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  #1  
Old May 02, 2008, 01:02 PM
BumblebeeRN (Female)
Registered User
Join Date: Sep 2007
private duty RN!

I had a patient the other night, who was 6 months old, there for surgery, and the mother was accompanied by a nanny.
poor nanny was up all night, telling me about every little sound the machine would make.
and when diaper changes, the mother would call me so I could help the nanny.
this woman did not lift a finger for that little baby!

How do you approach a parent like that?
and tell them in a nice way that you are not their private duty nurse and that they need to get up and change their own child?

I just did it anyways, but I did not want to do anything.

, I didn't want to ask, but it reminded me of how my mom worked as a nanny and would travel to the US when I was little with the rich family she used to work for.

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  #2  
Old May 02, 2008, 02:31 PM
Senior Member
Join Date: Aug 2002
Re: private duty RN!

Sometimes it is just easier to take the path of least resistance and go ahead and do the task anyway. The effort it takes to think of a tactful or not so tactful way of getting the mother to do it, is probably not worth the slight worry about whether this person will complain. People like this are likely to complain about any little thing that is not to their liking. Look at it this way, who would do it if the nanny and mom weren't there and you didn't have an assistant? Yes, you. So I would save myself some irritation and do it myself. However, I think I would make a point of making this a "teaching" moment, (who knows, maybe she really doesn't know how to change a diaper), and chart it accordingly. As a matter of fact, I would make it a "teaching" moment every time this scene played out. JMO.

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  #3  
Old May 02, 2008, 07:05 PM
BumblebeeRN (Female)
Registered User
Join Date: Sep 2007
Re: private duty RN!

you are very right, I didn't chart it accordingly, but next time I get a patient like that, I will in the teaching portion "diaper changes: teaching reinforced"
LOL

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