Guest guest Posted July 29, 1999 Report Share Posted July 29, 1999 Just a quick question for any and all! We have been having a real hard time with our nursing staff again, we have been offered LPN'S as there doesn't seem to be many RN's available. THe LPN's are high tech, pediatric nurses. has a trach, GT fed, some remaining cardiac issues, some kidney issues other that that is healthy and happy! I am getting burn't out with all my open time, I am concerned that once I take a LPN my insurance co. will cut me to all RN's and I don't want to lose my current RN's. any comments? thanx, Cathie, mom to 4 CHARGEr Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 30, 1999 Report Share Posted July 30, 1999 just my 2 cents I'm a HIGH TECH PEDS LPN, I've been in home care 5 yrs now, (almost 2yrs with Maeve) Most Home Care cases are staffed with LPN only because the Ins.Co. can pay us less, definately not because we are less quailified. The RN in our area are used for paper work & supervision. is probably an RN/LPN case, in which case you won't lose your RN when you use LPNS.....but the agency or your case worker should have explained that to you.(you're in NY like me right?) hope that helps a bit LEE P.S. Do you all meet Maeve at the conference? she's a doll isn't she?! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 30, 1999 Report Share Posted July 30, 1999 Cathie, Like some of the others who have responded, we too had a few LPN's who worked for us. The insurance company never " downgraded " us to all LPN's. We had 5 years of private duty nursing (7 days /week - 16 hrs/day). We had it in our contract that the nurses the company provided were " critical care " pediatric nurses. (Tim had 3 open-heart surgeries by age 2, had a trach and was tube fed.) Most importantly, we also had in our contract that the services were " guaranteed " . That is, if a nurse called out, the company would provide us with a back up within hours. In five years there was never a missed shift. Just my experience...... Donna Tim(13), (12), (9) and (5) Hamilton Square, NJ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 30, 1999 Report Share Posted July 30, 1999 Just two more cents: We tried to keep RNs for during the time she was home on a trach. Mostly because she would end up every now and then on IV home therapy due to severe ear infections or dehydration. In Indiana only an RN can do an IV stick. (Or maybe an LPN can only do it with special certification in a hospital setting? Sorry, I've forgottent eh specifics.) If it needed restarted, an RN would have to have been called and it would have been a greater expense than just placing an RN on the shift in the first place. And was a very hard stick, too. If you are not looking at needing IVs in the home, I would feel entirely comfortable with a high-tech trained LPN. We did use them when we did not have iv therapy going on, and were happy with most of our staffing. Friends in CHARGE, Marilyn Ogan Mom of Ken (10) and (7 - CHARGE), Wife of Rick Indianapolis, IN oganm@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 30, 1999 Report Share Posted July 30, 1999 Donna in NJ: You are so lucky to have had your nursing agency provide backup. Ours doesn't, so when someone calls in sick, we are just out of luck. In fact, our agency is really ticking us off right now. We only have one nurse, she's full-time, 8 hours 5 nights per week, but we really need all 7 covered. It's been 6 weekends now in a row with no night coverage. When school starts in the fall, (my husband and I are teachers) we will be getting a new day nurse, but we still won't have a backup so if she calls in sick, one of us has to stay home from school. As the kids say, that really " bites. " RN vs LPN: We've had both, it didn't seem to make much difference on our end, but the LPNs can't write orders or do any of the " important " paperwork. Just my 2 cents. Anne Vanderbloemen mom of 2 Charge Madison Wisconsin Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 31, 1999 Report Share Posted July 31, 1999 Sclee127@... wrote: > > From: Sclee127@... > > just my 2 cents > I'm a HIGH TECH PEDS LPN, I've been in home care 5 yrs now, (almost 2yrs with > Maeve) Most Home Care cases are staffed with LPN only because the Ins.Co. can > pay us less, definately not because we are less quailified. The RN in our > area are used for paper work & supervision. > is probably an RN/LPN case, in which case you won't lose your RN when > you use LPNS.....but the agency or your case worker should have explained > that to you.(you're in NY like me right?) > hope that helps a bit > LEE > P.S. Do you all meet Maeve at the conference? she's a doll isn't she?! Lee, I meant Maeve by accident on the shuttle back to the airport. She reminds me alot of my MacKenzie, a sweetie. Keep up the good work. It looks like she has some fine parents there as well. Tell them I really enjoyed chatting with them. Thanks. Jeanie Colp mom to MacKenzie 14mos. CHARGE Nova Scotia, Canada Quote Link to comment Share on other sites More sharing options...
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