SDALPN 12,019 Views
Joined Apr 10, '07.
Posts: 1,043 (50% Liked)
Ok, so I just graduated nursing school then passed the NCLEX... I got hired over the phone with a "home health agency" although I actually am a private duty nurse doing 8-12 hour shifts. The service is paid for by medicaid. Medicaid pays my company and then the company pays me. I clock in and out using the clients mothers phone (my client is pediatric).
On 2 separate instances (once in August and once in September) the clients phone was unavailable, so as instructed by my supervisors, I called management, with the fathers phone, and they were supposed to clock me out. In BOTH cases the managers never clocked me out and I received a call from the office the following mornings wanting to know why I had not clocked out. I never got paid for these two days. I spoke with the owner of the company numerous times and she insisted they would be on my next paycheck. But paycheck after paycheck came and the hours were never added.
Then, the owner calls me just last week and tells me she will not be paying me for those two days as she had just found out I have been taking a lunch break. I was told by the woman who hired me, the pt's mother and the nurse who has been working for this company that lunch breaks were allowed. There is NOTHING in my contract that says we are not allowed a lunch and I have not even taken a lunch everyday. I might get to take a lunch 2 days out of 5 that I work. I spoke with the medicaid case manager about it and she said the company was paid for all of my days, including the two where the office had to manually enter my departure time the next day. The owner of the company said that the only way she will pay me for the two days is if she goes back from my start day (over 6 months ago) and takes 1 hour lunch out for every day... Which would make me owe her money!!!!
So just to summarize, the company was paid during every lunch I took, and was also paid for the two days where my managers did not clock me out, but I was not paid for the two days because "of the lunches" i have taken. I am no longer taking lunches now that I know that it is not allowed, but I was counting on that money and I feel its not fair that the company was paid for doing nothing while I am being shorted for almost 25 hours of work! I am still a new nurse, this is my first nursing job and I just feel like it isnt right.
They have hired 7 nurses total for this case and I am the only nurse who has stuck with it. The rest of the nurses quit due to pay issues as well, but this has been my first negative experience. I have had several people tell me they are not allowed to just take my pay like that. Does anyone know legally or from any aspect how all this works?
Thanks in advance for your help!
Its interesting that the nurses posting haven't worked private duty or have only worked a few cases. Not all parents are like that. But the ones that are like that act entitled and unappreciative. It does make a nurse frustrated. A lot of parents like this type if parent are the ones living off the system and taking advantage. Then they get mad if they don't get their free services. Some of these parents get 20 hours a day. 4 hours is not too much to ask the parent to do. If they can't handle that, they need to out the child in a facility. Saying these parents are scared is an excuse. I've seen the type. They aren't scared, they are lazy. If they are that scared, they have no business taking care if their child. I watched 2 parents in a case who stayed home all day with 20 hours of care. They also took a nap every afternoon after an exhausting day of watching TV. Then they got up and watched more TV. Then would sleep for 12 hours. As long as they slept they were happy. If they were interrupted from even watching TV, they let the nurse go.
That behavior is common. Nobody tells these parents how things should work because the agencies are scared if running the parents off to another agency. Right now I'm lucky that I have a parent that is involved without being over the top. But she is home all day, sleeps til 2p. Then watches tv the rest of the day. She whines about how hard the work is to take care of the patient. But acknowledges the hard work we do. She complains about how hard 4 hours is with the patient while we do 12 hour shifts. But I've seen worse. We enable these parents to avoid being parents sometimes. We do need to be there so they can go out at times. A babysitter wouldn't be able to do what we do and give the parents peace of mind. However, so many take advantage that it ruins our view of things. I have some parents that refuse to change a diaper. They walk in and tell the nurse to do it. But then they don't change the kids diaper and wait for the next nurse to arrive hours later. We are there to be nurses and give the parents a chance to work our take a break. But so many get greedy and take advantage. Then they go through nurses quickly and complain they can't keep nurses. The good families keep nurses for years. Sometimes I wonder if these parents with special needs kids weren't meant to be parents but our medical technology saved the kid. I had another case where the parents flipped out if they didn't get a nurse on Fri nights so they could go out. They both were home all day living off the system. But they couldn't be flexible to choose a night when they had nurses and be appreciative of that. They act like its owed to them. Luckily not all parents are like that. Its just hard to find the good ones. But yes, it can be extremely frustrating dealing with that day in and day out. It may be time to find a new case or float for a while so you can find greener grass!
