Should I leave this case? Worried. - page 2
Mom has some odd ideas about trach care. Kiddo is on a vent but we're weaning her. I guess about six months ago the kid pulled her trach out and mom didn't notice because the trach dressing was... Read More
0Oct 24, '11 by SDALPNI would get out and stay out. There are other cases out there. This is just asking for trouble. Too many red flags. If you must stay on it for financial reasons. Start easing yourself on to another case or float as much as possible. When the time is right, pull off completely.
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0Oct 25, '11 by dirtyhippiegirl, BSN, RNQuote from caliotter3I've changed enough things in the story to make her not easily identifiable. Trust me. :> But you get the jist of the story without me actually revealing specifics that are true.Please be careful about the info you post concerning your clients. Although the story about her driving or not driving is certainly interesting, it makes the situation easily identifiable. Would not like to find out that you got in deep trouble because the wrong person read this thread and figured out who was who. Most of the stories posted on this site are generic enough that they could fit scores of people, but this one is kind of on the specific side.
txredheadnurse - I hadn't thought about that at all! Thank you for bringing it up.
tothepointeLVN - have you also run into clients who use the ER as their PCP? It's funny because I actually used to work in the ER so I'm pretty familiar with the mindset.
1Oct 26, '11 by ventmommyJust curious why any trach/vent parent would use the ER as a PCP? They never have supplies, a lot of ERs freak out when you walk in with a vent, you never see the same nurses/docs twice, they can't help you with supplies, they won't change vent settings, they hate replacing g-tubes, etc.
0Oct 27, '11 by dirtyhippiegirl, BSN, RNQuote from ventmommyJust curious why any trach/vent parent would use the ER as a PCP? They never have supplies, a lot of ERs freak out when you walk in with a vent, you never see the same nurses/docs twice, they can't help you with supplies, they won't change vent settings, they hate replacing g-tubes, etc.
Let me preface this by pointing out that I work with a very, very good vent patient program. We have 24/7 access to a direct patient line. And not "just the office nurse" -- most of my families have the attending's cellphone number and we have someone on call for all after-hours questions. As a new grad nurse, this sort of open communication has been vital to my learning.
But there are a lot of socio-economic factors involved. Many of my parents do not have insurance for themselves. They cannot afford to see a PCP. So, for them, any health problem equals a trip to the ER because it's "free" or at least fairly quick/easy compared to having to wait six weeks to see a doc at one of our safety net clinics. So they extend this belief to their kid.
On top of that, you might have a parent who is slowly losing hours for the first time. So they're having to parent their vent kid over the weekend without a nurse. The kid gets a cold, needs increased suctioning and maybe some oxygen to keep their sa02s up. Parents freak out because that's a new thing to them because they simply aren't used to having to take care of their kid alone for more than a few hours.
//I know nothing :P
0Oct 28, '11 by mb1949It is sad they are put in this position, my client just had hours cut, I have to find another day somewhere cause this isn't cutting it, anyway I just left another case for much of the same reasons, and because mom thought I was nannny for her other two kids, use to leave to run to store and get milk for 3 hours