Local nurse

Thanks for your responses.

Hello all. A little background: I have been on a private duty case for sometime where I drive to a patient's home, get her ready for school, get her on the bus to school, follow the bus to school in my car, monitor during the school day, get her on the bus to aftercare, follow the aftercare bus in my car to the aftercare program location, remain with the patient until my 8-hour shift end, then drive home from there. I have variously accompanied the patient on the bus and home, but with aftercare and other programs my agency and the parent has requested I drive as my shift ends before the patient's day, she is left in the care of a designated caregiver at the afterschool program. Last week another driver hit my car en route (no injuries) and now the powers that be have asked me to ride the bus to both locations, leaving my car at the patient's home for the day. Because my shift ends before the patient's time at aftercare, a family friend of the patient will drive me back to my car at the residence while the patient remains in aftercare. My agency shifted my hours so I come in earlier and still work my full shift, but will not compensate me for the transport time from the aftercare location back to my car at the residence. Last week waiting for the ride and ride time extended my commute from 30 minutes to 1 hour 30 minutes. Is it legal to not be paid for the transport time back to my car at the patient's residence? With thanks.

Thanks all. I told my clients I could only provide nursing care while within my state’s borders, but you brought up a great point with what if there’s an emergency? My agency gave me a really hard time about this as apparently their nurses have been doing this for some time. I’m sticking to my instincts and your great advice and saying no.

Hello all; I’m seeking some guidance. As a pediatric home care nurse, I sometimes accompany a patient and parent to medical appointments. Some of these specialists are out of state. I am expected to provide care during these day trip travel times. It has been my understanding that my single state license means I can only provide care in a location if I am licensed in that state I’ve been advised by my employer that is incorrect, that care tasks out of state are part of continuity of care. Any advice would be welcome. Thanks!