am I a nurse or home maker???

Specialties Private Duty

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I have been a lpn for 16 years now, and have worked in many facets of the induatry. I am curently a home health nurse for a private duty agency. Is it me or do these insurance companies, and employers expect us nurses to become home makers while on duty for the families. I had one case with a 2 year old vent patient, his single mother brought in 2 bags of laundry and said they needed put away as if I were to do it. I said to her "you'll get to it soon" and jokingly told my case manager. I was told sometimes as nurses we are to take over parental duties also. Also, when did I go to school to be a dietician or chef? I am expected to prepare all meals while on duty. Should the meal prep not fall on the family and as a nurse I have no problem warming a meal, but to plan and prepare the meals are not my responsibility. As nurses we have set guidelines as to what we are permitted to do by law. And as nurses we shiuld set our own guidelines in the home setting as to what we will not be made to do that we wouldn't do in othwr settings. I barely cook at my home. I also am expected to vacuum my patients room and wash the dishes I use to feed the patient. I am sorry, but this is not my job. If a patient requires meal prep and skilled nursing caee it is time we, as nurses make a statement to our employers and these insurance companies that want to skimp and save money, that we have specific training and skills for nursing care. And if meal prep and cleaning need done that it falls on the family, or a homemaker that be paid by the insurance instead of them expecting and forcing us to do it while attending to medical needs. I thought that's what we did, nursing care. Thanks for readung and hope to read some responses.

Specializes in Peds, School Nurse, clinical instructor.

When I did home care I fixed my pediatric patient's meals and did his laundry. I also kept my working area ( his room and bathroom ) clean. I did not do anything for the rest of the family.

CloudySue,

I could see where it might be to your patient's advantage to prevent a meltdown from the other child. I think what you do for that little girl is of the utmost kindness.

This is why HH and PDN is not for me. I've tried it but felt more like a homemaker/baby sitter than a nurse. Cleaning someone's home is not beneath me at all, however it just wasn't my cup of tea. The beauty about nursing is that there are so many opportunities for us. What one nurse loves to do is what another nurse may not be too fond of doing. OP, my advice is to check with the agency and your contract. If it is not part of job description then quit. Another person would be more than happy to take your place.

Specializes in pediatric.

My agency is very specific, with the nurses and with the families, that we are not maids/chefs/babysitters for sibling/etc. If any laundry is to be done, it is because the pt. soiled it, and even then it might be to only put it in a specific place (basket, machine). My pt. has a GT, and I wash the vent tube after every venting and change the feed bag/tubing daily. I keep his room organized and hazard free (toys off the floor, bed made, wipe down the equipment) because that is my primary work space. I don't pick up the living room, put away laundry or dishes, or watch his sister when the parents are out (she goes to grandparents), and have never been asked to do these things. Maybe the family is one who "gets it," I don't know, as it is my first job/family that I have worked with as a nurse. I'm sure there are those who try and take advantage of us (as OP pointed out).

Specializes in Gerontology RN-BC and FNP MSN student.

When I did home health, I would gladly do anything that had to do with my child. That includes cleaning his room and laundry when needed. I would set the family's laundry aside to use their washer and dryer when necessary. It makes my job easier when I handled and cared for the environment I was working in and made sure it was nice and tidy. :)

Specializes in Peds/outpatient FP,derm,allergy/private duty.

All of this sounds pretty much like I've always believed. . .most nurses can be relied on to act appropriately and know the difference between a snall kindness or act that smooths the bumps in the job and a family who tries to manipulate and even try to pit one nurse against another for a gain that is not related to nursing care.

Sharpeimom...I went through a similar ordeal with my mom and a personality change . . .it is so painful . .but don't feel guilty! Hospice (especially one associated with religious) is different from the toxic issues that can arise when there is no expected end point for assistance in the home...hugs...

I used to not get too concerned with doing chores when doing in home care...because in my mind, i rationalized it as home care was just one tiny corner of the nursing world, so me being both a nurse and housekeeper (usually more housekeeper) would only take place in that one little corner...and nobody would expect me to do this anywhere else.

well that was then and this is now. home care is about to explode with all of the new and expanded government programs that are set to begin in the not so far future....which means the home care field is more than likely to triple in growth.........its no longer a little thing anymore.....and nurses are out there impressing upon patients, families and the GENERAL population that we are there to nurse them back to health and get their homes back to tidy.

I also care for a vent-dependent toddler as my second job. I have no problem with doing his laundry or washing up the supplies (including dishes) I've used with him. I dust his room, and have been known to push a vacuum around it as well.

What is the big deal here? All of the above activities take less than 15-20 minutes of my time. And as another poster so astutely noted, I also do RT/PT/OT tasks as well.

And yes, I am a nurse. A masters-prepared one at that. I do not consider anything that my patient needs to be 'below' me. To be blunt- get over it. there are plenty of nurses willing to take your place right now.

I don't think she's saying things are beneath her. I think she raises a legitimate concern as to exactly what her duties are. That said, I have done dishes and light housekeeping while caring for home care patients. No one ever told me to cook, clean, or do laundry for the family. In fact, one family told me to stay with the pt more, which meant not to do stuff in the kitchen. Truthfully, home care gets kind of quiet at times and the time went quicker when I kept busy.

I guess we could say that part of pt care is helping the pt's family. God knows they are stressed enough and if we can help ease their stress, why not? I know that's not all "professional", it just seems good to me.

And yes, there are many, many nurses who would love to have her job, I imagine.

