I am so glad this topic came up in the email. I am the lone LPN at the HHA. We have at this time ONE staff RN and ONE LPN doing visits. They can't seem to keep anyone. The two of us have been there over three years, besides us, they can keep a nurse more then a month. Kind of tells you what crap we put up with, literally. So, when our FT aide went on vacation they'd use one from another office, and have me fill in one or two while she was gone. This was ok, but I would have liked to be asked if i'd do it. So, they fire the FT HHA and use an aide from another agency. When the borrowed help was on vacation, I did the weeks worth of aide visits. Ok, so this was a rough week, and thanks again for not asking me if I'd be willing to do it. Then we had about 15 or so HHA visits a week. The "borrowed" help soon would no longer help because she wasn't being appreciated. So, guess who now has ALL of the aide visits! They tell me, "Do you know anyone that could help?" No, unfortunately I don't, so one would assume they'd go posting ads, since they pay me the LPN salary for HHA work. The HHA job is no joke, it doesn't take a lot of education, but it takes a LOT of core strength and more patience then i've got. I haven't seen ONE ad for this job anywhere that I should so this leads me to think that no one is going to apply if they don't know its open! It's been two weeks that i've been doing aide visit and nursing visits. The aide visit take me MUCH longer to complete then the SN visit, so in essence i'm getting paid less because i'm not able to do as many visits in the day. Then, I go to my aide visit today and the wife is standing in the driveway, waving at me with her sunglasses on and keys in hand. I get out and she yells, "everything is out for you, i'm going to get my oil changed, I won't be back just let yourself out." Ok, so I do this, walk inside and find my bed bound patient COVERED in BM. It was very obvious it was old b.m. i've worked in the nursing home long enough to know the difference between fresh, and hours old. So, she likely let him stay in it, knowing that I would be coming this morning. Add 15 more minutes to an already hour long visit. This just pushed me over the edge. I already have a hard enough time telling people "NO I am just the aide today, I can't change that nasty bandage that obviously needs to be changed, let me call the office to see if a nurse is available." Then, I have to refuse to answer any other questions, like medication related questions. Of course, I find things likely only nurses would notice, which then causes me to have to call the office to call the MD, because i'm just the 'aide' I can't assess things like increased edema while i'm there, cause I can't take orders as a HHA! Sorry this is long, and i'm ranting because i'm coming off a 10.5 hour day of 4 aide visit and 4 sn visits. I called our HR department twice today because I want to know if I can be TOLD to be the HHA, because that wasn't the job that I applied for and I don't remember it being on my list of responsibilities that I signed when I was hired.