PerfectlyPlump ADN, RN

Peds, developmental disability

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All Content by PerfectlyPlump

  1. PerfectlyPlump

    How do I start my own Private duty nursing?

    PerfectlyPlump replied to Karilynnmorgan's topic in Nurse Entrepreneurs, Innovators

    But, if you ARE able to start your own company, you will earn a much better hourly rate for your
  2. PerfectlyPlump

    How do you do nights?

    PerfectlyPlump posted a topic in Private Duty

    This topic is not altogether new, but we have new posters who work the night shift. What is the secret to doing 2 or 3 twelves? The tiredness really creeps up on me and my motivation is poor after...
  3. PerfectlyPlump

    Uncooperative child with trach/on vent

    PerfectlyPlump posted a topic in Private Duty

    If your trach patient (child) or patient on a vent is not cooperative, for whatever reason, I am sure there are challenges. What are some of the tricks or techniques you have used to avoid a mishap,...
  4. PerfectlyPlump

    Uncooperative child with trach/on vent

    PerfectlyPlump replied to PerfectlyPlump's topic in Private Duty

    I was referring to the trach tie used as a holder to keep things
  5. PerfectlyPlump

    Uncooperative child with trach/on vent

    PerfectlyPlump replied to PerfectlyPlump's topic in Private Duty

    Very
  6. PerfectlyPlump

    Uncooperative child with trach/on vent

    PerfectlyPlump replied to PerfectlyPlump's topic in Private Duty

    What were some of the things you tried before resorting to the
  7. PerfectlyPlump

    What do you do when you have cancelled shifts?

    PerfectlyPlump replied to tots24's topic in Private Duty

    That answers that. I can't argue with
  8. PerfectlyPlump

    How do you do nights?

    PerfectlyPlump replied to PerfectlyPlump's topic in Private Duty

    It looks like, for some people, night shift is--all or nothing, for their
  9. PerfectlyPlump

    New PDN; sent in papers now what?

    PerfectlyPlump replied to ceebeejay's topic in Private Duty

    Teach and vent changes my opinion. Sorry. You are getting into deeper water. My PDN agency gives and requires LOTS of training, including days with a preceptor, before we can do that level of
  10. PerfectlyPlump

    New PDN; sent in papers now what?

    PerfectlyPlump replied to ceebeejay's topic in Private Duty

    Adult private duty is definitely safer than peds, and I hope this case works out for you. I have family in NY and I know that unemployment is a widespread dilema. It sounds like you have arranged...
  11. PerfectlyPlump

    New PDN; sent in papers now what?

    PerfectlyPlump replied to ceebeejay's topic in Private Duty

    I have some thoughts. Since you are a new nurse, wouldn't it be better to get acclimated to private duty PEDs as a hired nurse, with training and supervision? I have done PDN for over two years and...
  12. PerfectlyPlump

    She won't give me a chance!

    PerfectlyPlump replied to Elle23's topic in Private Duty

    Pretty sure it is the
  13. PerfectlyPlump

    Any good "nurse" shows on tv? Netflix?

    PerfectlyPlump replied to Joe V's topic in Nursing Humor

    I like Bones. It has no nurses, but lots of anatomy, trauma, cause and
  14. PerfectlyPlump

    What do you do when you have cancelled shifts?

    PerfectlyPlump replied to tots24's topic in Private Duty

    That puts you on quite a roller-coaster. I know. Well, we had better keep it positive. for our own sakes. After all, WE ARE THE
  15. PerfectlyPlump

    What do you do when you have cancelled shifts?

    PerfectlyPlump replied to tots24's topic in Private Duty

    That porch-waiting scenario is a good example of what CAN
  16. PerfectlyPlump

    What do you do when you have cancelled shifts?

    PerfectlyPlump replied to tots24's topic in Private Duty

    Speaking of cancelled shifts..... Right now, I am in a period of no work at all! My case cancelled me when I was on vacation! The reason was clearly a matter of personal preference...nothing went...
  17. PerfectlyPlump

    How does your agency handle narcotic counts?

    PerfectlyPlump replied to Loodlow's topic in Private Duty

    No, families do not record on the MAR, and controlled meds have not been counted, as far as I have seen. They were not locked up either, and there were plenty of family members around. Of course, it...
  18. PerfectlyPlump

    Can a PA-C sign off on Doctors Orders in Home Health Agency

    PerfectlyPlump replied to torshi's topic in Private Duty

    In my years in private duty home care, and also long term care, I have never received orders from a P.A. The prescriber has always been a doctor or nurse
  19. PerfectlyPlump

    The reason I want to leave PDN (vent)

    PerfectlyPlump replied to SDALPN's topic in Private Duty

    SMA is bad that way because they don't have the strength in their muscles to clear their airways, for anyone who hasn't seen SMA. Thank God for the cough
  20. PerfectlyPlump

    Diagnoses you've seen?

    PerfectlyPlump replied to CloudySue's topic in Private Duty

    This is an interesting aspect of PDN! Some I have encountered, starting with heart: Tetrology of Fallot, Pulmonary (valve) atresia, then neuro: Spina bifida, Acardi Syndrome, traumatic brain injury,...
  21. PerfectlyPlump

    Anyone have some cheese?

    PerfectlyPlump replied to eeffoc_emmig's topic in Private Duty

    When the OP first posted it, I believed it.
  22. PerfectlyPlump

    Perks of the Job???

    PerfectlyPlump replied to CloudySue's topic in Private Duty

    Once people loose their sensitivity to right and wrong, maybe they consider the cheating to be some kind of sport, or challenge to their
  23. PerfectlyPlump

    Anyone have some cheese?

    PerfectlyPlump replied to eeffoc_emmig's topic in Private Duty

    Who fines a company for failing to cover a shift? Why? And is that in every state? I don't see how they can promise perfect coverage...and I think the displeasure (and subsequent migration) of...
  24. PerfectlyPlump

    new grad, PDN, and experience for the hospital

    PerfectlyPlump replied to clearblue3's topic in Private Duty

    It seems universally believed that as a new grad it is best to get hospital experience. In Texas I even think the BON had stated that new grads need to be in facilities and have supervisors and...
  25. PerfectlyPlump

    Ugh, the MUSIC!!!

    PerfectlyPlump replied to CloudySue's topic in Private Duty

    Hmmmmmm............................................................................