Content That HisTreasure Likes

HisTreasure, ADN, RN 10,307 Views

Joined: Apr 27, '04; Posts: 821 (17% Liked) ; Likes: 441
BSN student; from US
Specialty: 10 year(s) of experience in Pediatrics

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  • Mar 29 '16

    Bringing back a dead thread, but I'm glad I found it because it has made me feel better about my insane PCG. I'm relatively new to private duty/home health (3 months now) and have been to four houses so far. All the family members of my patients have been relatively normal, caring and accommodating people (some may not be the tidiest, but at least they're sane), except for one of my patients' grandma.

    She's nice, don't get me wrong. I'm sure she has the best intentions because I can totally tell that she loves her grandchild, but she is so high strung, controlling and OCD that she overwhelms herself. Mom is also in the picture, but is finishing up college, so she's not always at home. Mom is so completely normal, calm and grounded, that I wonder how in the world they are related.

    I knew that this was going to be a challenge starting out because the first thing I was told to do when I did a meet & greet was take off my shoes, go wash my hands and 'use these sanitizers to wipe down your phone and keys.' Okay, a little picky, but reasonable. Then I begin to notice things more & more every day.

    +The patient has seizures, but she really only has them when grandma is interacting with her (most of these times, the patient is turned away from me, but grandma insists that 'she just had a small seizure'). So I'm beginning to wonder if grandma doesn't know the difference between a seizure and the patient just kinda spacing out.

    +Family tells me that patient's seizures are triggered by noises or sudden stimuli (this sounds legit, but once again, usually only has them when grandma is around), so grandma makes you whisper the entire time you're around patient (even if patient is asleep a few rooms away) and they make the poor child (who is a teenager) wear ear plugs anytime she leaves the home (like for school). Oh and we're not supposed to talk in the car.

    +I'm not allowed (per grandma) to wear any sort of scents. One day I made the mistake of using an aloe vera scented hand sanitizer at patient's school and as soon as we got into the car to go home, grandma says, "are you wearing perfume?!" I explained that it was sanitizer, and she says, "well I have COPD."

    +She does not want patient to touch anything at school and sends bags and bags and bags of stuff (carried by me, the pack mule) to school with patient and home again every day so that patient doesn't have to touch anything that hasn't been bleached first.

    +Patient drools really bad so grandma has some nice bibs that she puts on patient, that I am supposed to change throughout the day as they become wet. I am not, however, supposed to let them get dirty. Somehow. Even after patient has pocketed all kinds of lunch leftovers, just waiting for me to put the bib back on...

    +Not sure that grandma really understands my role in patient's care. She wants me to be a CNA, a physical therapist, a speech therapist, occupational therapist, a special needs teacher, but not a nurse. For example, patient is on every herbal supplement and vitamin under the sun (but only like 2 real medications because they're poison) and gets them through her feeding tube but I'm never allowed to actually get the medications out & prepare them, I just get to add the water (case manager emphasized to document each time i'm only allowed to mix the random powders into water and not see what in gods name i'm actually giving this kid). Every time I change patient in front of grandma, she takes over and says, "here's how you do this." Like, woman, I've been in healthcare for 10 years- I GOT THIS. Another example is that just today grandma asked patients mom if she showed me how to do range of motion exercises for patient. But oh dear lord, she ensures that I'm working on patient's vocabulary flash cards with patient. Like I'm a home health nurse, not a home health teacher. Just sayin'...

    But hey, at least I'm allowed to use their toilet paper!

  • Mar 29 '16

    "coocoocajchoo with 2 scoops of crazy"

    that's a keeper

    on another note,
    higher education does not equal no scoops
    in fact, it may equal to sprinkles on top

    i accompanied my DON to the area children's hospital
    to meet the pt. and parents of a new admit
    got bad vibes from the beginning, excused myself, went to talk to
    the nurses on duty and was told parents thought all medical staff was
    charge nurse believed parents were not ready at all for discharge,
    but dad was not receptive to teaching - quote,"I don't need this (teaching),
    I'm the head of the engineering department, I can figure it out."
    i passed on the case, much to the dismay of my DON, but that was
    certainly the lesser of two evils

  • Mar 29 '16

    Quote from kiyasmom
    Well, I had the OCD mom who counted everything. From the number of times I filled up my water bottle (from the tap, mind you) to the number of paper towels I used when I washed my hands, to the number of diapers that were in the pail by the end of my shift. Literally, 10-20 minutes before my shift ended, as I was cleaning up and getting ready to empty the pail for the next shift she would run into the room, don a glove, and take out the diapers one-by-one asking if it was wet, poopy or both. Sometimes she would just smell. Once, she said, "this doesn't feel like it was wet at all! Did you just throw it in the pail to make it look like you changed him more than you did?!" Awkward. Who does that?! Seriously. Counted. Everything.

    BUT THIS TAKES THE CAKE. She came to me one day and said:
    "I've noticed you never put any tampon wrappers or pads in the guest bathroom garbage. You're not putting them down the toilet, are you?" I just looked at her incredulously and blinked. Then we had to have the super awkward conversation about my menstrual cycle frequency and my choice of reusable, environment sustaining hygiene products...
    What. The. Actual.


  • Mar 27 '16

    So your pharmacy is not noticing that the medication dispensing machine consistently shows that you pull for your patient narcotic pain med, then a few minutes later the other nurse does the same? There is not a camera pointing to the machine? There is not a giant red box that pops up that says "too soon" or some other thing that requires an over ride with another nurse?

