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AnaCatRN

AnaCatRN

Pediatrics, Cardiology, Geriatrics
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AnaCatRN specializes in Pediatrics, Cardiology, Geriatrics.

I'm an RN hoping to one day become an FNP.

AnaCatRN's Latest Activity

  1. AnaCatRN

    Nurses aren't maids!

    Inappropriate to ask, demeaning to expect/demand and use a condescending tone about it. How's that? Honestly, if the new family didn't talk down to me and believe/insist (along with the agency office staff) that is is not only appropriate to ask/demand, but a part of my actual job description (and really, it's not), eventually, I would probably get bored one night and volunteer to do some stuff for them. It's honestly the principle of the whole thing. I'm much calmer today after hearing back from corporate that they are going to help me resolve this, and after getting a lot of support from friends and family. There are many issues in this problem, and it's not all about cleaning. I am most angry that I see the already strapped state being abused and I'm expected to be a part of it. It really irks me that there are people who think they are just entitled like that and can treat people like crap.
  2. AnaCatRN

    Nurses aren't maids!

    First of all, I do serve others by being a nurse. I have *NEVER* complained about or thought it beneath me to clean a patient, help with bathing, or tackle a severe code brown. Please do not think I'm *THAT* nurse who thinks I shouldn't do the "dirty work" of nursing! And yes, I do consider a HHA a professional. While I understand you and I provide different services, and cleaning up after the patient (not the family) may be appropriate for you (if that is what you were trained to do, it's something in nursing school we were told to refuse to do when working in home health as it is an inappropriate use of nursing skills). I am a nurse, and I should be monitoring vitals and doing things that require a nursing license. As you said, it's about level of care needed, and if the patient needs skilled nursing, I should do it. Unskilled (a misnomer, really, as HHAs have plenty of skills - I was a CNA once myself, so I do not look down on CNAs or HHAs!) care should not be done by a nurse. We should be sent where we are needed most. I also maintain that when the patient is a child, and suddenly the parents don't have to sit around waiting for the feeding pump to say "done," (really, that's all they "need" skilled nursing care for in this case!) they have plenty of time to do the child's laundry (instead of watching tv or going out with friends). See, this patient really doesn't need a nurse and the parents somehow have managed to get Medicaid to pay for me to waste my time and skills being a babysitter and housekeeper. The house is very clean, but I have no intention of taking over the responsibility for keeping it that way. I have had too many families who are really pulling one over on the state to get services they don't really need, which isn't fair to the tax payers or the people on the waiting list who really need skilled nursing! I am above being used like that, as we all should be. But you don't seem to understand that nurses are now taught in school that we are peers with physicians, so that is why I keep bringing up the fact that no one would ask a physician to do laundry. My job is to assess the patient and tell the doctor what is wrong with the patient, not to clean up after them. I'm a nurse, not a nursemaid.
  3. AnaCatRN

    "The Nurses and HCA's will be responsible for...

    You should definitely run far away! Nurses aren't maids! Any nurse who allows herself to clean on the job should be kicked out of nursing. When dim witted nurses clean, people think we all should. Hell no!
  4. AnaCatRN

    Nurses aren't maids!

    I forwarded the problem to corporate because someone at the agency tried to tell me it's in the employee agreement I signed, and I re-read the agreement. It most certainly does not include cleaning or laundry. I'm THIS CLOSE to quitting, which truly sucks, because I love my job and my patients. I've never been asked in this past year working for this agency to clean or do laundry, and they dropped the patient who assaulted me. I thought this agency was a good one, and that they value nurses. Sigh...
  5. AnaCatRN

    Nurses aren't maids!

    I shouldn't be asked to clean. Why doesn't anyone understand how demeaning it is to ask a professional to do that? When was the last time a physician was expected to do a patient's laundry?!
  6. AnaCatRN

    Nurses aren't maids!

    Yes, the home health aide plan says that, because home health aides clean. It's not something that should EVER be on a nursing plan!
  7. AnaCatRN

    Nurses aren't maids!

