Sleeping Nurse = No Agency? - page 2

We have (my husband and I on separate occasions) caught one of our night nurses sleeping. The first time it happened, DH saw her on the baby monitor (I was already knocked out!) and he didn't say... Read More

  1. Visit  HisTreasure profile page
    1
    Thank you for your reply! (Everyone else too!) We don't have the camera for the nurses, we have the video baby monitors because all of the foster children placed with us are MWO (maximum watchful oversight). The cameras are provided by the foster care agency due to issues in the past three placements. I can't really get into it, but it has zero to do with trusting the nurses and everything to do with the placement contract I signed with my private agency and the county social workers. As I mentioned, the nurse has access to the other monitor to use when not in direct contact with the children; we keep one in our room and one downstairs so it's not to watch the nurses- it's to watch the children, only. The sibling has a baby monitor in their room as well, so it's a total of 4. Not just in Gem's room. I understand how that can make people uncomfortable, but there is very little I can do to change the situation; I simply have to pray people are sent into my home understand the reasons for the monitor and know that we aren't sitting there staring at the monitor, hoping to "catch" someone.
    tnmarie likes this.
  2. Visit  big al lpn profile page
    4
    I actually like camera cases. So long as its out in the open and the camera records to a video or drive, and not just feed into a monitor. I DON'T like cases that hide nanny cams. I have worked privet security, I will find them, and then I will leave. Public cameras prevent issues, and abuse. They are in impartial whitness. Hidden cameras are a gotcha game and do nothing to stop issues before they occurr. Sorry for the thread hijack.
  3. Visit  tnmarie profile page
    2
    Quote from big al lpn
    I actually like camera cases. So long as its out in the open and the camera records to a video or drive, and not just feed into a monitor. I DON'T like cases that hide nanny cams. I have worked privet security, I will find them, and then I will leave. Public cameras prevent issues, and abuse. They are in impartial whitness. Hidden cameras are a gotcha game and do nothing to stop issues before they occurr. Sorry for the thread hijack.
    I agree. I feel like the [overt] camera protects good nurses from false accusations and it protects patients from bad nurses. Win-win, IMO.
    MamaBearTo3 and HisTreasure like this.
  4. Visit  ventmommy profile page
    2
    Hello Kiyasmom, we are also foster/adoptive parents. You did not over-react at all. By not reporting her the first two times, the agency had no idea this was an issue. You could certainly file a complaint against the agency that they are being unreasonable and condoning sleeping on the job. As far as leaving you in the lurch, a phone call from the social worker mentioning how they are abandoning your case might go a long way to get them to fulfill their end of the contract.

    You can also check on the tracheostomy.com boards or FB page for other PDN recommendations by parents in your area. I don't post on there but I do read it and there are several foster and adoptive parents.
    HisTreasure and poppycat like this.
  5. Visit  Adele_Michal7 profile page
    2
    I'm another nurse who's going to tell you that you did not overreact. I'm shocked at how nice you were to this nurse! I can appreciate that, having dealt with some very difficult parents. I'm appalled that she laid down on the floor. That's just strange.
    HisTreasure and poppycat like this.
  6. Visit  urbanngrrl_hello profile page
    1
    I've worked Home Health for several years and have lost track of the number of times I've had to awaken overnight nurses I was relieving in the morning. I mean awaken by shaking their chair or shoulders for a minute. It happens all the time. Where I work, CNAs going to nursing school are often given cherry assignments so they can study and sleep overnight during their shift. I have never fallen asleep on shift and I agree with your actions.

