Would you do this??? - page 2

by RN1263

1,590 Views | 14 Comments

We had case conference today and were informed that we (all nurses) would have to make visits (rotating) for one patient 4x's per day- 6AM, noon, 6PM and midnight for an indefinite amount of time . Does this seem like a... Read More


  1. 0
    If this patient really needs Q6 hours then a RN who is not on call needs to be assigned to this case so that the on call RN can be the back up incase illness, accident, etc. Even if the patient is stable enough to be managed at home, it is important to consider the RN's safety in traveling and going in and out of the home alone. Anyone who has any interest in targeting the home or RN can figure out that the visits are Q6 hours.

    I aggree that anyone on medications that may impede their practice should discuss it with their employer and make alternative arrangments. Not only is it hard on the RN, but it can create a situation that endangers the patient or place the RN's license at risk.
  2. 0
    Quote from gardenvarietyRN
    it is important to consider the RN's safety in traveling and going in and out of the home alone. Anyone who has any interest in targeting the home or RN can figure out that the visits are Q6 hours.
    Absolutely....Not too mention there are no street lights, since it's in BFE!


    I agree that anyone on medications that may impede their practice should discuss it with their employer and make alternative arrangments. Not only is it hard on the RN, but it can create a situation that endangers the patient or place the RN's license at risk.
    I have Multiple Sclerosis, but never thought I would ask an employer for a work accommodation until now. So, today I saw my doctor and he said "no way" to the midnight and 6am shifts. He isn't happy about the fact that I have to be on-call every 4-5 weeks as it is, because when I'm on call I have to alter my sleep pattern and medication times and doses due to side effects, just to be able to function. He said pushing it any more could cause an exacerbation. So, he said I can't work before 7am or after 10pm on a "regular" basis, unless I'm on-call. He said he will write them a letter or whatever I need....

    So, tonight I wrote my request for accommodation letter, according to ADA guidelines and I will give it to my employer tomorrow.


    Thanks for the replies!
  3. 0
    Wow, we have a 9-10pm cut off for all visits.......if later than that they go to ER if needed. We dont allow our nurses out after 10pm at latest, even the on-call. If we get a pt who needs it that frequently and it's medicare well it's out of pocket for the meds usually but if the local hospital has an Infusion Unit that's what I arrange for them. We dont accept them for that frequent infusion orders.
  4. 1
    Waiting to hear an update on this situation.
    Lacie likes this.
  5. 0
    Quote from tencat
    Ridiculous. No, I would NOT agree to off-hours visits. If someone needs that much care, they need to be in a different setting such as LTC, not home health.
    This is becoming a wave of the future where seriously ill clients are sent home because it is more cost effective. On top of that, they are reducing our pay as RNs to care for them.


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