    Exactly! There are home health aides. If they need non-skilled care, they should do it, not licensed nurses! The only reason some agencies require or have rudely brainwashed nurses to think that it's ok to ask a nurse to clean is because dumb nurses let them! We have to stop it! I'm not doing grunt work for the tiny pay I get (or any pay, because if cleaning was something I was willing to do for a living, I would have become a maid and saved myself a LOT of money by not going to college)! I have a license! My putting up with the tiny pay is because I only have one patient, it doesn't mean I'm stupid and can be treated like a dog! If the parents want a maid, they should get a maid! I said before, for an ADULT patient who lives ALONE, it might be appropriate to expect some housekeeping, but NOT for a child. Parents don't get to put their feet up because some dumb schmuck nurse is willing to be taken advantage of and play maid! I'm a healthcare professional. not a menial laborer. ALL nurses deserve respect. It is NOT ok to say "you work in home health to keep kids out of institutions, you're not a real nurse, so you should just shut up and realize you don't deserve the same pay, benefits, or respect that a hospital ("real") nurse gets!" And yes, that IS what some of you have implied here! We are nurses, not domestic help!
  8. AnaCatRN

    Nurses aren't maids!

    ***I became a nurse to help heal people, and that is all I care about - healing people. I do NOT give a rat's behind if anyone thinks I give good customer service. I do NOT strive for 5! I DO strive to keep your butt alive. Nothing else matters to me. Dr. Gregory House is my hero (even if he is a rude jerk to nurses).*** I want to believe you weren't flaming me, and that you meant what you said about not agreeing with the nurses as maids idea, but you didn't really convince me after you listed all of your demands (yeah, this ignorant woman thinks she has the right to demand that I become a freaking vegetarian four times a week, that I wear special indoor shoes in her house, and that I wear a specific outfit). You do see nurses as servants who deserve no respect and are lucky to have jobs. That's so wrong. Patients and their parents may be "clients" or "customers" to the agencies, but they are PATIENTS to the nurses. You don't tell us what to do. No one tells us what to do. If you could tell me what to do, I wouldn't need malpractice insurance. I make my own decisions. First of all, I have had wonderful families that I would go to the ends of the Earth to help, and I have done special things for them, because they appreciated me and didn't expect it. This was the first night with this family and she talked to me like you would a new maid on her first shift. My agency DOES NOT have a policy allowing (let alone forcing) nurses to do housework, yet this mother started the conversation by saying "This is the laundry room. When you do her laundry..." NO, MA'AM! She has not yet impressed me with how much she cares about her child and appreciates the help she ignorantly complained the state took too long in giving her (especially since she and her husband are well-paid healthcare professionals themselves who obviously think very little of nurses). I do nothing special for anyone who expects/demands it, and certainly never before they EARN it! Being rude and condescending to me on my first shift will not make me care how tired this woman is after partying with her friends all night while her husband oriented me to the case and I took care of her kid (yep, she came in after 11pm so she could talk down to me). Furthermore, this child does not really need a nurse at all in my opinion (there seems to be a lot of that going around at my agency), and I'm angry that Medicaid is paying for this case just so the parents can get out of parenting (because like I said, the parents are AFFLUENT). The parents are affluent, and the kid doesn't need a nurse all night. I'm not cleaning jack crap! Everyone is making money but me, and I'm not gonna bend over and take it like that! You might actually deserve the special care your nurses give (and if you do, then I would probably bend over backwards to help you around the house, too), but unfortunately, you also use an agency that should be destroyed for abusing and exploiting nurses to satisfy their greed. Who knows? Maybe you live in a backwards state that still thinks women are their husbands' property, too. Something is wrong where you live! NO ONE, no matter how sick their kid is, deserves to expect or demand free housekeeping services paid for by tax payers. Maybe we abused nurses should expose this crap to the media and see how long that garbage keeps going on. Why is it that people on welfare (sorry, that includes Medicaid and disability because very few people actually deserve it, most are scam artists) get to live better than people who work their butts off with no benefits and sub-par pay, AND apparently get to tell others what to do? When the tax payers are footing the bill, you don't get to demand ANYTHING! How dare someone getting assistance paid for with MY TAXES judge me and what I will or will not be expected to do (especially when that is DEGRADING to anyone with my education and experience)? Are you seriously implying that I'm lazy because I won't do a high school drop-out's job? Because if you are, HOW DARE YOU?! I graduated from college! I have a BSN. Does anyone even know what nurses really do since the 1950s ended?! It has NOTHING to do with cleaning or being subservient to ANYONE! I don't do chores. I will clean the heck out of any medical equipment - no problem! I have NO problem washing bottles, syringes, suction canisters, trachs, any equipment the kid has, because that's something you need training for to avoid contamination. I will happily empty the trash in the child's room at the end of the shift and as needed. I'm a night nurse (who is really sick of people thinking day nurses work harder than we do - you freaking stay up all night and have no backup or any breaks at all - see how long you survive that with a smile and a chipper can-do attitude), and I don't use anything in the patients' homes. I bring my own sandwich and soda, and I take my garbage home with me (if I find time to eat; many mornings that sandwich goes right back home with me, because something ALWAYS happens to screw me right out of any kind of a break). Do you work 12 to 14 hour shifts with no break, sometimes even to go to the bathroom, always having to triple check everything you do to avoid killing the patient or losing your hard-earned license? Of course not, because as a nurse, I'm just a servant and you're better than me. I never use the parents' plates, cups, or utensils. I don't make a mess, but if I did, I would clean up my mess. The day nurses you have are nicer than the ones I've worked with. The ones I work with like to make sure that ALL maintenance things, stocking, cleaning, changing, etc. is left for the night nurses. Who has time to keep the kid from dying, do all the busy work no one else wants to do, and do laundry/clean the house? Keep the kid from dying, you say? Why yes, that is why we're there. Nothing else matters but keeping the kid from dying! NOTHING! No one would ever ask a physician to do their kid's laundry! Why, oh WHY do people think that nurses are some low life servants who will do demeaning and degrading things? We are physicians' PEERS! I was educated to heal and save people, use nursing judgement - not clean! That parents are rude enough to expect that is ridiculous! My mother is sick and bed ridden, but I manage to work and take care of her, and no one supplies me with a nurse to help nor a maid to clean up after her for me (and I would kill for that). She has been to the point where she wanders around filthy and naked, and doesn't know who I am. I'm single, and I can't afford to hire a nurse or put her in a home. I get paid crap to be degraded - I've been sexually assaulted and treated like I'm less than human. No benefits. You expect me to feel sorry for the agency for having to suck up to obnoxious parents who are bilking tax payers, just so they can make their money while screwing the nurses over? Not gonna happen! Do people really still think that nurses are servants and prostitutes? Come on! Who the hell do these parents think they are, and how DARE they think people should feel sorry for them or agree that they deserve to demand that someone else take care of THEIR parental responsibilities?! What idiot decided that family centered care means the parents can shirk all of their responsibilities and treat highly educated healthcare professionals like servants? NURSING IS A PROFESSION, NOT A TRADE! When you drop your laundry off at your doctor's office, or your accountant's office, and they don't throw you out on your butt for thinking they should personally do your laundry for you, come back and tell me how lazy and disrespectful I am. I am NOT subservient to my patient's parents. I don't OWE them respect or have to do ANYTHING they say!
  9. AnaCatRN

