Background checks for parents

Specialties Private Duty

Published

So tonight there was a series of events at the home I was working in that led me to this thought. I'm working in a home where the parents are pretty out there. One of the parents has been "brainwashing" the family to believe that women are inferior to men (along with quite a few other odd beliefs). I strongly believe that it is their home and their choice to raise their family the way they want even if I disagree with their beliefs. In the past the one parent has been pushy with me and even told me he was jealous of me giving report or receiving report from his wife because he wants all of his wifes attention constantly. He has told me he doesn't want me talking to her except at certain times that he has allowed. Recently he has become even more unstable. One day hes telling me I'm the best nurse they've ever had and do more than any of the other nurses ever have. The next day hes telling me what he has to tell his wife is more important than me discussing important info about their special needs child.

Tonight he stepped over me 3 times. The 3rd time was the final straw. He yelled at me telling me the scheduling mistake by the office was my fault. But that was after yelling at me for talking to his wife about what had happened with scheduling. He demanded to see my cell phone with texts to the office about the scheduling. He also acted very aggressive to the point I felt threatened. I called my office and was able to leave early. I let him know in a professional way that I would not be talked to or treated like he was treating me. So it led me to wonder why the agencies don't check the parents background to make sure the nurse is in a safe working environment. I've been around unsafe parents in the home before. While I can understand the agency not completely disclosing a parents background check, shouldn't the agency be concerned that they are placing the nurse in a possibly dangerous environment where the nurse can be by themselves with a possibly dangerous person? I just did a little research for my safety and found out that the parent has been arrested many times for violence.

In just a couple of years this family has been through almost every agency in this area. That usually says a lot in itself. They are extremists. They are also very picky about their nurses to the point that after the agency filters their nurses to the families demands there are no nurses left to send to the home. They accused one nurse of being a witch and casting spells on them and let the nurse go. They won't allow overweight nurses. The nurses must be Christian. They won't allow a Muslim in their home for any reason. The nurse must be a non-smoker and can't wear any perfumes or scented products. The nurse must be conservative. If they are liberal the family won't allow them there. This family digs and digs to find out personal beliefs too. There are other requirements for the nurses too that I can't think of right now.

So what do you think about the parents having their background checked by the agency before the agency can start the case? Not to be used to deny care. Only to be used for the nurses safety in the home. I know the "what ifs" could be a mile long. But what if the parent is a sex offender? Isn't that something that we need to know for our safety? We are taught not to accept an unsafe assignment in nursing school. But how do we know we are in an unsafe environment before its too late?

Specializes in peds-trach/vent.

most agencies wont even tell you if the house has roaches or bedbugs. i cant imagine them telling you a house is possibly unsafe. most of the time its up to the nurse to leave if you feel unsafe. ive occasionally done it. they usually just replace you with the next unsuspecting nurse. also, home health is a money making business. they would lose customers by demanding background checks. word to the wise....Dont ignore your gut feeling. red flags rarely have the opposite outcome.:)

Specializes in Peds(PICU, NICU float), PDN, ICU.

I disagree that most agencies won't tell you if there are roaches. I've been doing this for about 7 years. And any time I've directly asked I've gotten an answer. Worst case being its a new case and they truely don't know. I don't necessarily turn down a case with roaches. But at least I know before I walk in the door what to bring in. I do agree with going with gut instinct!! That has saved me so many times!! Starting a new case most likely next week. I've already been told the home is clean and roach free and that info was volunteered to me (although they do know I'm likely to ask).

I just wish there was a better way to do things to protect the nurses. You'd think that the agency can be sued if they knew they were putting a nurse in a dangerous situation and that the agency would try to avoid being put in that situation. I know they carry insurance. But I would think that the insurance would increase each time they used it on a nurse that was harmed in the home.

WOW...I often wondered about this very thing whenever my Aunt took on a home case. She has encountered many things and told me about them. One thing always stood out about her stories though. She was alive to tell them. She used her better judgement in cases where the situation was potentially dangerous. Anything can happen anywhere and we allow all types of people in our homes and sometimes we enter homes of people we might not know too well, but the moment something looks strange we have an immediate problem that needs to be addressed. Don't go back. In reference to doing a background check, sounds good but it can't determine the future and it won't tell you if a sexual offender is a regular visitor to the home.

Specializes in Pediatric.

What a crazy case

Specializes in Pediatric.
Glad to hear you got out of that assignment alive. I think it would be nice if all nursing agencies would do "background checks" on the parents. However most of the agencies I have worked at could care less about the safety of their nurses. They just want the money period and really don't want to hear about any concerns from their nurses.[/quote']

I agree that agencies need to. The good parents wouldn't mind and would probably appreciate it. If I only could start my own agency..

Now I just wish there was a way to warn other nurses about a family. Too bad HIPPA keeps us from doing that. The patients and families are more protected than we are :(

Exactly.... Like, ever hear of the website RateMyProfessor? It would never fly because of HIPPA, but what about US?! Lol:/

And there is a website where parents can post info and reviews on PDN's. Warning about the bad ones.

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