odd case - page 3

by KATRN78

4,622 Views | 32 Comments

I oriented on a case I am not accepting. The Mom doesn't want nurses to sit on her furniture. We sit on the floor or stand. The patient plays on a blanket on the floor, once her diaper leaked and Mom had the agency pay for her... Read More


  1. 0
    I had a case where the baby was kept on blankets on the floor. Mom said Baby had spent most of their life in NICU in a crib and she wanted Baby to have a sense of unrestricted movement and freedom. Baby is immobile and has very few purposeful movements. She did expect the nurses to sit on the floor with baby (interacting, therapies, tube feeding, etc) but as soon as it was brought to her attention that there was no place for charting, eating or the occasional lumbar supporting position she purchased a table/chair set for the room. Her intentions were good for her baby, she just didn't really think through the logistics for her nursing help.
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    I am allowed to sit at the kitchen table in a wooden chair all NOC unless needed, or for scheduled needs at my case. Not comfortable at times, but I see I can be worse. We also have PDN and agency nurses at my home for a family member, and have never told the nurses they have to sit somewhere specific. We do have one nurse that will take over the couch in the living room and a good part of the floor that we need to talk to. I would find another case if I were placed in that position. Seeing both sides, a comfy nurse is a happy one.
    Texan56 and kiyasmom like this.
  3. 1
    would love to see the 485s on cases like this
    just saying - NOT asking for protected info
    realnursealso/LPN likes this.
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    This was just Mom's house rules. It's not written down anywhere. Some people think they are better than others.
  5. 0
    yet, they need the lesser ones.
  6. 0
    ...and I wouldn't even do fill in ..I do a orientation and interview before I go into a house...once I ask where to sit, put my belongings, etc...she probably would say NO to me, lol
  7. 1
    Sitting on the floor? Ugh, harsh. Yesterday I filled in on a case while my usual patient was out of town for a family vacation. Two hours into a 12.5 hour shift, the mom comes in and says "I just got my AC bill, and it was really high, so I'm turning it off."

    ...Turning off the AC
    ...Patient on a vent who didn't wear clothing because he sweated through them even with the AC and two fans running on full blast
    ...In the middle of the day in Florida
    ...IN JULY

    At the end of the shift, she told me how wonderful I was and asked if I would come back. I smiled, shook her hand and told her the agency handled my scheduling. And then I went back to my car, cranked up the air and laughed hysterically.

    Maybe it's just my agency and location, but just about all the cases I go on end up with parents trying really hard to impress me so I'll come back. Big comfy chairs, internet access, private fridge, offering food/drinks...anything to get a nurse willing to stay. If the parents scare off nurses, they get no coverage. I guess I lucked out!
    Texan56 likes this.
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    Ugh. I don't keep cases with no A/C. I guess I have become picky. I need a chair to sit on and air conditioning.
    Texan56 likes this.
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    Quote from KATRN78
    Ugh. I don't keep cases with no A/C. I guess I have become picky. I need a chair to sit on and air conditioning.
    That's not too much to ask...a heat stroked nurse does not make an efficient nurse.
  10. 0
    I had a case in which the child was on the floor most of the time, although did have a regular bed too. I was told in an unpleasant manner that "Nurses do not belong in this room (lfamily) and should never sit on the couch." The child and nursing rooms were therapy room (tiny den, small and cramped), bedroom and bathroom for the bath. The nurse would have to move the child's furniture out of the family room into the rooms we were allowed to be in. This was a small house too - maybe 1000 sq ft. The entire day working with child was on the floor. Could sit for charting in the kitchen on a wooden chair but, one day I was told, "I'm getting rid of that table and chair soon; I don't know what you nurses are going to do then." There was a rocking chair in the bedroom but I'll tell you , I wasn't entirely sure I was allowed to sit in that chair either because it had child's clothes and blankets on it and caregiver would often flip out unpredictably about things being moved, etc. I would work there two days a week and when I got there after a week of absence she would have a tirade about things that were out of order and demanding if I did it. "No, I don't know about that, I just walked in and the last time I was here was 6 days ago." That case didn't work out for me, thank heaven, and now I have a wonderful case with a very hospitable and charming family. I was willing to be patient with the other one though, and allow for the stress it must be to have people in your house all the time. But I would never treat or talk to anyone the way that woman did me. And no surprise, they are always needing caregivers for this case and I am thinking this woman doesn't always make it to work everyday because of her terrible temperament with the professionals who care for her child.


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