Sleeping Nurse = No Agency? - page 5

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. by   Elle23
    Quote from Alphabits
    (if the mom's watching me through the baby monitor, she probably thinks I'm completely nuts! But I haven't fallen asleep.
    That's hilarious!

    I do get up and stretch when I feel sleep coming on. I'd probably wake the family up if I did jumping jacks! They are literally right around the corner with the door open (I am in the living room). And they have hard wood floors which would be a little noisy!
  2. by   pdnnurse
    I was a private duty nurse for over 25 years. I made sure I got an adequate amount of sleep during the day so I could be awake and alert on the night shift. For the last 8 years we have had pdn's for my son who has a c/4 SCI. You had the right to fire any nurse caught sleeping while on duty. They are being paid to stay awake and monitor their patient so mom can sleep. Check with state boards, if you file a complaint they will investigate. I have found that many night nurses fill out their assessment including signing off on their meds before they have even entered the patients room. We had several who just made up vital signs and documented them on the nursing sheet. When reported the agency just sends them on another case, they only care about collecting the money , not the quality of care provided. Many of the nurses work several jobs and then take a night shift case expecting to sleep. I think the quality of care has gone to the dogs. Any agency that thinks it is acceptable for a nurse to sleep while on duty should also be reported. One agency actually said they fall asleep on night shift because they are bored. So not true ,they fall asleep because they are tired from not getting enough sleep during the day. Here's my question. An agency sends out the charge nurse to open a new home care case. The nurse while at the patient's home goes into the living room , gets up on the sofa and falls asleep. Two hours later the agency calls stating the charge nurse failed to show up on the next case she was to open , you reply, Oh she went in and fell asleep on the couch. Do you think she would still have a job at that agency ?? I think not ! And yes as a licensed nurse myself I do hold the nurse to a higher standard because I am aware of the danger that they are placing the patient they are being paid to care for in a bad situation. It's called neglect. We all went to nursing school and were given a code of ethics to follow. Get enough sleep, stay awake and alert, do not compromise your patient's care , you would be held liable if something happens.
    Last edit by pdnnurse on Jan 26 : Reason: missed wod
  3. by   pdnnurse
    I would love to have you as my son's nurse.
  4. by   pdnnurse
    Sometimes you need a camera, you may not like what you see though. Meds being tossed into the trash and not flushed down the g tube. Suction machine turned on and the nurse just stands there a few minutes to make the parents think they are suctioning the patient. Rough treatment. Gzz
  5. by   nursel56
    Thanks for posting, pdnnurse. I value hearing this experience since usually we aren't able to meet and discuss as in most other specialties.

    We've had a few nurses who also have kids in need of skilled nurses. You've got perspective on both!
  6. by   pdnnurse
    It is also neglect.
  7. by   AdobeRN
    The agency I work for tells us it is a reportable offence - they will report to BON and Child Protective Services. We are told this when hired, reminded during our yearly review/skill check off and reminded frequently with their monthly "newsletter" they send out to the families with all the flowsheets, MARS etc.
  8. by   AdobeRN
    Quote from pdnnurse
    Sometimes you need a camera, you may not like what you see though. Meds being tossed into the trash and not flushed down the g tube. Suction machine turned on and the nurse just stands there a few minutes to make the parents think they are suctioning the patient. Rough treatment. Gzz
    I have heard stories like this....I don't understand why someone would just go thru the motions of the required treatments.
  9. by   pdnnurse
    I can only assume it's because they just don't care and want to get done as fast as possible so they can get back on their cell phone and text.
  10. by   Kitiger
    Quote from urbanngrrl_hello

    ... 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.

    No, no, no! Sleeping on the job is ALWAYS wrong!

    Part of my job is to come to work prepared to work. It is my responsibility to be alert all shift. If a child needs a nurse at night, that nurse must stay awake and be alert all night.

    I can tell you a lot of ways to stay alert at night, There are several good threads here that address this.

    Urbanngrrl, you need to rethink this!
  11. by   No Stars In My Eyes
    When my Mom did PDN/nights, one of her elderly patients wanted her to go across the hall and lay down on the guest room bed; the patient's idea was to have my Mom tie a loooong string to her big toe and give the other end to the patient, who said she'd "give a little tug" if she needed something. Then she added,
    "I do so hate disturbing you girls during the night; you need your rest, too!"

    PS This was long before any temp agencies; she worked through a "Private Registry".
    Last edit by No Stars In My Eyes on Feb 9
  12. by   caliotter3
    Quote from No Stars In My Eyes
    When my Mom did PDN/nights, one of her elderly patients wanted her to go across the hall and lay down on the guest room bed; the patient's idea was to have my Mom tie a loooong string to her big toe and give the other end to the patient, who said she'd "give a little tug" if she needed something. Then she added,
    "I do so hate disturbing you girls during the night; you need your rest, too!"

    PS This was long before any temp agencies; she worked through a "Private Registry".
    Sounds like my kind of patient. More clients should be so considerate of others.
  13. by   smartnurse1982
    Maybe agencies can solve this by paying more $$$ for night shift.

    I will say that some situations during NOC shift that encourage sleep.
    There are some parents who refuse to allow a nurse to work on their own laptop or play games on their cell phone.
    I am soy,but you cannot expect a nurse to just sit there and look at the twinkling lights.
    Would you as a parent want to work at night in the dark staring at the patient and the wall?

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