SDALPN 15,351 Views
Joined: Apr 10, '07;
Posts: 1,041 (50% Liked)
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I'm on my phone and the page I pulled up is in pdf format. I can't post it from my phone (if I can, I don't know how). I won't be home this week to use my laptop to share it. But I'm sure someone else can post it. Or ask the agency you work for and they can show you. But we are responsible for all care that the patient needs. Its a task that CNAs would typically do in the home, but since we don't have a CNA with us, its our job to do it if asked by the family. But doing family laundry has nothing to do with the care of the pt. Just as cleaning the patients room is necessary, but its not our responsibility to clean the rest of the home except for any mess the patient makes.
Also, just plain old common sense would say that if a patient has a massive BM and soils their clothes, that you would clean it. Otherwise it would sit there making everything stink and then you would be leaving that work for the parent when they get home. If I had nursing in my home and walked in from work to see a pile of clothes soiled with BM just sitting there, I'd let the nurse go.
Its a game. Some get bonuses based on the percentage of shifts covered. They certainly don't do it because they feel like it. They have motivation.
What irritates me is that they think we are that stupid. They think we don't talk with the families. The truth comes it even when we don't dig for it. I've had tons of families say the scheduler told them things that weren't true. It leads the families to distrust everyone.
I will never understand how someone can go to work and spend all day lying, manipulating, and misleading people that depend on honest scheduling to pay bills. It says a lot about the character of the schedulers for sure!
I have learned to make it clear that I'm not a doormat. I don't give in. If they use dishonest tactics, I call them out on it. When I get the rare, honest scheduler (they never last in the job), I go out of my way to cover shifts to help them out. If they do me right, I make sure I look out for them. Dishonesty and games don't motivate me.
Personal experience with the laundry issue:
I had a patient I worked with for a few years. The mother started asking us to do laundry. We did it with hesitation since it was "for the patient". However, as we all know...give someone an inch and they'll take a mile. Soon after that the family started leaving their clothes in the dryer for us to fold before we could move the patients clothes in the dryer. After that they would start leaving the clothes wet in the washer. Well we couldn't leave the wet clothes...so of course they got dried. It quickly became a habit of the family to leave the wet clothes in the washer.
I think its best to leave nursing to nurses and leave housekeeping to housekeepers. Parents should be parents. The reason we are in the home is to provide nursing care and education. We aren't babysitters, maids, repair people...etc. If the agencies would make this clear when they started a case there would be a lot less frustration on both sides. But the agencies are scared to be honest with the families. So it isn't discussed when a case is started and then it leaves a grey area.
Don't get me wrong...if I have a wonderful family who treats me right, I'll go out of my way for them when it is *needed* and not expected/demanded of me. The parents that work should think about how they respond to a boss they like vs. a boss they don't like. Its the same way in the home.
As I'm writing this, I'm in a home where the parent just asked me if I would like him to pick up a movie for me while he is out. Of course I said no. I wouldn't feel right saying yes to that. But knowing how well they treat me makes such a difference. I will bend over backwards for this family. They also provide coffee and tea all day for the nurses along with a fluffy couch and big screen tv. I know this isn't the norm and only fill in on this case. But I always thank the parents for being so kind.
I never tell the family. I work for the agency, not the family. And if you tell the family why, they may retaliate.
Just recently a nurse left a case I'm on. She told me it just wasn't a good fit. The agency told the parents that the nurse wanted more hours. Of course that wasn't a good lie and the parents saw through it. Its best if the agency leaves it as confidential if the parent asks. Then nobody has to lie and it won't hurt the family as much.
That behavior is common. Nobody tells these parents how things should work because the agencies are scared if running the parents off to another agency. Right now I'm lucky that I have a parent that is involved without being over the top. But she is home all day, sleeps til 2p. Then watches tv the rest of the day. She whines about how hard the work is to take care of the patient. But acknowledges the hard work we do. She complains about how hard 4 hours is with the patient while we do 12 hour shifts. But I've seen worse. We enable these parents to avoid being parents sometimes. We do need to be there so they can go out at times. A babysitter wouldn't be able to do what we do and give the parents peace of mind. However, so many take advantage that it ruins our view of things. I have some parents that refuse to change a diaper. They walk in and tell the nurse to do it. But then they don't change the kids diaper and wait for the next nurse to arrive hours later. We are there to be nurses and give the parents a chance to work our take a break. But so many get greedy and take advantage. Then they go through nurses quickly and complain they can't keep nurses. The good families keep nurses for years. Sometimes I wonder if these parents with special needs kids weren't meant to be parents but our medical technology saved the kid. I had another case where the parents flipped out if they didn't get a nurse on Fri nights so they could go out. They both were home all day living off the system. But they couldn't be flexible to choose a night when they had nurses and be appreciative of that. They act like its owed to them. Luckily not all parents are like that. Its just hard to find the good ones. But yes, it can be extremely frustrating dealing with that day in and day out. It may be time to find a new case or float for a while so you can find greener grass!
Just because you don't see a camera doesn't mean there isn't one.
I'm not sure why a nurse would purposely block a camera. What do you have to hide? At the very least it makes you look like you have something to hide.
There is a video monitor in my patient's home, but I always assume I am being watched even if that monitor is not trained on me. Who knows whether there are hidden monitors?
I can't say I blame any parent or family member for having monitors. I absolutely would do the same thing if it were my child. I have seen and heard too many horror stories about the bad things people do when they think no one is looking.
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