Help!!! Advice for Pedi-Homehealth Demanding MOM!

[nurse_c_]

I need help. I feel as if I am already burning out and I am a new nurse! I am working only one case in Pedi Homehealth. I do 12 hour shifts sometimes 16 depending on moms requests. He has a vent/trach & gtube. I provide all nursing care. I do not mind caring for the child. Mom is constantly wanting to go on outings with the child. I mean ALL DAY I have to carry with the vent machine, suction machine, CPT and cough assist machine. I do it all. I never complain. Even though I wish this mother would recognize that her child ends up sick when he goes out. His HR will increase he will posture so much.

Along with the nursing notes she has a binder where she has us document basically everything we have to document already. She has made little cards posted of checklists of things we have to do around the room. She has a checklist for the diaper bag as well. (sometimes it is so much things I have to carry I end up forgetting something) I just don't know how to address her and let her know that I am not a baby sitter nor am I his mother.

If she doesn't have the time to do everything she asks of me how can she expect me to do it? The child has constant secretions so it's not like I am not doing anything. Sometimes I leave and haven't even had a chance to eat in the 12 hours I am there, documenting is super hard when we go on these all day outings. But I feel as if she is not being realistic based on his conditions. I feel like I am going to have to switch patients even though I have grown to care for my patient but the Mother is just so much of a hand full!

[quazar]

There is a lot of identifying information in this post, and the family could easily identify themselves and their child by reading it. I suggest you edit in the interest of HIPPA and your professional protection.

[meanmaryjean, DNP, RN]

Leave that case. On your last shift, let mom know WHY you are leaving in diplomatic terms. Life's too short and there are lots of other cases. I left a case where parents' expectation was that their completely immobile/ paralyzed 200# incontinent child wear pants IN BED. And you changed her alone at night. I was frank with them in letting them know their expectations were what was driving nurses away as the injury potential was high. Last I heard, they continued to churn through nurses.

[TheCommuter, BSN, RN]

Welcome to Allnurses.com! Since you work a peds home care case, we have moved your thread to our Private Duty Nursing forum to elicit more responses and feedback. Good luck to you.

[nurse_c_]

how do I do edit?

[TheCommuter, BSN, RN]

how do I do edit?

What was it that you wanted to edit?

[nurse_c_]

What was it that you wanted to edit?

my original post I want to edit it so that so much information is not on it

[caliotter3]

This one is easy. After reading your post, I wanted to leave that case before I read even the fourth or fifth sentence. I don't see how you have tolerated this micromanagement thus far. As you are new to home health, be prepared to encounter various iterations of this scenario often.

[traumaRUs, MSN, APRN]

Edited post.

[oncivrn]

You have gone above and beyond. I agree with the previous poster, time to move on.

[Here.I.Stand, BSN, RN]

Oh heck no. I'm sure your agency isn't paying you enough to make skipping meals worth it. You need to tell -- not ask -- Mom when you are going to eat. Show her where she is able to find your single documentation. (Double-plus documentation is probably not an acceptable use of nursing hours.) And packing a diaper bag is a parent's job, not the nurse's. I mean I haven't done any PDN shifts since the 1 or 2 required in nursing school so maybe I'm missing something, but her demands sound ridiclous.

[Nori.Giselle]

Set boundaries with Mom or this will continue to happen. Also talk to your manager and see if they will help. You should also look at your job description to see if you are being asked to do something you aren't required to do.