I'm not a babysitter!!!!

Decline the case. The other child is not your responsibility. Follow up with your office director and clinical supervisor. Make it clear that you cannot supervise the sibling. This borders on child abandonment on behalf of the mother

Oh no don't let yourself get used like this! So much liability

That's what I'm afraid of . I'll be at work in an hour. I think I'll just leave this case . It will be very uncomfortable situation after.

One of the reasons i left homecare forever. We are not babysitters!

That's what I'm afraid of . I'll be at work in an hour. I think I'll just leave this case . It will be very uncomfortable situation after.

Send an email to office management ASAP. If you walk into her leaving you with the sibling, call the on call manager ASAP to advise of the situation and the issue is documented. Do not document the sibling left alone in your narrative. Email the clinical manager & scheduler to be pulled from the case ASAP because you cannot accept responsibility overnight for the minor child sibling and the client. Cover yourself

Call, call, call & document, document, document! You are not a babysitter & mom needs to know that. Cover yourself!

One of the reasons i left homecare forever. We are not babysitters!

Oh wow, are these types of situations common?

Oh wow, are these types of situations common?

Depending on the location and clientele this situation may not be uncommon. If there are numerous agencies fighting for business, a family member may abandon their child expecting the 1:1 PDN to babysit the abandoned child. The agency has this written in policy that it's not acceptable and may result in a call to CPS.

The more difficult is when your coworker's desperate to be liked agree to these questionable situations and fail to notify the office

Your agency needs to do the right thing, as I would think they would be as liable as you. My former employer when I was a PDN would flip out if mom left me alone with a sibling-even for a ride in the elevator. They were clear with the families that the nurse is there for the pt. and the pt. only-we could include the sibling in play time or perhaps showing tx or cares (never allowing them to participate, of course) but never where our attention was diverted away from their client/my pt. Oh yeah, they also made it clear to the families that we worked too hard to our license to to do laundry, cleaning and such.

Why not just call CPS/Police at that point? You are a mandated reporter who is not there to be legally responsible for the child who is not being given PDN. She is abandoning the 5 year old. Imagine if you worked in a hospital and Mom walked in, dropped off the 5 year old, and left her with you to watch while the brother was the admitted inpatient. HECK NO! You'd be on the phone to security faster than white on rice.

I have been in that situation. The agency doesn't care what is on paper. They will tell the families one thing in writing and do another. When this happened to me, I called the agency. They told me that if anything happens to the pt to the point I call 911, to let the police handle it then. You are putting yourself at risk by staying. The agency will only get away with what you allow them to get away with. You can also call CPS and the case manager. Let them know the mom threatened to change agencies because of it. That way they know she is manipulative as well. That statement will also make CPS and the case manager keep a close eye on things if they do change agencies.