akward situations in the home - page 5

I. Have done 2 cases this week that have situations I never seen Before. I work 11pm to 7 am. Yhe cases are chikldr Children 4 years old with gbutton. Mom sleeps with the child in a full size bed. I feel kinda awkward becase I... Read More

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    Quote from caliotter3
    I also never sleep on the night shift and inform my patients of that fact. I refuse to allow them to jeopardize my license by placing me in a position of vulnerability by taking up their offer to "turn off the lights and sleep". What other nurses do is their business and I tell the patient this.
    And I do believe some parents would set a nurse up just so they can sue,esp if they need money. My nursing malpractice had some interesting court cases involving nurses in their newsletter.
    Last edit by smartnurse1982 on Mar 29, '10

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  2. 0
    Quote from smartnurse1982
    And I do believe some parents would set a nurse up just so they can sue,esp if they need money. My nursing malpractice had some interesting court cases involving nurses in their newsletter.
    If not for the whole kit and kaboodle of a lawsuit, they do it to have the upper hand when they want to control the nurse. They know what the nurse is supposed to do and not do. When they get the nurse doing those left of center things, they are the ones holding the sword of Damocles over the nurse's head. They learn very quickly that they can make any accusation to the agency that they please and that the agency will go along with whatever they say, whether true or not.
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    QUOTE=smartnurse1982;4206544]I thought that is the reason, to have a nurse to watch the client sleep so that way if they code you are there?basically we are there just in cases of emergency. Also with parents sleeping with children,isn't it dangerous? What if someone rolls over the child? ( esp, these children,who are often underweight and small with long term disablities). What if the trach gets blocked by someones arm? Or the circuit gets pulled out accidently?. . .

    . . .If I'm not mistaken,in peds they tell parents not to sleep with newbies or has it changed? I know I'm talking about children and not newbies but I would think those reasons would apply here in children up to 15 yo.
    Right. We're there at night to monitor the patient so the parents can sleep at night. Pediatricians do tell parents not to sleep in the same bed as their newborns, though I have heard varying statistics about the actual danger of it. In practice, it is much more common. When we're dealing with children with trachs, vents, cpap, apnea monitors etc. sleeping in the same bed without an awake and alert observer is super dangerous! Alarms aren't foolproof, and some people sleep through them! Very easy to knock a vent circuit apart, especially the way I've seen some people put them together.

    I think I originally thought the child sleeping in parents bed in the dark only had a feeding tube going, in which case it wouldn't be life-threatening if it were disconnected by accident. Anything airway related, never take chances is how I feel about it.
  4. 0
    Quote from smartnurse1982
    I thought that is the reason, to have a nurse to watch the client sleep so that way if they code you are there?basically we are there just in cases of emergency. Also with parents sleeping with children,isn't it dangerous? What if someone rolls over the child? ( esp, these children,who are often underweight and small with long term disablities). What if the trach gets blocked by someones arm? Or the circuit gets pulled out accidently? If u knew a parent was sleeping with their child, and something happened(but not on your shift,on a night when no nurse was there) how would u answer that in a court of law? I can imagine it now,the judge asking me about nursing teaching and why that was not included.(me,I'm always thinking of legal implications)

    If I'm not mistaken,in peds they tell parents not to sleep with newbies or has it changed? I know I'm talking about children and not newbies but I would think those reasons would apply here in children up to 15 yo.
    My post was intended to be interpreted as: why does a parent request nursing if the nurse is unable to see (b/c the lights are out and not allowed to be on requiring a flashlight to be used or the nurse being requested to stay outside of the room the client is sleeping in b/c it disturbs their sleep). I feel the nurse should have the ability to perform her job duties which includes the ability to see her client for monitoring and knowing they have the ability to breath with unobstructed airways and mechanically, sound equipment in place.
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    "I wouldn't do private duty unless I had to. I can't think of a more boring way to work."
    Well, in my area they're the only ones hiring new grads. So I guess that's a "have to."


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