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

Private Duty   (3,989 Views 15 Comments)
by nurse_c_ nurse_c_ (New) New

484 Profile Views; 3 Posts

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!

Edited by traumaRUs

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quazar has 20 years experience.

603 Posts; 9,939 Profile Views

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.

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meanmaryjean has 40 years experience as a DNP, RN and specializes in NICU, ICU, PICU, Academia.

3 Followers; 7,551 Posts; 65,181 Profile Views

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.

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TheCommuter has 10 years experience as a BSN, RN and specializes in Case mgmt., rehab, (CRRN), LTC & psych.

1 Follower; 228 Articles; 27,607 Posts; 318,023 Profile Views

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.

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TheCommuter has 10 years experience as a BSN, RN and specializes in Case mgmt., rehab, (CRRN), LTC & psych.

1 Follower; 228 Articles; 27,607 Posts; 318,023 Profile Views

how do I do edit?
What was it that you wanted to edit?

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3 Posts; 484 Profile Views

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

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3 Followers; 36,950 Posts; 98,111 Profile Views

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.

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traumaRUs has 27 years experience as a MSN, APRN, CNS and specializes in Nephrology, Cardiology, ER, ICU.

166 Articles; 21,045 Posts; 191,682 Profile Views

Edited post.

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52 Posts; 1,161 Profile Views

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

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Here.I.Stand has 16 years experience as a BSN, RN and specializes in SICU, trauma, neuro.

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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.

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Nori.Giselle has 4 years experience and specializes in TICU.

72 Posts; 2,021 Profile Views

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.

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