Posts Tagged ‘private duty nursing’

Thank a Nurse in Your Life

Friday, May 10th, 2013

It’s National Nurses Week, and there’s no doubt about it – we’ve got a lot of amazing nurses here at PHS. Whether they’re coming in to patient homes for a private duty nursing shift or an infusion visit, our RNs and LPNs are simply the best. Nurses undoubtedly have some of the best stories from experiences on the job, and throughout the week we were able to hear some of them – and wanted to share!

Why did you choose nursing as a career?

“My first child was a very ill child.  He in was in the hospital for many months and I did all his nursing cares that I could in the hospital and at home (like many of our families).  Once he was on the road to recovery, I went back to school for nursing.” - Lacee

“I chose nursing because of the passion I have for caring for people who cannot help themselves. Because of this passion, work doesn’t seem like work; rather, it feels like a ministry, giving my all to my patients and feeling complete at the end of my shift. I enjoy it so much!” – Ebie

“My mom told me all through my childhood and adolescence I should be a nurse.  After spending a couple years at UMD, I decided to make the switch to nursing and I couldn’t imagine doing anything else.  It’s a perfect fit! I guess mother really does know best…but don’t tell her I said that!”  – Stephani

“I have always wanted to work with children, the flexibility of hours and job locations, from working in a lab to delivering babies, there are nurses everywhere!” – Holly

What is a memorable story from the road on your way to see a patient?

“One of my patients had a turkey for a pet (and it was about as big as a large truck tire!) that I didn’t see it as I walked up toward the house and didn’t know it was a pet. It gobbled at me and starting running toward me… I dropped my bags and ran away (probably screaming). Then the patient came out laughing and yelled to me it was a pet just like a dog – could have fooled me!” – Chrissie

“On the way home from an 11 hour shift in which nothing seemed to go right, I was exhausted, driving in snow, freezing because my heat hadn’t kicked in, and dreaming of my bed.  I saw an older man lying on the side of the road with a police officer standing over him.  My nursing instinct told me to stop, so I did and asked if I could help.  Turns out the man had fallen on the ice after crossing the street and thought his ankle was broken.  So I sat down on the ice, gently unlaced and pulled off his boot, and pushed his jean leg up.  Yep, broken ankle.  So I sent the cop into the nearby gas station for ice and sat there with him for 20 minutes before the ambulance arrived, put the splint on, and got him into the ambulance and off to the hospital.  That night I wished I had driven my husband’s car with heated seats because my back side was frozen solid!” – Alicia

“I once drove in blizzard conditions (should never have been on the road) to pull a PICC line on a 4 year old. I had tried to convince mom it could wait until the next day, but she had promised her daughter it was coming out this particular day – so I went. When I got there, she had finally gone outside and said to me- You should never have come today!” – Jill

What is your favorite or best nursing moment?

“I think most shifts because almost every day there is at least a little forward progress made.  We may not always see it, but when I think about where they were when I started with them and where they are today, I can see the improvements.  I don’t know if they would be progressing so well if they were not with their families, living life and seeing that there are things to look forward to, and having us come to them rather than sitting in a hospital away from their families and all of the fun they can have in their own home.  Every day with the kids make me smile, which gives me at least one best moment every day!  – Alicia

“Watching patients fulfill goals; watching babies “firsts,” being given a hug of appreciation, hearing “thank you for giving me the time of day, thank you for listening, thank you for being patient with me.”   – Danielle

“Seeing my first client successfully decannulated and on his way out of needing PHS nursing care. On my last shift with him he woke up in the night needing some comforting and pulled my hand into his crib and held it in his lap for a few moments. He hadn’t reached out to me like that before as I had only been with him for a short time, but it really touched me. His family and him were a wonderful family to be welcomed into PHS by and it was a privilege to be a part of their journey!”  – Ashley

“Hearing a previously trached kiddo who never vocalized, make noises and audibly cry for the first time.”  – Holly

To celebrate the amazing work they do, we finished the week off with an ice cream social to say thanks to the nurses who do such incredible things for our patients, community and company. They truly make a world of difference. If you’re a nurse, we are so grateful for the work you do. If you know a nurse, make sure to thank them for the care they provide to so many day in and day out!