    But I want you to expect nurses and CNA's in Home Health to sleep during their shift. It's totally against the rules but happens every day. It's only wrong when you report it to the agency and most agencies will react the same way this one did.
    HisTreasure likes this.
  7. Visit  marycarney profile page
    6
    Having been a night shift PDN in the past - I don't feel you over-reacted at all.
    I have inadvertently nodded off on a case, and it scared the bejeebers out of me. I had to give up a case where the parents wanted me to sit in a darkened bedroom with their sleeping child ALL NIGHT LONG - it is virtually impossible to stay awake (I ended up standing up most of the night).
    Not saying this is the case with you, but some parents are so totally unrealistic about the conditions they force the nurse to work under (sit in the dark and stay awake, no shoes, turning the heat down to 50 overnight etc....) that it makes me wonder at times about how OSHA regulations apply to home care nurses.
  8. Visit  HisTreasure profile page
    4
    Quote from marycarney
    Having been a night shift PDN in the past - I don't feel you over-reacted at all.
    I have inadvertently nodded off on a case, and it scared the bejeebers out of me. I had to give up a case where the parents wanted me to sit in a darkened bedroom with their sleeping child ALL NIGHT LONG - it is virtually impossible to stay awake (I ended up standing up most of the night).
    Not saying this is the case with you, but some parents are so totally unrealistic about the conditions they force the nurse to work under (sit in the dark and stay awake, no shoes, turning the heat down to 50 overnight etc....) that it makes me wonder at times about how OSHA regulations apply to home care nurses.
    YES! ^^This. I have worked to optimize the conditions to be condusive for work and sleep. I do have a unique perspective because I have worked PDN nights and I've been on shift in homes where it's pitch black, white noise, working by penlight. Really????! I also allow them to go downstairs if she's stable and IF the camera is on the monitors and the monitors are turned up. I know people work differently. One of our newer nurses from PSA likes it dim and she brings her iPad and earphones. I'm not a fan of the earphones so much but she's proven she hears the slightest change in breath sounds so I allow it even though I initially thought it would be problematic. I even allow access to coffee all night and supply sodas, water, juice, and snacks in a small pantry/dorm fridge in the closet. I try to be the best mom I can be and provide a great working environment... but sometimes it's not enough and some people aren't great fits for every case. She was a good nurse, when she was awake. She'd make a STELLAR day nurse... on a unit... with other nurses. I totally filed a report and made some calls though!
    uRNmyway, nursel56, poppycat, and 1 other like this.
  9. Visit  BerryHappy profile page
    1
    Nope, you did not overreact at all. Coming from a guilty accidental dozer!
    JustBeachyNurse likes this.
  10. Visit  LPN4life2004 profile page
    0
    You did not overreact at all! I work PDN on nights and although it gets hard sometimes there is no reason why someone can't get up and move around. Plus you go over and beyond with providing drinks and snacks for the nurses. Judging by the fact she was laying on the floor and then on the couch she purposely put herself in a position to sleep, it wasn't accidental. As for the headphones. I use mine at work, but I only put it in one ear so I can hear everything fine with the other sorry you had to deal with a ridiculous supervisor and I hope for the best for you! Your doing a great job! I hope to be a foster parent for medically fragile children myself someday
  11. Visit  NursexOx profile page
    1
    I've always been taught falling asleep is patient abandonment. Immediate termination for it in all the places I've worked.
    KATRN78 likes this.
  12. Visit  HisTreasure profile page
    0
    Quote from NursexOx
    I've always been taught falling asleep is patient abandonment. Immediate termination for it in all the places I've worked.
    And it is patient abandonment. But in practice, unless a complaint is made to the BON, it is very rarely seen as such. In theory these rules are logical and ideal, but in practice companies are willing to let a lot of things slide. It's unfortunate but true. That nurse is still employed with that agency. Her license remains intact. Now, should she fall asleep at the wrong time and heaven forbid a child gets hurt or worse? THEN they'll cry patient abandonment on her part to save their butts. But not until...
  13. Visit  KATRN78 profile page
    0
    Sleeping night nurses must be an epidemic. I have some friends in my agency that admit to me that they sleep on their night shifts. "Oh I took a 2 hour nap while little John Doe was sleeping." One of these nurses was caught sleeping and reprimanded but not fired. Another nurse I know, I have no idea how she is not caught because when she dozes off (and she has dozed off when we've been out, in my car, movies, etc), she really SNORES.

    My night case is very stable. But I wont sleep because I believe it is patient abandonment, I am a honest person, I am a good person and I am an ethical and moral person.

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