I would like the opinion of nurses who work in the home setting in regard to my situation. I am currently assigned to a child whose parent has surveillance cameras in the home. They are are not hidden, and are in plain sight. I understand that these cameras are put in place for the safety of the child (but are somewhat uncomfortable for me). However, when I sit down to eat at the kitchen table, I don't feel comfortable having a camera focused on me while I am eating lunch
. There are also other things about this case that don't sit well with me. The child's father got upset with me when I called the Dr for an order to give an OTC medication that he told me to give! He felt that I had no place calling the Dr, even though I explained that I cannot give medication without a Dr's orders. Another thing is that he is reluctant to talk about the child's medical history, and looked upset when he noticed that my supervisor had left an educational handout for me about the child's diagnosis (a chromosomal disorder). As a nurse, I feel that it is of utmost importance to know the past medical history in order to know what symptoms to look for, interventions, etc. What gives? I don't understand why he is so paranoid. Thanks for reading my post, I had to vent!!!!
Aug 21, '10
by nursel56 Guide
There have been a whole run of experiences with quirky parents lately! Please, anyone! Does anyone have a peds case with parents who aren't paranoid and suspicious of nurses? Phew! Maybe it's just a coincidence.
Anyway. . .hardygirl it sounds like the dad doesn't have (or maybe choosing to forget he knew) the role of the agency. Is the child really young or recently diagnosed with whatever it is he needs nursing care for? If so, he should know that pamphlet and rules for giving OTC meds are routine in agency care. If not, he doesn't have a clear grasp of why a nurse is taking care of his child as opposed to an unlicensed caregiver. They may think you are there to carry out their pre-determined list of tasks and require their permission to use the nursing judgement you went to school to learn, but obviously that isn't the case or skilled nursing hours wouldn't have been approved by the third party payer.
It's always something of a "control dance" though, and the one useful bit of advice I got from the DON of the first agency I worked for was about the give and take we do, and basically she said if it's a family ritual to do a procedure a particular way that is not actively harmful to let it be. So the "dance" part becomes where do you draw the line and stand your ground?
There are a few times I've said to people that that if they refuse to allow me to exercise my judgement as a nurse, I will not stay in their home and be a go-fer to implement their poor choices for their child's health. Recently one had pretty severe frank bleeding from the trach, which wasn't improving, but wanted me to stay through the shift for the sole purpose of suctioning blood out of their trach for 7 hours. Yeah maybe they will complain etc etc etc but oh well. I care more for my license than I fear a tantrum and/or threats "this will
Another insisted that Vaseline be used to lubricate a catheter and flipped out when I refused to do that because "they've been doing it that way for years!" Again- not going to compromise.
The camera thing- perhaps you are very clumsy and accidently dropped a dishtowel over it?
OTC med- can dad give it himself, then write up an order to cover yourself? Oddly enough, people can be very protective of their doctor-patient duo and resent being kept out of the loop.
Last edit by nursel56 on Aug 21, '10