It drives me nuts when....

Specialties Private Duty

Published

Finish that sentence. Could be clinical, could be every day annoyances.

I'll start. It drives me nuts when nurses pull the rings to open the binder/chart. It breaks them and then the rings stay partially open so paperwork falls out. That's why the little tabs to open them exist. With our binders, its one tab to pull to open them. Its more work pull the rings anyway! I guess it goes back to basics...if you have to force it, you're probably doing it wrong. Kind of like the nurses that force the gt extension until it doesn't lock because they force it to turn past the point it should.

Specializes in Peds(PICU, NICU float), PDN, ICU.
It also drives me nuts when...

the parent says, "let's go to the zoo!" two hours prior to my shift end. Really?? It takes at least 45 minutes to go portable with clt., 20+ minutes to drive/park, another 10 minutes to get pt. stable to actually got into the zoo, then the rigmarole of going back home. All of that and we went on the carousel and then left. Oh, and it was raining and windy to boot ^insert eye roll^

This has also happened with bath time (announcing it too close to end of shift). The last time I told clt.'s mom that I had to leave right at shift end, and actually took my charting into the bathroom and suctioned when necessary as I continued to chart (clt.'s mom in tub-dressed- with clt.). I have work to get done and the charting on the client is extensive, not to mention all of the chores that need to be done on my shift - I can't stand just sitting around watching them in the bath when there is so much to do, so I multi-task.

Ok, thanks for listening to me rant- I feel better now ;)

Yep, that! No boundaries, no respect for nurses type of parent or they want to try to get more time out of us. If the kid vomits 5 min before the end of the shift, that's one thing....its another when they take advantage.

Specializes in Cardio-Pulmonary; Med-Surg; Private Duty.

Client gets hospitalized on Thursday, but nobody tells anyone. I get a call from the on-call supervisor three hours before the start of my Sunday shift telling me that I've been called off.

I had completely planned my day around the fact that I was working that night, including missing out on a social event with family and friends. Client didn't even get discharged from the hospital until Tuesday, so it's not like they just found out at the last minute that the client wasn't going to be home that evening after all.

You know the parents would be crying bloody murder if WE called off with no warning three hours before a shift when we knew three DAYS in advance that we couldn't make it. *sigh* Is just basic respect too much to ask these days???

Specializes in nurseline,med surg, PD.

Is this a Medicaid case? I was told that for Medicaid to pay all care must be delivered in the home, or at school. No field trips.

Specializes in Peds(PICU, NICU float), PDN, ICU.
Is this a Medicaid case? I was told that for Medicaid to pay all care must be delivered in the home, or at school. No field trips.

That may depend on the state. They require that the agency have an office in the state you practice in and the nurse must also be licensed to practice in that state.

Specializes in Complex pedi to LTC/SA & now a manager.

In my state Board of Ed pays for hours at school (including field trips and bus transportation). Medicaid pays for nursing to accompany patient locally (to family outings, physician appointments, park etcetera) there are some basic (non trach or vent) extended care cases that if both parents are competent caregivers & going on the outing nursing is not covered (such as an out of state specialist appointment) t

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