "thank you"...

    Wow, I am impressed. I stayed home yesterday due to icy conditions. You are dedicated!
  7. PerfectlyPlump

    Best thermometer for kids with aversion to touch

    Some patents pity their child and/or don't wasnt to anger them. (touch aversion) Some just think their child " never gets sick". Some want to be in charge, and therefore tend to give the nurse commands. Of course, it makes no sense.
  8. PerfectlyPlump

    PDN role at school

    Thanks, Sue, you hit it......I just need to construct ways to set boundaries that won't negatively affect their view of my patient.
  9. PerfectlyPlump

    Best thermometer for kids with aversion to touch

    I keep running into situations where the kid or parent or both don't want to be bothered by taking temps. So, I use the small, quick temporal as fast as possible. Maybe that's why some nurses make up temps - stubborn parents. I never have.
  10. PerfectlyPlump

    PDN role at school

    OK, I need to be more specific. My question is not about the healthcare needs, which I, of course, will handle. It is about lifting and transfer from one activity to another, and all-over use of time, for a child who, left to himself, just plays on ...
  11. PerfectlyPlump

    Transporting 17yr From Tub to Walker

    This is not a dumb question! I ALWAYS ask about a lift with an adult-sized person. When you orient is a great time to find out if this case is within your ability. I had a pt. that age and my size who could and would help himself, and was a delig...
  12. PerfectlyPlump

    PDN role at school

    When you go to school with a child as his PDN, what do you do there? I am asking in terms of early elementary level, and I already can see that every district is different. That said...... What do the teachers and aids do for/with the child? Do you ...
  13. PerfectlyPlump

    Want to become a CDE

    Never mind. I read some earlier posts....Liability, of course! Teaching can be risky. It is all about risk and reimbursement. Too bad what healthcare has become.
  14. PerfectlyPlump

    Want to become a CDE

    In my current position I have no contact with diabetes. But a friend has it, and is welcoming occasional counseling. She is overwhelmed, and desparate for information. This has me thinking... What about volunteering? Why couldn't a nurse set up co...
  15. PerfectlyPlump

    Peripheral pulses - I'm not entirely convinced they exist!

    It helps me to use two hands to feel for the dorsal pedal pulses. I lay my second and third fingers from both hands on 'the spot', and I can often feel it quite quickly.