    Nurses aren't maids!

    We have to evaluate the environment, too, but the agreement signed by the parents states that it is the parents' responsibility to clear any obstacles (so they have to clean the mess blocking the exit) or the nurse can leave and they can be reported to the state and lose their hours. We don't have anything called a 485 that I know of. Just an agreement with the parents and the agency that clearly states that a professional nurse's role must be respected. That to me means no maid service. Our state has a huge backlog of patients who need nursing and little to no funds, but they are still paying for currently open cases, so our agency needs nurses big time, but they won't keep any nurses if they ask us to do housework. That won't fly around here. We should band together, nursel56!
  10. AnaCatRN

    Nurses aren't maids!

    Nope - the care plan says nothing about housekeeping chores. My supporting the family means (to me) that mom and dad can sleep at night so they can work and do chores during the day. If the plan includes this, they should provide a home health aide to do this. I'm sure an agency home health PT, SW, or OT isn't expected to do housework. No where in my state's nurse practice act does it say that nurses do housework. Someone at the corporate level at my agency said our agency does not do this and I should report the office to corporate HQ if asked to do housework (so, if I hear in the morning that the agency told mom I would do laundry, I will be reporting it to corporate). I don't think in my state they would waste precious nursing money for maid services. If Medicaid pays for that for *anyone* under 18 (because honestly, anyone under 18 should have at least one parent who should not be so damned lazy), I will stop paying taxes! No one deserves free servants! Where's my government-supplied maid?! Seriously, I will leave nursing forever if this is what it's coming to. I'm a college educated professional! I'm a little ticked off that people think that night nurses should do all the junk no one else wants to or "should" do. Day private duty nurses don't really do much more than we do. That's a weak excuse to use college educated professionals as indentured servants. No one would go into nursing at all if it really involved being a freaking maid (unless they're stupid - who pays tens of thousands of dollars for college to do someone's laundry on the tax payers' dime for so little pay?)!
  11. AnaCatRN

    Nurses aren't maids!

