Elektra6

Hi I do PDN but for adult patients. Most patients are long term clients. I had two for over ten years. Some are temporary like post hospital. They can be private pay. Most of my patients are paid by a Medicaid waiver program. They get X amount of nursing hours a day and family takes care of them the rest. I am pretty busy even on the night shift. Patients have tube feeds, medications, baths, treatments etc. Day shift has a lot of Dr appts. Charting is on a program on our phone now. I chart as I go. The MAR is on there too. No more paper. We clock out at the exact time and charting mut be done before we can sign out. Hope this helps

I do PROM and stretching as shown by PT and is in the nursing plan of care. Most PTs are good about giving the family a plan to continue with during the week. Some patients just have this on the plan of care without any PT involvement. I don't work with children so I'm not familiar their sensory issues or have had any dealings with OTs so far. It should say in your nursing plan of care how much and when to do range of motion based on Dr's recommendation. I would not go above that. Hope this helps

34 is a lot. I also started pre Covid mess. I'm not sure what your temp license is though. Most LTC places are similar. Some are better, some are worse. I worked in a good one luckily. The CNAs were union so they made good money and benefits. Maybe try for a few more days before you jump ship? Again ask for help if you need it.

OK. LTC is very hard to start in with only three days of training. How many patients? 30? I had a three week orientation and I still felt frazzled. Getting a little behind on your first day is not bad. You will get faster and better. If you can learn the residents it will make everything so much easier. Don't give up. Ask for more help if you need it and hang in there. It will get better.

Oh wow I went to Excelsior in 2012. I wonder if more states won't approve the LPN-RN program.

You'll do fine! Best of luck

You will be OK if it is a basic care client but ventilator training should be longer. Ask for more days if you need them. Always go and meet a client first before taking a case. Make sure it's a good fit first. Take a variety of clients because they go in and out of the hospital and then you will be without money. At least two or three patients. Hope this helps

Hi I worked private duty not as a new grad but after working LTC and rehab for a few years. I studied for my RN but then I stayed as a private duty nurse. In LTC I was very burnt out taking care of 30 patients. The post hospital rehab patients were hard too. Private duty is easier but can get boring. I miss seeing coworkers all day but not the 30 patients. Since you worked in a hospital and AL you should be fine. Request an orientation on EVERY client. My company has a long orientation process for ventilator patients so I would take that class too. Give PDN a try.

Hi placing it back within that time frame is acceptable. I think they were just upset it got yanked out. Things happen! Don't continue to dwell on it. We just had a fall on a case with a very experienced nurse, 20+ years. It is not always in your control. I do transfer slowly if I can because I think problems happen when you go fast.

Not a bad idea

Does anyone come with you to appointments? I take a patient that transfers via a slide board and have never had a problem with them insisting on a lift even in hospitals but I am there there to assist (nurse). His family never had an issue either, but like I said someone always did the transfer for him. Maybe bring a friend or family member with you if possible next time for backup assistance. That may work.

No I don't regret it. I started in LTC and subacute/rehab. My facility put too much on me by giving me, 30 patients with some of them rehab. I was a new LPN and did pretty well but it was stressful. I didn't know other facilities separated rehab from LTC. They also mixed dementia in. They had no memory care area which made the other residents angry all the time from being bothered by them. It was a shame because it was a great facility and I learned a lot. When they closed and moved to a bigger place I decided to do PDN and study for my RN. After I graduated, I stayed in PDN because I grew attached to the one to one care I could give. I don't miss relying on CNAs to take care of my patient but I do miss coworkers to talk with. I cover too many shifts due to not having enough nurses but otherwise I love it.

Following. In the same boat.

Thank you. This is very comprehensive. When I take my client, who has C-4 quadriplegia to the hospital, not everyone understands autonomic dysreflexia and how dangerous it can be.

Hope they changed the CPNE because that was very stressful. Best of luck to you!