mzsuccess

Thanks! I really appreciate you. So if the concentration was 3ml? You will give the 3ml, correct. LOL trying to figure out how to tell my instructor she’s wrong.

Thanks ! That’s what I was getting. However, not understand why my classmates are getting the 1.5ml.

This is the concentration, just giving you an example. But this is what it read. Sorry if it’s confusing.

This is the box that it comes in. Everyone is getting the 1.5mls as 0.15ml. I’m not understanding where to draw up at all.

It reads give 150mg/ml

Hey It’s for a depo shot it says to administer 150mg that’s it. 150mg equals 0.15mls right. Why would my instructor have me use this syringe? I’m sorry if I’m sounding slow. My instructor told me the 1.5ml spot is correct but I’m not understanding. I didn’t mean bevel thanks for catching ?

I know it makes me sound slow and dumb but oh well. If a med reads give 150mg that equals 0.15ml correct? How is this drawn up on a 3ml syringe? If the bevel is at 1 1/2 wouldn’t that be 1.5ml and not 0.15ml? Thanks

She has demonstrated the skill, the first week she would actually do it herself. I would chart refused. Not sure what other nurses charted. But I finally got her to let me do it because I needed to assess for irritation or infection. But I definitely will do something soon because I don’t feel like a NURSE here. She asked to come to my home the other day because she and Mom got into it. She said other nurses would let her anytime it happened. I told her to call her brother. ✌? But the reason the lines are so blurry here is because the manager constantly crosses them by buying gifts and going out for drinks.. that’s a whole other story. I was on the phone with pt doing a virtual appt and the MD was talking to her in this weird baby voice and she was exaggerating saying she had a fever. I was like no your temp is such and such... the headache.

Hey! Her Care Plan is centered around her having a Trach that she cleans and change all the time. The reason I know is because while I was doing it, she told me I was the only nurse that cleaned her Trach, the others would let her do it herself. So I’m confused, does a Trach require a skilled nurse if a PRN is able to perform tasks by her self? And she DOES have a driver license.

WOW!, You really opened my eyes I guess insurance fraud isn’t really common. I heard her say one day to her ex coworker that she gets paid to do nothing and sit on her a** all day. I was like OMG. I can’t people will actually fraud the system this way. I’m not feeding into the putty anymore. Oh! I definitely will. Her and her Mom even said she can work and get a job doing delivery and have the nurse do the deliveries for them! Fraud!

I mentioned what the pt told me because I’m pretty new to this case and wanted to know exactly why she needed skilled nursing because the agency couldn’t be specific ( red flag) my notes are pretty much recording intake and output, Trach cleaning, cleaning up, and monitoring. She’s had skilled nursing for 4 going on 5 years. I don’t even know the MD that initially signed off, from my understanding she has swelling issues and had to have a Trach to maintain a patent airway. She does EVERYTHING else. I actually feel sad for her, because she’s looking for attention and the only way you can show it to her and by giving her material things. She puts on an act in front of her family. I should have know something was up whenever she goes to the hospital her brother and sister would say she’s running to the hospital again for no reason and even her Dad thought she was faking. So now she focus on her “Trach”. Does every pt with a Trach qualify for a skilled nurse?

I’m just curious, the pt told me she was told by the MD she will need skilled nursing care and cannot he left alone. This pt also plays on this, I believe to get sympathy from her family. She’ll act as if she’s so sick and etc. So I’m not sure how she got nursing care but she can do everything on her own. I’m thinking she had it because she had a cuffed Trach and couldn’t talk but now IDK. I feel like a buddy sitting there and a maid. She acts as if walking is too much for her and everything. She’s been through a lot and IDK what’s going on physically but all her labs are normal. The Drs are saying nothing is wrong with her and talk her off some of her meds because they she’s becoming addicted.

Katie, You probably couldn’t perform those tasks and in that case I wouldn’t mind. My other pt is a Quad and she does as much as she can. I don’t mind helping her with dinner, tidying up and etc. But this pt is fully functional to do so. But acts if she can’t and doesn’t want to because we are her hands and feet. She babysits daily, the baby poops she handed me a diaper one day and then wants me to clean up behind her nieces and nephews and take poppy diapers out. Plus she wants me to buy things on my dime. I’m a single Mom I’m not buying expensive shoes and birthday cakes that I wouldn’t buy for my own child for an adult who’s 30. Heck, she’s older than I am.

