Lie on notes? Don't follow care plan.

[anangelsmommy]

I am on a case right now where the pt can be quite acute at times. But pt right now is well and the insurance decided to change when the patient got nursing. The mother had a fit and called the agency. The supervisor worked with the doctor to devise a new care plan that would fit the hours the mother wants. So instead of following this, the mother is still following the old plan, with hours off of feedings and not a lot of "true" nursing while nurses are there and then asking the nurses to just play with the baby and then basically lie on their notes. When I said I wouldn't do that. She said she was not asking us to lie. Just to not put any times. So I said I can't do that either because if I ever have to account for anything during my shift, I have to be able to reference my notes, and without times, I cannot do that. I am also being left with another child, in addition to my patient while the parents sleep. And I am BORED out of my mind for HOURS just playing. I have called the office and complained which is against company policy. I finally said I need a break from this case. But I am really disappointed that the only support I got from my agency about this, watching another child, not following the care plan and this other child places the client in unsafe situations etc was really just a sort of ho hum attitude. Anyone else find themselves in situations like this? I am doing this case for the rest of the month and then I told them I need a break from this one for a while. I used to really like it. But the children are not disciplined and I am not there to play. Angels mommy

[SDALPN]

You just say no. There will always be work. Kids, family, friends may always be there, but you will miss the memories you can't get back.

[brillohead, ADN, RN]

And if we don't take care of ourselves, we can burn out to the point that there won't be any more shifts at all..... better a night off every now and then!

[anangelsmommy, ADN, BSN, RN]