Did I make a mistake? Please comment :) - page 2

by UpTheLadder12 3,516 Views | 15 Comments

I am a new grad LVN, got my license a couple months ago, and yeah- the job market is dry out there. But I answered a Craigslist ad looking for an on-call LVN for a pediatric home care position, and got an interview, which was... Read More


  1. 1
    Sounds like mom uses a lot of independent nurses. That is normally regulated by state guidelines, but because she is paying out of trust, it must be truly independent nursing. I wouldn't have taken the noc shift at all as a first. I also wouldn't take it without making sure I had my butt covered by liablilty insurance. I too would have wanted a more detailed picture of what was going on through physician orders. Also, I would want to make sure I did charting. As a first job, I too would have turned it down. Listening to your gut is always good!
    elprup likes this.
  2. 0
    where can patients and their caregivers find cut-and-dried information on what a lvn and lpn can or cannot do, as compared to a rn or an advanced practice rn?
    perhaps this mother only needs some guidelines on what people she employs to care for her chronically ill child are legally able to do?
    i wouldn't be wary of video cameras in the workplace, as i'm sure this mom has experienced, there is vast spectrum in the quality of care different individual caregivers provide.
  3. 1
    The public can purchase copies of the practice acts and they can inquire of the boards, just like anyone who holds a license.
    chevyv likes this.
  4. 1
    OP, you did the right thing. I have many years of experience, and even I would have run away. The mom reminds me of some parents I have met. As I sat there listening to them talk, all these alarm bells were going off in my head. You should have had access to the patients chart, careplan, and all the info needed to care for her child.
    chevyv likes this.
  5. 0
    Please also remember when working for a company or through the agency you are covered by their insurance. If you take a job doing independent private nursing, you are there as a LICENSED nurse and if something goes wrong not only are you risking your license but mom can sue you personally. The other advantage of working for an agency is you always have case managers to sort through med discrepancies. Our agency would never allow the med sheets and bottles not to match. One last piece of advice, I would recommend working in a facility of some sort for 6 months to a year before doing home care. Usually in home care you are alone with the patient and you will need experience. A lot of people think home care is easy because it's one on one, however, just one example-I was alone with a vent dependent 4 year old and he coded on me. I had cell phone in one hand talking to 911, other hand I had to take him off the vent and bag (not to mention stop when paramedics came to unlock door). Hope this helps you. You will be a great nurse!
  6. 0
    Quote from luv-of-kids
    Please also remember when working for a company or through the agency you are covered by their insurance. If you take a job doing independent private nursing, you are there as a LICENSED nurse and if something goes wrong not only are you risking your license but mom can sue you personally. The other advantage of working for an agency is you always have case managers to sort through med discrepancies. Our agency would never allow the med sheets and bottles not to match. One last piece of advice, I would recommend working in a facility of some sort for 6 months to a year before doing home care. Usually in home care you are alone with the patient and you will need experience. A lot of people think home care is easy because it's one on one, however, just one example-I was alone with a vent dependent 4 year old and he coded on me. I had cell phone in one hand talking to 911, other hand I had to take him off the vent and bag (not to mention stop when paramedics came to unlock door). Hope this helps you. You will be a great nurse!
    Thanks! I definitely learned my lesson about starting with home care! It's true, I need to hone those clinical skills. I did good in school academically, but nothing replaces experience when it comes to actually performing the tasks related to nursing care. And I will benefit from having a mentor. I can see how an agency can also serve as a barrier between you and the patient, when there is a disagreement about what should be performed or how, you have a manager to report to who can mediate, instead of having tension with the family.

    Well, I will chalk this experience up to LESSONS LEARNED!


Top