So, this is about a friend of mine who is a relatively new, new grad. She worked as a nanny before nursing school
and couldn't find a hospital job, so she started doing pediatric home care as a new grad RN, no orientation with another nurse, etc.. - just here is your assignment - GO. This has had mixed results, I get lots of text messages "I have a kid who is on a versed medicine at home. What is it? How much should I give?" types of questions throughout the day which, for me - is a scary thing and I don't think she is particularly safe or adequately trained/prepared to be a home care nurse.
Anyways, she gets very attached to her patients. One patient, she started taking pictures of him, uploading them to her facebook, talking to people in the community about him, etc... and I called her out about how its inappropriate, HIPAA, etc... and she eventually said she "got permission" to do it. Whatever.
Ultimately, the child's disease got worse over the course of the 3 weeks she was watching him and he died. She stayed in his house, without pay, for 28 hours while he died. Leaving her parents to watch her own child, neglecting her own well being, not sleeping.... I should add that she did have a relief nurse come in to take over care, but she felt it was "too much to leave to 1 nurse, that it would take 2:1 nursing care." It is not as if the patient would have been left alone... and coming from an adult ICU background - it takes A LOT to need 2:1 nursing care... let alone for an at-home death with controlled symptoms and family care.
I question the appropriateness of the situation. I know in the adult world, that really isn't something that you do, and it is important to, although always be invested and caring - to maintain professional boundaries.
She insists that it is different with kids and that's the way peds works.
Not trying to start a he said/she said battle, not looking for an "i'm right/you're wrong" discussion, but I am genuinely curious if that would be considered normal and acceptable to the pediatric nursing world.