Yep, I understand totally. Just recently found out the state took a child that I reported. Many reports had been made by others, so I acted as a mandatory reporter and thought nothing would happen. But my experience/observation for what I reported on was bad enough that they went to court and the child was taken away. I felt bad, but it was best for the child. I just heard the child is now gaining weight and starting to reach developmental goals. I even got to see a picture and that made it all worth it. The child looks so much better. So now I know I did the right thing even when it didn't feel good at the time.
I've reported other situations as well. Its never easy. I guess if you are in this job long enough, you will have to make a report at some point.
Hi! I am currently working for a HH agency that deals with pediatric patients. I have worked for them for 8 months. I consider myself to be a "new" nurse as I have only been practicing since November 2011. I am with the same patient on a full time basis. My patient is medically stable, but at risk. His primary caregivers are wonderful but are his grandparents so there is the mom and dad that are divorced involved as well. I'm needing advice on my charting, etc. My patient is 7 and has state and federal agencies that are involved in his care who are stating they want more charting. I chart every 2 hours as required, but also when we do walks etc. I do not chart his every move, and he is an active little boy. But apparently they feel that all he does is sit around watching TV and playing games. Any advice I can get on charting would be appreciated!!! Thanks in advance!
It's typical. It sets up nurses with boundaries for failure. The agencies only care about the money. So if the family is happy, the agency turns their heads. I've lost plenty of cases for keeping boundaries.
I've seen this a few times. Same with the hard chair. I blame the agency. The agency needs to speak up. If all agencies did this, families would have nowhere to run and there would be less nurse turnover.
The only commitment you have is the shifts you agreed to work in advance. I request my days off before the next schedule is made. My agency does 6 week scheduling. You don't need to worry if the parent doesn't have 100% coverage. When someone has a child, they make a choice to have that child and to take on that responsibility. There is no guarantee the child will be born healthy. There is no promise that they will qualify to have a nurse. Their child is their responsibility. Scheduling is the responsibility of the agency. Your responsibility is working the shifts you have agreed to work. You cross boundaries when you are concerned with issues that aren't your problem. What happens when a parent has a healthy child in daycare that gets a fever and has to go home until afebrile for 24 hours? Or the babysitter that gets sick or goes on vacation. Most parents have a back up plan for that and it should be no different for a parent with a special needs child. You work for the agency, not the parent.
They should want us. We're the ones that have mastered the art of dealing with the difficult/nutty parents. We could raise their satisfaction scores dramatically! On top of that we work well independently as well as a team. We are resourceful because we have to be. We have great respiratory skills since we border into the respiratory therapy area. We can and will do total care and may be the type to actually help the CNAs. Our assessment skills have to be top notch being that we are the doctors eyes and ears. If they can't see that, its their loss!
I have the same personality type. It surprised me when I saw the post since its not very common. I've run in to some of the same issues as you have mentioned. I have done mostly private duty work which allows me to work one on one with a child and be more independent in my work (besides having an RN available by phone). It does get old and boring. But when the family of the patient are out working or whatever I don't have to worry about the social stuff as much. I'll be interested in seeing what others have to say. Right now I'm looking for work and wondering where to go next and what will go well with my personality.
My agency told me it was up to the Nurse of we wanted to do light housekeeping duties. I would wash whatever dishes I used for my client & do another client's laundry, ONLY because I had down time. Another client, Im always on my feet doing something for her, the entire 10hr shift. I seriously don't have enough time to do my notes and would often leave late! One day, the mom asked me if I could put away 5 boxes of supplies that came. I told her I didnt think I would have time to seeing how I still had so much to do. She got upset and said, well so & so always does it. When other nurses do that, it puts more of a burden on the fellow nurses, which sucks! So, now, I just stick with totally taking care of the client!
I'm on my phone and the page I pulled up is in pdf format. I can't post it from my phone (if I can, I don't know how). I won't be home this week to use my laptop to share it. But I'm sure someone else can post it. Or ask the agency you work for and they can show you. But we are responsible for all care that the patient needs. Its a task that CNAs would typically do in the home, but since we don't have a CNA with us, its our job to do it if asked by the family. But doing family laundry has nothing to do with the care of the pt. Just as cleaning the patients room is necessary, but its not our responsibility to clean the rest of the home except for any mess the patient makes.
Also, just plain old common sense would say that if a patient has a massive BM and soils their clothes, that you would clean it. Otherwise it would sit there making everything stink and then you would be leaving that work for the parent when they get home. If I had nursing in my home and walked in from work to see a pile of clothes soiled with BM just sitting there, I'd let the nurse go.
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