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Night nurse needed: Part-time RN or LPN

1/12/2018

8 Comments

 

Seeking night nurse to join #Teamellie (Edit: ANY SHIFT)

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UPDATE FEB. 29TH, 2018: ALL SHIFTS NEEDED!  Additional hours available through the end of May beyond the schedule posted above.
Seeking reliable, kind-hearted, night-owl nurses to work with our super cool (yes we're biased) almost-3-year-old. We are highly involved parents who have managed every aspect of our daughter's care for her entire life. We're looking for nurses who are ready to learn her regimen and maintain high quality care.

Responsibilities include:
  • Supervising Ellie while she sleeps and managing her night-time regimen, which includes administering medications, managing respiratory care, managing trach care and gtube feeds, etc.
  • Achieveing proficiency in using her cough-assist machine and shaker vest.
  • Being comfortable suctioning her trach and determining when she needs suctioning.
  • Communicating kindly and effectively with the whole team which, besides the nursing agency, includes: parents, nurses and Ellie's older brother, Nathan.

​We are willing to provide training to nurses willing to learn.

Our nurses are like family to us.  We promise to treat you kindly and with respect.  We also understand you probably also have a family so we try to be as flexible as possible with your scheduling needs.


We will be screening candidates, but if selected you will need to coordinate employment with the agency we use.  The job (our home) is in Washtenaw County, MI.

Please email Courtney (Ellie's mom) at [email protected]

8 Comments

Trach Suctioning & Infection Control

1/9/2018

2 Comments

 
Keeping Ellie's suctioning supplies clean is imperative.  Without a streamlined system to keep our supplies clean and a good schedule for replacing catheters, Ellie's risk for infection would be much higher.  Below I'm detailing what supplies we use, where to buy them and how to keep everything clean and rotated.

Supplies

Your Durable Medical Equipment (DME) provider should regularly send you:
  • Suction catheters to suction the trach
  • Some kind of oral/nasal suction - we have Neo Suckers
  • Trach tube
Supplies you'll likely have to supply:
  • Vinegar - gallon jugs
  • Electric kettle for water only
  • Dishwashing tub (the ugly pink multi-use tubs from the hospital work great) for washing supplies separate from other stuff or dishes in your house​
  • Canning jars:
    • 1 quart size, wide mouth jar
    • 2 pint size, small mouth jars
    • 1 short profile, wide mouth 250 ml jar
  • ​Plastic canning jar lids with a hole drilled in each lid.  You can drill your own or just buy pre-drilled lids.
  • Sharpie oil-based paint marker for marking lids to prevent contaminating clean jars with dirty suction catheters

Throughout the day

After suctioning Ellie, this is how we clean the suction catheter and neo sucker.
  1. Dip entire length of suction catheter up to thumb plug thingy (real technical I know) and suck up some 1/4 strength vinegar from jar #1.
  2. Dip entire length of suction catheter up to thumb plug and suck up boiled water from jar #2.
  3. Store rinsed, clean suction catheter in jar #3.
To rinse and store the nose suctioner (getting real techincal again) suck up water from the short jar labeled "nose" or "neo", disconnect suction tube from nose sucker and suction catheter between suctioning so contents from tube don't drip down into clean suction catheters.

Daily

  • Wash and sanitize jars and lids
  • Replace nasal suctioner (neo sucker) and suction catheter
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Tips

We like to color code our jars and lids and keep them different sizes to help avoid confusion.  In the heat of the moment during an emergency you want everything organized and labeled as clearly as possible.  We like to use the color green for the "dirty" jars/lids and purple for "clean".  By using a shorter jar for nose suction, it helps avoid confusion so you know the nose sucker always goes in the short jar.

Our goal is to change out the jars and suction catheter twice daily.  Once daily is the recommendation we were trained on but you can't be too clean with this stuff!  We put the jars and lids in the dishwasher when we run our dishwasher at night and we make sure to run a sanitize cycle.  We let the jars and lids air dry and then store them in a clean, dry cupboard until we need them.  It's good to have at least 3 sets of jars/lids to rotate, two in the dishwasher and one in use each day.
2 Comments
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    Author

    Hi I'm Courtney, Ellie's mom.  Along with my village I have been raising Ellie (and her big brother Nathan) while learning how to live with and support Ellie's physical disabilities and special needs.  It's not easy but our village is amazing.  Thank you to all of you who support us, love us, and give hope, send wishes and prayers.  We are so incredibly grateful for our community.
    With love,
    Courtney


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