opened up a case I have a bad feeling about

In my company we do not have a choice. Sounds like you did everything you could. I have many non compliant Pts. I have called 911 and the pt refused the EMS had him sign a waiver that he refused care. I kept going back educating calling the MD with updates and documenting almost word for word each visit. In home health that happens alot at least for me. Good luck.

Thanks for making me feel a little better. I educated out of the wazoo, instructed to use the meds as prescribed, reiterated about a million times to go to the hospital for uncontrollable pain and SOB. We have a choice, but its got to be pretty bad not to open it. Oh, he used to be on lasix, I told the dad not to give it, to get evaluated because he may actually be dehydrated not overloaded (clear lung sounds too) and i called back to tell him to go to the ER and found out he gave it anyways....

Document, document, document, that's all I can do.

I come from the hospital. I was always rest assured my patient was endorsed tot he next shift and cared for. Now,. I feel 24/7 ersponisble. My preceptor/supervisor is the same way, but she says if you dont let it go and just know you did the best you could do, you'll get burnt out fast. So, I'm going to just hope I did the best I could in there today.

You did the best you could do. Just make sure you also notify the MD that you instructed him to go to ER and he refused. Home health is 24/7 at least it is for me. I lasted 2 years. Good luck.

YOU NEED TO PROTECT YOUR BACK. FILL OUT AN OCCURENCE, SPEAK W/YOUR MANAGER, GET YOURSELF SEEN.

Your back is your LIFE.

This family will never listen to you, or anyone. But I will bet that he gets infected and ends up back in the hospital soon.

Nice of you to work the holiday!

Best wishes!

First things first - I hope you filled out some kind of incident report re: you back injury. Absolutely must do it! Don't even NOT think about it. Do it.

Secondly - Your gut reaction about this case is most probably correct. I don't do HH but it sounds like your supervisor is aware of your concerns and you've well-documented. Just remember that people make their own decisions re health care, good or bad. You did what you saw best.

Thanks!

This is a preexisiting injury which I got an MRI for just last week. 2 herniated discs, one right on my spinal sac that I have been recieving chiropractic care for. Couldn't afford not to work, so unfortunately I aggrevated it big time doing this dressing change. So, my supervisors know all about my back already. I'm just screwed, gotta work, gotta pay the bills.

Yes, you are right, people will do what they want. I can teach until I am blue and reinforce, but he'll do as he pleases, just like me who is not taking it easy on her back.....

I worked 4th of July for selfish reasons..... the money is good and I took a paycut taking this job, so I have to beef up the paycheck a little!

Pleeeeeease! It doesn't matter that your mgt knows all about your pre-existing back status. Just make sure you've made out a report for this injury (and keep a copy). Papers get lost, people coveniently don't remember, etc etc. Remember your own words...document, document, document:loveya: