Advice needed (sorry so long lol)

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I am an LPN in a LTC for disabled kids. On an regular night, we have 6 nurses for the building. That includes a charge nurse who has an assignment :(.

One night last week I got an phone call from my daughter who was 33 weeks pregnant. She thought that she was leaking amniotic fluid. After asking her some questions, I told her to call her dr. I then went right to my charge nurse and told her what was going on, and that I needed to leave to get her to the hospital. The charge nurse told me "No you can not leave" I was floored. That night we happened to have a nurse with a new orientee, and an agency nurse and me on that one unit. Thankfully the regular nurse took my half of the assignment (12 kids) and the agency took her half. I gave her report, and counted and left to take my child to the hospital.

We spent 5 hours at the hosp, she was not leaking amniotic fluid, but was having contractions. They gave 3 shots of turbutline which worked, and told her to get to her dr the next morning. I called work updated them and called out for my shift ( i gave them 5 hrs notice). We get to the dr, and yep she is 2 cm dialated and 50% effaced. The dr put her on modified bedrest, took her off of work until delivery. That afternoon she started having contractions again, and I took her to the hosp and they admitted her overnight. She got 4 doses of Procardia to try to stop the contractions and received steroid shots to mature the babys lungs.

My question is this: can they do this to me? This is an emergency situation, I am not making this stuff up. I have all of the paperwork and drs notes for my child to prove what happened. I spoke with my boss and suggested to have at least an extra nurse in the building just in case I have to leave again midshift. I can not control when my future grandson will make his appearance!!

Thanks,

Nice Nurse LPN

Specializes in Med/Surg, Ortho, ASC.
I am an LPN in a LTC for disabled kids. On an regular night, we have 6 nurses for the building. That includes a charge nurse who has an assignment :(.

One night last week I got an phone call from my daughter who was 33 weeks pregnant. She thought that she was leaking amniotic fluid. After asking her some questions, I told her to call her dr. I then went right to my charge nurse and told her what was going on, and that I needed to leave to get her to the hospital. The charge nurse told me "No you can not leave" I was floored. That night we happened to have a nurse with a new orientee, and an agency nurse and me on that one unit. Thankfully the regular nurse took my half of the assignment (12 kids) and the agency took her half. I gave her report, and counted and left to take my child to the hospital.

We spent 5 hours at the hosp, she was not leaking amniotic fluid, but was having contractions. They gave 3 shots of turbutline which worked, and told her to get to her dr the next morning. I called work updated them and called out for my shift ( i gave them 5 hrs notice). We get to the dr, and yep she is 2 cm dialated and 50% effaced. The dr put her on modified bedrest, took her off of work until delivery. That afternoon she started having contractions again, and I took her to the hosp and they admitted her overnight. She got 4 doses of Procardia to try to stop the contractions and received steroid shots to mature the babys lungs.

My question is this: can they do this to me? This is an emergency situation, I am not making this stuff up. I have all of the paperwork and drs notes for my child to prove what happened. I spoke with my boss and suggested to have at least an extra nurse in the building just in case I have to leave again midshift. I can not control when my future grandson will make his appearance!!

Thanks,

Nice Nurse LPN

I'm quite confused...can they do what? Do you mean tell you that you cannot leave? Certainly, they can. What I'm getting from your post is that you were told you could not leave, yet you did anyway.What are the consequences of that?I agree with the other posters. Childbirth does not qualify a nurse to leave her post unless she is the one doing the delivering. I would not expect my employer to allow me to leave a current shift for my grandchild's delivery. You should have plans in place to cover you while you are working.

Specializes in Nurse Leader specializing in Labor & Delivery.
I spoke with my boss and suggested to have at least an extra nurse in the building just in case I have to leave again midshift.

Seriously?? LOL!

I think that's a completely unreasonable request, and I can't believe you actually suggested it.

Yes, they absolutely can require you to keep working once you've started your shift. My suggestion would be to take FMLA.

Specializes in LTC, Acute Care.

I'm trying to understand...the charge nurse told you could not leave, but the other nurses covered for you while you left anyway?

Specializes in School Nursing.

Well I don't think it's reasonable to have an extra nurse on duty just in case... it is nice you have nurse friends ready to take over a shift or two if need be.

Your daughter is still a dependent child (pregnant or not) so any medical issues she has, I believe, should be taken into consideration. People call out for sick kids all the time. Why shouldn't an emergency (and potentially dangerous) situation count? Just because she is a teenager who ended up pregnant doesn't mean her mom should stop just stop taking care of her or stop looking out for her well being (and the well being of her unborn child.) JMO

I'm sorry but there is a balance between job/family. I believe a teenage girl alone at home in preterm labor is a pretty big emergency. Which is more important- being a mom or being a nurse?

Specializes in Nurse Leader specializing in Labor & Delivery.
I'm sorry but there is a balance between job/family. I believe a teenage girl alone at home in preterm labor is a pretty big emergency. Which is more important- being a mom or being a nurse?

And if it happened before her shift, I think it would be perfectly reasonable for her to call out. However, once she's there and has taken an assignment, I don't think it's unreasonable for the charge nurse to say "No, I'm sorry but we don't have the staff to allow you to leave mid-shift."

Specializes in School Nursing.
And if it happened before her shift, I think it would be perfectly reasonable for her to call out. However, once she's there and has taken an assignment, I don't think it's unreasonable for the charge nurse to say "No, I'm sorry but we don't have the staff to allow you to leave mid-shift."

I understand that leaving mid shift will put co-workers/nurse manager in a bind. I certainly don't think anyone should just up and leave for silly reasons. But if you have a very serious family emergency- especially where a child (in this case, two children) is occurring.. well... I don't know.

I guess at this point, since the potential for preterm labor is looming, it would be best for the OP to take a LOA.

But generally speaking. If there was a very serious emergency with your child, wouldn't you leave mid-shift to be with him or her? (I guess I would hope that there would be someone willing to come into work under the circumstances, I know I would if it were one of my co-workers having an family emergency)

Specializes in Pediatrics and geriatrics.

Let me clarify a bit.... The charge nurse did call 2 other nurses to see if they would come in, but both said that they could not. There are 4 units in my building, and on the unit I was working on, it was me, another nurse with an orientee, and an agency nurse. The other nurse took my half of the assignment. I didnt leave my side uncovered. The charge nurse said I could leave when I got my half covered. Which I did. I didnt abandon my patients. My patients were covered.

I know that they can tell no. But as long as I got my assignment covered, I should be allowed to leave if need be. I have come in multiple times when mgt has called me b/c a nurse had to leave midshift due to an emergency or becoming ill.

I was just asking for advice. I didnt expect to get the backlash that I did. My daughter is only 17, and this is a scary time for her right now. I find it very hard to believe that no one else would have done the same thing if they were in my position. Call me extra protective, but being in preterm labor is scary for anyone! I also love my family and my unborn grandson. Bottom line was, I got my patients covered that night when I had to leave. No one knows when an emergency will happen.

NiceNurse LPN

Specializes in Nurse Leader specializing in Labor & Delivery.
But generally speaking. If there was a very serious emergency with your child, wouldn't you leave mid-shift to be with him or her?

I certainly would want to, but if the charge nurse cannot make accommodations, no I would not just walk out.

Specializes in Nurse Leader specializing in Labor & Delivery.
I know that they can tell no. But as long as I got my assignment covered, I should be allowed to leave if need be.

I completely agree with you. I have no issue with you leaving after you got your assignment covered. I do think it's very unreasonable, though, to ask management to have another nurse on call in the building "just in case" your daughter goes to the hospital. In that situation, if I were that concerned and I was the only one she had, I would take FMLA.

Specializes in School Nursing.

Do you have children Klone?

Specializes in Nurse Leader specializing in Labor & Delivery.
Do you have children Klone?

Yes, three. Why?

Specializes in Gerontology.

I"m just wondering how the nurses who say it OK to leave the unit short would feel if it were THEIR loved one on that unit, having their care compromised because a nurse left early.

How would you feel if you brought your pregnant daughter in and the nurses said "we are working short because someone left early so you won't be monitored as closely as you should be".

Just saying.

And an orientee should not be counted as staff. Her orientation was compromised by you leaving early.

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