I have been a lpn for 16 years now, and have worked in many facets of the induatry. I am curently a home health nurse for a private duty agency. Is it me or do these insurance companies, and employers expect us nurses to become home makers while on duty for the families. I had one case with a 2 year old vent patient, his single mother brought in 2 bags of laundry and said they needed put away as if I were to do it. I said to her "you'll get to it soon" and jokingly told my case manager. I was told sometimes as nurses we are to take over parental duties also. Also, when did I go to school to be a dietician or chef? I am expected to prepare all meals while on duty. Should the meal prep not fall on the family and as a nurse I have no problem warming a meal, but to plan and prepare the meals are not my responsibility. As nurses we have set guidelines as to what we are permitted to do by law. And as nurses we shiuld set our own guidelines in the home setting as to what we will not be made to do that we wouldn't do in othwr settings. I barely cook at my home. I also am expected to vacuum my patients room and wash the dishes I use to feed the patient. I am sorry, but this is not my job.

You were just kidding, right??? I am sorry but this is your job!!!! Why will you let your patient in a dusty room? Why will you let your patient dishes dirty???? Please Im just a nursing student but for real you need a refresher course on fundamentals of nursing....Im sick of nurses out there not knowing their job description basics...I have a question: have you ever been in CNA in your life??? Please tell me.... Nurses pass on trays in the hospital/LTC ( I have seen them doing that a bunch of time) and you are there on a 1on 1 case, you cant even afford to wash some dishes and vacuum your patients room !!! Seriously??? Hellooooooo its not just about the medical care its also about sanitation and cleanliness

It's so hard in these homecare situations. If you feel like you're being taken advantage of, then you should set clear boundaries, maybe talk to your agency. Was the laundry the patient's laundry? If so, then yes I believe you should put it away. Basically anything related to the patient and their care. I've worked in places where I only did what was required and in others where I did extra just because the parents were so wonderful it made me want to help them any way I could. I work nights and always have. For the most part, there is a lot of downtime. I know every case isn't like that, but sometimes doing extra helps the time go by, and gives me the feeling that I'm helping out parents who are already overwhelmed by having a disabled child. For me, as long as they are appreciative it's not a problem. Good luck with this.

I myself am currently working for a quadriplegic, trached gentleman- been working overnights in his home for a year now, and the past couple months I’ve been noticing his middle aged wife and twenty something kids have been mixing their laundry with his and they leave their dishes from morning to dinner time in the sink and expect me to clean up after the husband as well as the rest of the family- I graduated in 2017 and got my license in 2018 so this was my first job, but I’m debating on leaving soon... it’s a non agency job, so i have to be careful and leave on good terms, but i understand how certain families expect you to do their dirty work when you were hired to care for the patient... hopefully the case manager will be able to clear the air with the family and boundaries will be set for you not to feel that way- you are a nurse, not a housemaid.

On 11/16/2013 at 5:20 PM, vitiana said:
Quote
I have been a lpn for 16 years now, and have worked in many facets of the induatry. I am curently a home health nurse for a private duty agency. Is it me or do these insurance companies, and employers expect us nurses to become home makers while on duty for the families. I had one case with a 2 year old vent patient, his single mother brought in 2 bags of laundry and said they needed put away as if I were to do it. I said to her "you'll get to it soon" and jokingly told my case manager. I was told sometimes as nurses we are to take over parental duties also. Also, when did I go to school to be a dietician or chef? I am expected to prepare all meals while on duty. Should the meal prep not fall on the family and as a nurse I have no problem warming a meal, but to plan and prepare the meals are not my responsibility. As nurses we have set guidelines as to what we are permitted to do by law. And as nurses we shiuld set our own guidelines in the home setting as to what we will not be made to do that we wouldn't do in othwr settings. I barely cook at my home. I also am expected to vacuum my patients room and wash the dishes I use to feed the patient. I am sorry, but this is not my job.

You were just kidding, right??? I am sorry but this is your job!!!! Why will you let your patient in a dusty room? Why will you let your patient dishes dirty???? Please Im just a nursing student but for real you need a refresher course on fundamentals of nursing....Im sick of nurses out there not knowing their job description basics...I have a question: have you ever been in CNA in your life??? Please tell me.... Nurses pass on trays in the hospital/LTC ( I have seen them doing that a bunch of time) and you are there on a 1on 1 case, you cant even afford to wash some dishes and vacuum your patients room !!! Seriously??? Hellooooooo its not just about the medical care its also about sanitation and cleanliness

The tone of this reply just hit me wrong. Here is a person who isn't out in the trenches yet telling us it is okay to be treated like hired help. Nice.

I have been doing pediatric home health aka private duty for over 2 years. The overall expectation is that we take care of our patient. We don't do laundry or dishes, UNLESS they are our patients. We are not there to parent them. We are not nannies or maids. I have worked with people who were just generally crappy parents who barely took care of themselves no less their kid and I did pick up the slack. I quickly learned it became expected and they do begin to look at you as their in home helper and not just their child's nurse. I no longer do ANYTHING outside my job description. Setting proper boundaries is good for everyone. Anyone saying it isn't that big of deal hasn't had themselves taken advantage of yet but give it time...it will happen.

I am currently on a case that the child is on a blended diet. Mom just told me yesterday that I am expected to cook his breakfast and then blend it and administer via GB. Yeah um no. I have a few problems with this. First putting food so hot you can't hold the feeding bag in your hand and pumping it into a small child is unsafe. She says it thickens too much when cooled.

Second her 'recipe' is eyeballing and no exact measurements of water to food or even final amount run! Huge problem for documenting accurately. The BON would have a field at if I Ended up in front of them saying "mom told me to do it" and I didn't at the very least document questioning her about measurements and accuracy of the recipe from day to day.

Third, I will prepare formula, I will blend precooked food, but it isn't part of my job to be a chef and physically cook.

There is no need to ever worry if you stick to your job description.

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