Shelby’s Make a Wish trip: Days 5 and 6

Monday, May 6th, 2013

We were thrilled when we found out that one of our patients, Shelby, was granted a Make a Wish to Florida where she can spend time exploring, playing and being the amazing two year old that she is. Follow us as we follow her, giving you updates on what Shelby is doing and where she’s going. To learn more about Shelby’s story, meet her here.

Day 5

Shelby had a fun day going back to Disney for more rides and fun!

She loved riding in a race car and flew with Dumbo. She even came home with some pretty princess clothes!

Day 6

Shelby spent the day at the resort swimming and riding the carousel.

She and her sister went to the magic tree where they both got princess pillows – it was a fun end to a great day and trip!

We had a great time following Shelby as she met princesses, went swimming, played with dolphins and rode carousels- and hope you did too! She is one amazing girl, and all of us at PHS love seeing her thrive.

Shelby’s Make a Wish trip: Day 4

Thursday, May 2nd, 2013

We were thrilled when we found out that one of our patients, Shelby, was granted a Make a Wish to Florida where she can spend time exploring, playing and being the amazing two year old that she is. Follow us as we follow her, giving you updates on what Shelby is doing and where she’s going. To learn more about Shelby’s story, meet her here.

Day 4

Shelby spent the day at Universal Studios park, where she played with Nickelodeon characters.

She also had a lot of fun going on the “choo choo” at Suessland…

…as well as the carousel at Give Kids the World. It was a busy day of rides and fun!

We can’t wait to see what Shelby has coming up! Check back in regularly to keep up with her latest adventures.


Shelby’s Make a Wish trip: Day 3

Wednesday, May 1st, 2013

We were thrilled when we found out that one of our patients, Shelby, was granted a Make a Wish to Florida where she can spend time exploring, playing and being the amazing two year old that she is. Follow us as we follow her, giving you updates on what Shelby is doing and where she’s going. To learn more about Shelby’s story, meet her here.

Day 3

Shelby had another fun filled day in Florida! She went to Disney World…

…where she rode rides, watched princess shows, and even got to spend time coloring and playing with the one and only Minnie Mouse.

Shelby had a great day having wishes come true!

We can’t wait to see what Shelby has coming up! Check back in regularly to keep up with her latest adventures.

Shelby’s Make a Wish trip: Days 1 and 2

Monday, April 29th, 2013

We were thrilled when we found out that one of our patients, Shelby, was granted a Make a Wish to Florida where she can spend time exploring, playing and being the amazing two year old that she is. Follow us as we follow her, giving you updates on what Shelby is doing and where she’s going. To learn more about Shelby’s story, meet her here.

Day 1

Shelby started her trip out in style on a private jet to Florida. As nurse Megan said, “Just call her Beyonce!”

They have arrived! Mom, dad, Shelby and her sister get settled into their home for the next few days before starting on their adventures.

Day 2

Shelby went to Sea World where she got to pet dolphins…

…and stingrays. She had a great time feeding all the sea creatures.

We can’t wait to see what Shelby has coming up! Check back in regularly to keep up with her latest adventures.

Know the Nurses: Arlun Saelee

Tuesday, April 9th, 2013

Today in Know the Nurses we’re introducing you to one of our private duty nurses, Arlun Saelee, RN, BSN, who has been with PHS since May 2012 . We already know these nurses provide comprehensive, round-the-clock care for patients in their homes every day, but here are a few fun facts about Arlun you might not know.

