Calling all HH Nurses, roll call - page 7

Hi, as a newly appointed moderator, I want to live this forum up a bit. I just resigned my position as a HH supervisor, to go back to the field. I have been a nurse 20 years, 17 in critical care,... Read More

  1. by   caliotter3
    Not to mention being in a bad area, going out, and finding your car stolen.
  2. by   renerian
    Did you have your car stolen???????Holy smokes......and I thought the gun and drugies looking for needles in my bag was bad?????? tell us what happened!!!

    renerian
  3. by   caliotter3
    renerian

    It wasn't me. It was a home health aide I knew. Of course, since you have to carry your own insurance, she was on her own. She decided it all wasn't worth it and went to work in LTC. She said she wasn't surprised and was just glad that she didn't get hurt in the process.
  4. by   renerian
    True and I am glad she did not get hurt........

    renerian
  5. by   sjsap
    Home health care is a great job! Having just switched from 20 yrs hospital nursing, the biggest adjustment was the paperwork. Most of my patients so far have been really rewarding for me to provide care to. I did have a frightening experience with a patient who was mentally unstable but needed home care services for CAD, DM, Liver disease. While I was doing the OASIS assessment, he became frustrated with his phone(he wasn't giving me his full attention due to his mental incapacity) and called 911- they sent the cruisers and an EMT squad to investigate the patient because he was well known to them. Their first question to me was "What are you doing here alone- this man is dangerous" Then they asked him for all of his weapons (several guns and various swords/knives) and told me to leave with them and not return alone. I told them no problem- Has anyone got any advice for those newbies in the field?
  6. by   outbackannie
    The safety factor should have been determined before you were sent out alone to make this visit.

    Sounds like Divine Intervention that the patient dialed "911" and they responded.

    Remember that you do not have to accept an assisgnment in which you do not feel safe. Shame on the individual for making the referral to your agency if they knew that a visit might be risky.
  7. by   hoolahan
    Welcome sasjp. Holy Smokes!! What an experience!! How scary!!! Sounds like the man needs inpt facility!!

    I don't know if you guys have heard yet, 2 days ago a home health aide was murdered in the home of her elderly client. The client was upstairs in the 2-story home, and very HOH, so she heard nothing. The poor woman wasn't discovered until the client's dtr came over b/c no one was answering the phone,and discovered the body. No word yet as to any suspects or how this happened. In NY.

    As far as getting referrals like that, our agency does takes any referral, and puts us at risk regularly, all b/c we have an escort, who many times has been know to escort us to the door and leave to get coffee, one nurse had to page the sup from her cell phone to find him, was stranded in a BAD neighborhood while he was getting his freaking coffee. Numerous c/o, no change. Sigh!

    What I hate the most is when they instruct me to enter a home from the back, and I have to walk between an alley, or in multi-apt homes, going in the fornt door, close it, and there is absolutely no night,try the switch, nothing. Very scary. No street signs, I have to count the streets on the map and hope a little alley didn't count. Broken glass all over the streets. Having to park far from a home in a bad neighborhood.

    On the plus side, the elderly are usually well-connected in their areas. I drove up to one bad neighborhood, and I mean BAD, and on the corner, guess I stuck out like a sore thumb, a man said, "You the nurse for Mr J?" Yes, "He's down there, just go straight until you get to the next guy." Next guy point to where they saved a place for me to park, and escorts me to the door. This was a good thing, b/c not one house on the street had numbers on it!!!! Home Health is always interesting!!!!!
  8. by   renerian
    Hoolahan I have not heard about the aide.....how horrible. I did have a patient pull a loaded gun on me and pull the trigger. Said it was a joke, he was off his rocker at the time, ended up having one bullet in the chamber.


    HOme health is scarey,

    renerian
  9. by   LoisJean
    Well, guys- long time ago when doing private duty for inner city folks, I was subjected to rock throwing, gun waving, various hollered threats and had my car graffitied. (The graffiti wasn't too bad--nice colors and only one bad word, so I left the art work and painted over the word). I made a sign to fit in the back window of my car: "I am a Nurse. I do not carry drugs, needles or money. If you want to hurt or kill me, go ahead--but please wait until I've seen to my patient." I never carried a purse; I stuffed a bit of pocket cash, my drivers license and my nursing license in a front pocket; I always wore blue jeans and a white smock top with large pockets. I kept my steth around my neck and put cuff and thermometer in smock pocket. I carried a clip board with my noting material. I tried to keep everything in sight as much as possible. I walked straight and steady-I put a look on my face like I knew exactly where I was and what I was about (). I was able to carry through with my work for another 6 months until moving up north when I remarried. Now, mind you, my work was free lance. No employer was telling me to go into those places-so, I was the only one responsible for the decision to do that...but then, I also made the decision not to go after sundown when the werewolves and vampires come out.

    I know what can happen to us when we venture in those areas--I have several acquaintances who have been raped, beaten-you get the picture. I personally don't think any nurse is obligated to enter those areas without a well thought out plan for survival. Because all of you are sent out by your agencies, then those agencies are responsible for you. It is their absolute responsibility to see to it that you have safe passage. No escort has the right to leave you at the door. That person ought to be stuck to you like glue.

    Wish I could come up with a magic wand to wave over all of you to keep you protected. Let me say that nurses like you are my heros! :kiss Some of the neediest people are the ones living in the inner cities....elderly, disabled, mentally ill, homeless and the hopeless. From time to time I still go to the inner cities alone to provide free foot care at missions and free clinics.

    Peace and Safe Passage for all of us
    Lois Jean
  10. by   renerian
    Yes we home health/hospice nurses deal with some scarey stuff. I started my new job as a hospice clinical director today and I am going to love it.....

    renerian
  11. by   sjsap
    Whoa- what experiences you all have to share! I got goosebumps reading about the home health aide- may she rest in peace. My boss was not clued in to what this man's psyche risk really was and was horrified when she heard my tale- I stopped the OASIS right where I was when the police came in and wrote "interview terminated due to police activity" across the page I stopped at. I told the agency manager that the man did need some sort of home services but it was not going to be me providing them! I called his mental health team and told them what had happened so they could follow up, but I still feel like I have been in Jeffrey Dahmer's living room! What I do try to do is similar to what Lois Jean said she does- walk straight and steady- and I am 5'10 inches in bare feet and have been told by a few of my patients that I "cut a rather imposing figure". To which I tell them "and never forget it!" Best of luck in your new position, renerian! Godspeed! Joanne.
  12. by   renerian
    Hehe I wish I was nice and tall! I am only 5'5" and weigh 113......boney arms........my Dr. calls me scrawny....I would not scare anyone.......HEHEHEH except my kids..............LOL\

    renerian
  13. by   outbackannie
    I think a self-defense course in karate would be mandatory
    for new Home Health/Hospice workers. Just call me "Ninja Nurse"

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