Hasn't happened to me yet in this healthcare setting but I work in a pretty large hospital in a suburb of Boston. About half my local friends and neighbors get their health care through this hospital. As far as I know there is no stated policy dealing with what happens if you come in to find out your neighbor or friend's aunt has been assigned to you as a patient.
In previous job settings I have either (at a clinic) approached the patient I knew and explained to them that I was assigned to them but they had the right to request another caregiver if they were uncomfortable, the decision was in their hands and I would respect their choice or (previous hospital setting) removed myself from their care if feasable. Both times I had checked with Admin and nope- no formal policy.
I am thinking of moving to Home Care which would be an even more intimate and therefore potentially uncomfotable situation. (I would like to be assigned to a local area if possible as there will be a great deal of travel even with local assignment).
For those who work and live in smaller communities this must be almost inevitable. Questions: How have other caregivers handled working with friends/ acquaintences as patients? What policies are in place at other hospital/ clinics/ or agencies? Any expeiences to share or words of wisdom?