Parents

[nur20]

HELLO ALL .I COULD USE YOUR HELP IN A HOME CARE CASE. WORKING IN PEDS, QUITE OFTEN THE FAMILY IS AROUND. I HAVE HAD MANY CASES BUT THIS ONE IS DIFFERENT. THIS CHILD IS 18 MONThS WITH DEVELOPMENTAL DELAYS, A TRACH, PULSOX, APNEA MONITOR, OXYGEN,ETC. ETC. ETC. SO YOU KNOW THAT YOU ARE CONSTANTLY BUSY. MY PROBLEM IS THAT THE PARENT'S AND FAMILY MEMBERS ARE CONSTANTlY IN THE WAY. FIRST BABY IN FAMILY, I CAN UNDERSTAND THIS BUT THEY HAVE THEIR WAY OF DOING THINGS WHICH I MIGHT ADD ARE NOT ALWAYS CORRECT IN HIS CARE AND THEY REFUSE TO BE TAUGHT. PART OF IN HOME CARE IS THE TEACHING ASPECT, BUT I CAN'T MAKE PROGRESS IN THIS AREA.NOT TO MENTION THE CHILD GETS NO REST WITH THE PARADE OF PEOPLE WANTING TO PLAY AND TALK "GOO,GOO". IT MAKES MY JOB DIFFICULT. ANY HELP WOULD BE GREATLY APPRECIATED. HOPE I AM NOT JUST REACTING TO NOTHING. THANKS

[kids]

Oh the joys of Peds homecare. Wouldn't part with any of my kids but wish their families would get lobotomies!

All I can offer is: Do the teaching, document the teaching, document the outcome, document the less than ideal things they are doing, the nursing advice given and that they choose not to follow it...and make sure your Clinical Coordinator knows whats going on (hopefully she's reading your notes).

Try to group your cares as much as possible...then tell them..."can I have 'baby' for a few minutes...I need to do the Nursey stuff so they know I serve a purpose"...with a big smile...eventually the family will get with the program especially if there is a very subtle hint that if you can't do your job repeatedly the powers that be might think they don't need as many nursing hours;)