I can deal if they have a legit excuse. If a parent took their child to the hospital in the middle of the night, I totally get that calling the VNA isn't their top priority. BUT, I am so annoyed about something that happened yesterday.
One of my primary patients... I've had her on my caseload for 10 months... and I see her every other week. Her parents KNOW that she needs to be seen on these days and know the general time that I come. I called her mother yesterday morning and said "I'll be there between 4:30-5:00." Mother called back several hours later to say that the child didn't go to school and would be home all day. (Had she answered the phone when I called or called me back sooner, I could have done the visit in the morning before I went into the office.) She confirmed that the time I gave her was fine. Then she called me back at 2:30pm saying that she needed to go pick up her other daughter and wouldn't be home in time. She asked me to come at 6pm. I told her that this was too late and that she needed to be home for the visit. (It does not take 2 hours to pick up her other child.) She promised to be home by 5:30 pm. I arrived to the house at 5:25 pm (stopped to do errands on the way there because I knew she wouldn't be home) and got no answer. I called the mother's cell phone
and she said "I'll be home in 10 minutes" so I agreed to wait. Twenty minutes later she still hadn't arrived. I called her again and she said "I'm in traffic, I'll be there in 5 minutes" (She told me what street she was on and I had come from that street... there is never any traffic on that street and if she was really there, it wouldn't take five minutes even with traffic to get to her house.) She finally arrived home twenty minutes later... with GROCERIES. So she wasn't out doing anything important nor did she spend the entire afternoon picking up her other child... she decided that grocery shopping was more important than her child's care.
I realize that by waiting for her I didn't really do anything to discourage this kind of behavior but the child needed to be seen and I didn't want to go out there again today. /End rant.
What do you all do when patients aren't home? If this happens with this kid again (this was the 2nd time), I'm going to tell the mother "I can't wait" and move on.