A photo from Arlun's recent Hawaii trip

  • Working at PHS has opened my eyes to another generation – pediatrics. Prior to this I only worked with adults and now I’ve grown a passion for working with kiddos.
  • I love to travel – I just came back from Hawaii a few weeks ago; visited family and relaxing at the beach was the best part! I’ve been to Las Vegas, California (San Francisco, San Diego and L.A.) and Florida (Ft. Myers and Orlando). My next trip is to Chicago in May.
  • I attended college at Minnesota State University, Mankato, where I obtained my BSN.
  • I am a proud pet owner to my 18 month old miniature dachshund, Sophie.
  • I love playing sports – or attempt to! My favorite sport is volleyball.
  • My favorite season is spring because of my birthday, the beautiful weather and the blooming flowers.
  • I am the youngest of 5 and only girl.
  • I went into nursing because I had a passion to care for others and helping others has always made me feel good. I enjoy knowing I can help to make a difference in someone’s life, and seeing them develop and accomplish goals is so rewarding.
  • I have 9 nieces and nephews; and two more on the way! I am a very proud aunt.
  • I am a fan of Minnesota sports teams – the Twins, Vikings, and Timberwolves

    Arlun spends time with her nieces and nephews

  • I am also a big UNC basketball fan – go Tarheels!
  • I was born in Thailand – someday I would love to travel there and see where I came from.
  • I speak two languages – English and my native language, Laotion.
  • The most adventurous thing I’ve done is para-sailing on spring break last year in Ft. Myers, FL.
  • Being a nurse is so rewarding and brings tons of joy to me.

We love learning more about private duty nurses and hearing their stories. Do you know a PHS nurse who you’d like to see highlighted?

Celebrating Tube Feeding Awareness

Wednesday, February 13th, 2013

Our dietitians ready to talk with staff about blenderized diets

Blend Your Brunch

Feeding tubes play a big role in the lives of many of our patients, giving them the nutrition and strength to live their lives to the fullest extent. So when we heard February 10-16 was Feeding Tube Awareness Week, not only did the dietitians get excited – our whole office joined in on the fun and partook in “Blend Your Brunch”, where we enjoyed fruit smoothies while learning about feeding tubes and the blenderized diets that our dietitians assist PHS patients with. Check out pictures from the event here on our Facebook page!

Passport to Feeding Tubes

We don’t just focus on feeding tubes one week a year – our dietitians spend time leading all of the new PHS private duty nurses through an interactive, hands-on class called Passport to Feeding Tubes, where participants spend time learning about different types of feeding tubes, from enteral to nasal. With each type of tube representing a ‘country’ that they get a stamp in their passport for visiting, they will soon have a full book and a better understanding of the different types of feeding tubes they may work with in our patients homes. And that kind of learning ensures our nurses are the most confident in their skills, which leads to the best care for our patients.

Nutritional Resources

If you’re looking for ways to talk with your child about their great feeding accessories, we were recently introduced to a fantastic activity book that Abbott Nutrition has put together for children who are tube fed. Tube Feeding at Home talks to kids who have feeding tubes, with each page including an activity your child can do as you read stories about Emma, her family and her friends. Print this book out for some fun learning and coloring!

Abbott has also put together a resource packet for parents filled with general information on tube feeding at home, covering topics like the feeding process, types of formula, methods, and infection prevention. Of course, your PHS dietitian is always the best resource for any questions or concerns you might have, but this provides great tips and general processes related to tube feeding at home.

Added 2/26/2013: The parENtalk Program, which was created to provide an educational resource for parents and caregivers who are new to the tube-feeding journey, has created a parENtalk kit. This kit includes a tube-feeding guide, nutrition guide, tube-feeding at home DVD, and a children’s book about a tube-fed child. To learn more, you can visit the parENtalk website where there are additional resources and support from other parents of tube-fed children, or call Nestle HealthCare Nutrition at 1-800-315-9795.

All of us at PHS are thankful for the amazing opportunities that feeding tubes afford our patients. What opportunities has your child had thanks to their feeding tube?