    What this nurse chooses to do is on them. With that being said, YOU could be set up on this and here's how: "Nurse Emergent must not have given the med, the patient stated that they never got the med from Nurse Emergent..." YES any number of patients are alert and oriented, some not so much, and when you are in pain things are not always clear. There are some patients who don't care as long as the nurse in questions "bumps up" their dose a tad if they "cover" said nurse.

    Addicts/nurses that divert manipulate. It is part of their disease process. And you are being manipulated to waste drugs you don't see being wasted for a nurse who is withdrawing drugs for a patient who has already been medicated. Signing for wastes that you don't see if grounds for termination in some facilities. As is not reporting your suspicions.

    "No, I will not waste this with you, as I am unclear on why you withdrew the med on my patient to begin with, and clearly the pyxsis had the times given. This is a habit that I am unable to support. I would seek out charge to deal with this with you". And walk away.

    In the meanwhile, to protect yourself, going forward unless you see it a-z, you don't put your name on it for wastes.

    You can report this on your parent website for ethical breeches. Let management take it from there. But excuse yourself from this situation pronto.

  • Mar 27 '16

    Do I understand correctly that he is asking you to waste with him a narcotic drawn up (not in the original sealed vial)? If so I'd be very wary of putting my name on this as you have no way of verifying what you are wasting.

  • Mar 27 '16

    I understand your anxiety and frustration... but take everyone else's advice and slow down for a moment. A few years ago before I graduated I was freaking out too because no one seemed to be interested in me. I had a great resume with awesome experience in the medical field, but it wasn't getting me anywhere. Then... that magical moment when I passed my NCLEX and suddenly I was receiving phone calls. Hiring managers weren't interested in wasting their time interviewing me if they didn't know I'd even pass my boards.

    Basically, calm down and graduate first before you lose your head. Telling people they shouldn't be a nurse is your emotions talking, and while I understand the feeling, you need to realize that this too shall pass. And your fiance', sorry hon, but that's what we call a jerk. When I was having problems finding a job my husband said, "we'll go wherever we need to". That is what a supportive partner does, not threaten to leave.

  • Mar 27 '16

    Many of the online applications have the question "Do you have the license for the position you re applying for?" When you answer "no" since you don't have your license, it will reject your application. Some hospitals don't want to hire new grads without a license unless it is a New Grad residency. It took most of my class several months after NCLEX to find jobs, but all of us did find jobs by the 3-4 month post NCLEX mark.

    Don't get discouraged. If you really want this, then do not let anyone stand in your way. Since you called him your "fiance", then I would consider the both of you as a team. The purpose of a team is to help and support all members of the team, not just his agenda. I moved 3 hours away for my current job. My girlfriend realized that it was an opportunity that I couldn't pass up, so she uprooted her life to move with me.

  • Mar 27 '16

    You're bringing a lot of drama to a situation that doesn't warrant it.

  • Mar 27 '16

    Too many for profit schools with low NCLEX pass rates that fail to teach students what they need to pass the test

  • Mar 27 '16

    I only have a guess at what's going on and that guess comes from hanging around here. So scientific

    First of all, remember that usually the only ones who run to the internet for advice are those who are struggling. So, you automatically have more "failed" posts than "passed" posts. And some of those who are failing are failing 2,3,4,5+ times. (But I digress - that's a whole other issue.)

    Secondly, I do believe that there has been a boom in for-profit nursing programs that spring up quickly and may or may not be as effective or rigorous in their methods of educating their students. When folks who cannot attain admission to a community college or state university due to a poor GPA are able to purchase a nursing education and walk right in, something might be wrong with that education.

    And to reference again those who fail NCLEX multiple times, I believe that that category of nursing student graduates just may be flowing from the for-profit schools. Just my thoughts.

  • Nov 30 '14

    I'm sorry...this whole post sounds fishy to me.............

  • Nov 29 '14

    That family kind of sucks to work for.

    We have the middle tier of cable internet service. It has a cap. Not once have we ever, ever come near it and we did allow our nurses to use wi-fi whenever they wanted.

    I am firmly of the belief that low-level lighting is far better than turning a light on and off all night to complete tasks.

    I still don't understand families that treat nurses like garbage and expect them to be happy and want to come back.

    We don't have coffeepots or a Keurig but nurses were allowed to bring their own or instant coffee and use the microwave. A microwave that is remotely from this century isn't THAT loud considering the noise of compressors, suction machines, vents, that annoying rhythmic feeding pump noise, and alarms.

  • Nov 29 '14

    Quote from smartnurse1982
    Ha,i am working right now,and trust me,it COULD be worse.

    Kid is an infant gt,trach,and vent.
    Mom does not want ANY lights on except for suctioning.
    She also does not want any O2 on,and has taken the tubing and the tank away.
    She also does not want us to suction at night at all.
    Even after giving Xopenex.
    You should tell mom that it's less disruptive to have low-lighting all the time than to be turning lights on and off to suction.

    She needs to bring the O2 back. That child NEEDS the O2 if you have to bag her up from a desat.

    Suctioning is a LIFE SAVING action and needs to be performed AS NECESSARY.

    This family needs some better education.

  • Nov 28 '14

    MCD = Medicaid? If so, I am in NY and the reimbursement rate is horrible compared to agency. Unless, she was doing medically fragile children over-nights. Those reimburse well. I get more per hour from the agency.

  • Nov 28 '14

    I'm sorry for your cousin. The family reacted to their stress in a very poor way. IMO, IF the policy is that a calling out nurse must find a replacement, then it's the sick nurse that should have found the replacement. Your cousin took the day off and found a replacement. There should have been no further action required on her part.