You are so right. I’m going to let the agency know after this pandemic is over why has been going on. But if nurses allow it and so forth then yes it’ll continue on. And trust me a lot of them quietly walked away. I know one of her nurses from her previous agencies that she reported “spoiled” her with gifts. Let her come to her home and etc. She left and when my pt calls her she doesn’t even answer.

You’re absolutely correct. However, it says skilled nursing and she’s had nurses for 5 years now so I think she gets it. I think this pt tries to take advantage of the nurses a lot and like having ppl to boss around. She feels just because she has a nurse she doesn’t need to do things and the nurses are her arms and legs and it’s not happening to me. Like to ask a nurse to buy you sneakers for over $200 and a birthday cake for $100. I’m there for 12 hours and starving because the patient literally begs for my lunch and her nieces and nephews.

They have her down for skilled nursing. I guess because we are sitting much of the day it irks the pt and family. But I’m not going to be a maid, sometimes I completely ignore her demands. I also know that I have no grounds with the other nurses on the cases doing whatever the pt ask such of maid duties and an agency backing their request.

WOW!! I hate switching jobs but I will have to soon I know. It’s very uneasy going there. But truth of the matter is agency won’t protect me or back me up. Thanks!

Medicaid, like I said now I ask myself why am I there but it’s all I can do as of now to focus on school and being a mom. As soon as this pandemic is over I’m switching cases if one comes open and if not I’m leaving.

Excuse me? Just because I’m an Lpn you think those lines can easily get blurred. I am a nurse and was hired as a nurse. ?

Thanks for responding! It’s only one other case, which I have one day on. It’s also full, if I leave this case- I won’t have FT hours. But the manager ( the owner) agrees with them. She’s even told them she pays the most to her nurses in the area and we should be doing a lot more so there goes that.

Hello! I hope everyone is safe during this his time. My dilemma is I work for a small home health agency. I love the company and the hours, as it allow for me to study for my RN ( currently an Lpn). Well one of my pt while she’s sweet and her family is OK. The things I experience there is starting to bother me. They have this motto as if your job is in my hands sort of thing. Like you have to do whatever, plus they down talk the other nurses which also upsets me. I tell them to let the manager know their concerns. But these are some of the scenarios. My pt is 30, has a Trach but does everything else, smoke, drive, walk, can cook.. everything. Somehow she doesn’t want to do anything. I make her bed and take out the trash for the whole house and will wash dishes occasionally. She babysits her nephew who’s one. The baby will be up ( while my pt is sleeping) asking for food and drink. ( mind you I can’t eat while there because the baby and my pt begs for my lunch) She will have her nieces and nephews over and they’ll make a mess, her and her family expects for me to clean up, vacuum and wash dishes. The baby has a poopy diaper ( they expect for me to take it to the trash) they live in a apartment complex so it’s a walk. If someone in the family is sick they bring them to me? For me to assess them. I ask them to f/u with their PCP. Then my pt and her mom will talk about all of their financial issues in front of me. My pt asked me to buy her $240 pair of shoes $150 birthday cake. shes always asking for things and to come to my home. My pt is a lesbian I have nothing against LBGT. but she makes comments like “ set me up with a girl like you” or sits to close to me and tries to touch my hand. when family is over she’ll say things like it’s clothes in the dryer or things like she’s giving commands. Asks me to organize her closet and drawers. Like I said it’s only two cases right now and both are full. What should I do? Am I being too harsh and over the top ?

I know. Which sometimes can cause a power trip. Like the other day she tells me in front of her entire family “ it’s clothes in the dryer”. It’s to the point where her and her family are seeing us as maids and the agency has them thinking it’s OK.

Hello, thanks so much. what if both are PRN? That isn’t common right? Amazing! Thanks

Can a patient use both of these at the same time as they both contain albuterol? My pt pulmonologist sent both one to use prn QID and one to use TID. I looked up interactions it only mention both can lead to possible rare albuterol OD. I called the Dr for clarification. The MAR says Duoneb. I know this may sound extremely dumb. The lead nurse said the pt can use both but I just wanted to hear from others. Thanks!