Martindales: Raising 10 Children Takes Faith

Friday, February 8th, 2013

Pediatric Home Service, PHS, Homecare, Martindales, Infusion therapy, respiratory therapy, Shwachman-Diamond Syndrome, FAS, private duty nursing, nutrition, adoption, thrive

All of the Martindale children

For many years, PHS has partnered with Faith’s Lodge – a peaceful retreat for people coping with a serious illness or death of a child. And for one PHS family, Faith’s Lodge was an integral part of their recovery process after losing a son and has continued to serve as a resource as they raise 10 children, some medically-complex. The Martindale family leads an extraordinary life, and mom Julie blogs about it at Not Just an Ordinary Life.

The Beginning of Their Journey

The Martindale’s adventure began with the birth of their first son, Tyler, who is now 21 and lives in Kenya.  After their daughter McKenna was born with disabilities, Julie and Mark remember realizing how many children there are who have disabilities and need homes. ­­­­­

“We first adopted Aaron, who is now 21 and has cerebral palsy. He’s the happiest kid around, so he made caring for kids with special needs look easy,” Julie says. She and Mark then adopted Hope, now 18, Jordan, 16, and Brennan, 14. All have fetal alcohol spectrum disorder. Thinking they were done adopting, Kaden, now 8 years old, changed their minds. At 8 months old, his prognosis was that he would never walk.

Today, Kaden deals with FAS and ADHD and a few other conditions. And his prognosis was right: he doesn’t walk; he runs! He no longer uses a wheelchair.­­­

Precious Time at Home

Pediatric Home Service, PHS, private duty nursing, FAS, infusion therapy, respiratory therapy, homecareRight after Kaden joined the Martindale family, his brother Evan was born addicted to cocaine and meth. The hospital asked Julie and Mark to take care of this baby with a trach and ventilator, “so we got trained, ready and brought him home,” Julie remembers. “This is the first time we were exposed to PHS, who guided us through every step. He came home at 13 months, and was with us for about three weeks before going into cardiac arrest.”

Evan passed away at the hospital the next day. But as Julie explains, “Without PHS, Evan never would have come home. As hard as it was, it was so amazing and miraculous that he came to us; we were able to give him a family. We knew it was meant to be, and that he was supposed to come home.”

Gaining Strength

Mark and Julie then adopted Elijah, now 6. Diagnosed with Shwachman-Diamond Syndrome, the doctors explained to them that he would die without a bone marrow transplant, but wasn’t strong enough to live through one – they recommended taking him home, loving him, and hoped he’d get strong enough to handle a transplant. And at 5 years old, he did.

Chatty Little LadyPediatric Home Service, PHS, private duty nursing, FAS, respiratory therapy, infusion therapy, tracheostomy

Then Maisy was adopted, and came home on a ventilator 23 hours a day. 27 surgeries later, this spunky 5 year old has a pacemaker and still deals with FAS, but has been weaned off her vent and was decannulated when she was 3.

“Within about 15 minutes, she started talking, and she has not stopped,” says Julie.

Finding the Right Cares

The youngest Martindale, Isaac, is now 3. Healthy at birth, he contracted a virus at 10 days old that attacked his brain and after being shifted around foster homes, he ended up finding a place to call home with the Martindale family. Now, Isaac has grown into a happy, interactive boy after finding the care that fit his needs. “So Isaac is our last. But we’ve said that before,” Julie says with her calm smile.

“PHS was in our home at the hardest times of our lives, getting us set up to care for kids with special medical needs. Faith’s Lodge was our home when we needed time to grieve and heal.  PHS and Faith’s Lodge both help our family thrive,” Julie says.

And we’re so happy to be with them on their journey.

Patient Spotlight: Meet Noah

Friday, November 23rd, 2012

Pediatric Home Service has always lived by the mission of ‘taking care of the child‘, we have made it our goal to always provide the best care for our patients and their families, every single day. In our new monthly Patient Spotlight segment you’ll read stories and see pictures of some very special kiddos and their families. PHS kids truly do thrive and we’re excited to be able to share their stories.

A little background

Noah is and active and fun 16 year old who has been diagnosed with Cerebral Palsy (CP), epilepsy and has a history of recurrent pneumonia. Pediatric Home Service provides Noah with his in-home nursing care and infusion therapy treatments and we’re glad to be able to help keep Noah safe and at home where he belongs. Despite Noah’s medical complications, nothing is holding this young man back, Noah is all boy (as you can see from the pictures below)! He loves being outside, playing with animals and riding through the woods on the hay truck. In early October, Noah was granted a wish from Wishes & More making it possible for he and his family to visit Confidence Learning Center for a weekend of fun.

A glimpse into the fun

Noah’s favorite part about his trip was….everything! He loved the slipper slide, the glass-bottom boat, and the many hay rides. He pet bunnies, laughed hysterically over the grunts and “burps” of Frankie the pig, fed deer out of his hand, was kissed by a deer on the forehead, screamed in joy as we went bumping down the hills in the hay truck, loved playing in a pile of leaves, and loved giving hugs to everyone he knows and loves.

PHS is thankful for organizations like Wishes & More and Confidence Learning Center for making it possible for our patients to get out and thrive in the community.  In addition to these two organizations we want to give thanks to Noah’s parents and all of the parents of medically-complex kiddos. Your role is never ending and you deserve recognition for all you do for your children.

Patient Spotlight: Meet Garrett

Tuesday, October 23rd, 2012

Pediatric Home Service has always lived by the mission of ‘taking care of the child‘, we have made it our goal to always provide the best care for our patients and their families, every single day. In our new monthly Patient Spotlight segment you’ll read stories and see pictures of some very special kiddos and their families. PHS kids truly do thrive and we’re excited to be able to share their stories.

Good things come in small packages: Garrett’s story

We learned that Garrett would be born with Spina Bifida and Arnold Chiari II Malformation during a routine ultrasound when I was approximately 20 weeks pregnant.

After he was born we spent a little over a week in the NICU.  We were home for a week before rushing to the ER, where he was admitted to the PICU for six weeks.

Garrett continues to beat out the odds

Garrett needs frequent suctioning.  He aspirates, so we are very careful about the tastes he takes by mouth.  We have nebs on hand at all times and give them at the first sign of respiratory illness.  We have our PHS Respiratory Therapist, Carrie, in-home nursing to help us monitor him and his pulmonologist is updated weekly, so any change in his health status is quickly addressed.

We are very proud of how far Garrett has come!  We worked with PHS and our team of health care professionals to take him from being on a ventilator 24/7 to only needing it while sleeping.  PHS Dietitian, Teresa helped Garrett transition from not consuming anything orally to taking small tastes of yogurt, pudding, and apple sauce.  The majority of his nutrition is a blended diet through his G-tube, which he handles so well that we have been able to decrease the medication he takes for reflux.  He is walking great.  His speech was delayed, but he has always worked hard to communicate – first with sign language, and now, most people can understand just about everything he says!  He is very smart – he knows his colors, numbers, letters…  I could go on and on!!

Garrett’s favorite things

Garrett loves to play and watch sports – baseball, basketball and golf are his favorite right now.  He plays on a Miracle baseball team in the summertime.  (Garrett’s PHS respiratory therapist, Carrie had a great time cheering him on at his game this past summer.) He also likes to read books, sing, play with Play-Doh, blow bubbles, go to the park, and wrestle with his older sister.

phs, pediatric home service, thrive, homecare, respiratory therapy, nutrition services, spina bifida, arnold chiari malformation II

Left to right: Garrett with his mom, dad and older sister; Garrett walking off the field at the Miracle game after a great inning; Garret with PHS RT Carrie.

The difference of homecare

We first learned about PHS by a social worker at the hospital. When Garrett was in the hospital, our goal was to get him home as quickly as possible, PHS helped make that dream a reality.  Being able to care for Garrett at home means more time together as a family. My husband and I would have to split time between the hospital with Garrett and at home with our daughter. It also allows us to give him more opportunities to be out in the community, so that he can develop socially as well as physically and cognitively.

If you’d like your child to be featured in our monthly Patient Spotlight on the PHS Thrive Blog,  just send an email to dmakerson@pediatrichomeservice.com and we’ll touch base with you for more information and pictures of your All-Star.