    I've been asked to babysit by 2 families (because the other nurses do it), but I didn't do it. See that's the problem. If we don't get the office to step in and say "this is not acceptable," the pushover nurses (and I'm almost one of them - but not there yet!) and the families will just have a free for all over what new tasks can be added. I've also had parents comment on how little we actually do on the night shift. You know what, I don't make nearly as much as I would in a hospital. I only have one patient (which is why I do this, so I can focus on one patient and give the absolute best care possible), and when I'm not doing what I need to for that patient, I'm gonna study or watch a movie on my computer (always ready to jump up and tend to the patient). That's my reward for not getting a break at all during my 12 to 14 hour shift and having such low pay and NO benefits. Last time *I* got sick, I racked up $20,000 in hospital bills I can't pay and couldn't get a nurse to help me with my wound that I had a hell of a time tending to myself. Yeah, you're so right. It's not fair that we work so hard, have no benefits, and get treated like crap. I stay because I love my patients like my own family. However, I don't do my family's laundry, either.
  12. AnaCatRN

    Nurses aren't maids!

    I don't agree with your manager. If they really need those services, they can pay for home health aides. It is never the nurse's (RN or LVN - a nurse is a nurse) job to clean the patient's dishes or clothes (or anything other than the patient or his or her actual medical equipment). Since mom doesn't have to do the nursing stuff, she has PLENTY of time to do the cleaning! If she won't, that's child neglect and she should be reported to the authorities. It was sweet of you to do it, though. Bull snot about the body fluids, by the way. Do nurses in hospitals do laundry because it's saturated in body fluids? No! It's just greed. They'll say and make us do anything to keep that account, won't they? I'm hoping my agency didn't tell the mom I would do laundry. Yes, they've taken advantage of me in the recent past, and they could be doing it again, but I want to believe it's just a weird fantasy mom has that my agency (who has lately promised to make up for past issues) will make go away. Other than the maid garbage, I like the family.
  13. AnaCatRN

    Nurses aren't maids!

    Organizing medical supplies is a reasonable request, I think. I wouldn't complain about doing that. I've read my company's info on the web and what they gave the parents. Nowhere does it offer housekeeping. I really don't know where she got that idea from. If my office thinks I'm doing this, I'll be looking for a new job. You're right, you can't be a nurse and pay attention to the kid if you're doing housework, which is why we exist! So mom can do her housework! D'oh!
  14. AnaCatRN

    Nurses aren't maids!

    I kind of understand what you're saying, but she did take a condescending tone about it, so I had to keep my mouth shut to avoid getting angry with her. She won't be blindsided if the agency tells her politely. I was blindsided by the announcement that I will be doing the laundry, and here's how the washer works. Why is that ok? Why doesn't the mom have to worry about building a good rapport with me? Management needs to do something to earn their pay. It can't be up to the nurses to fight every battle, especially if someone in management thinks they're being funny and is now offering housekeeping services. They can deal with the obnoxious and ridiculous fantasies of parents who think the state paying for private duty nursing includes free housekeeping services on the tax payers' dime. I'm not ok with customer service in healthcare. It's total bull hockey. So, yes, that may be passive aggressive, but that's how I roll after having been taken advantage of so many times before. I'm not going to be the one to address this if the office did indeed say we now do laundry, because they can't do that, so they will have to retract that statement. I'm not getting guilted into doing housework for my patients, and believe me, some people in the office have noticed I can be guilted into things, so I have to protect myself! They need to take responsibility for any misleading promises they made to my patient's parents. That's not a minor conflict that I need to prove I can deal with, it's a major problem they have to deal with if they aren't able to accurately convey to patients' parents what services are actually offered. I'm not going to be held responsible for explaining services. My lower-than-average nursing pay only covers my doing professional nursing. I don't get paid enough to do administration and public relations, too.
  15. AnaCatRN

    Ring Around the Ashtray, A Pocket Full of Smokes

    What's a break? Just kidding, well, not really. When I was a smoker, I would go out for three ten minute breaks per 12 hour shift to smoke and skip lunch *IF* I was lucky enough to get a break at all. I had to learn to go 12 hours without a smoke (or food or drink or a bathroom break) most nights. When I switched to private duty nursing, I now no longer get a break at all (I'm by myself - have to be with the patient at all times because there is no one to cover me for breaks). Sometimes I can eat, sometimes I can't. I definitely can't smoke. I switched to e-cigs and haven't had a cigarette in 6 weeks. It's working for me. I'm sorry it didn't work for you!
  16. AnaCatRN

    Nurses aren't maids!

    I was assured by someone at the national corporate office when I first took the job that corporate doesn't tolerate local offices expecting nurses to do household chores, and to report it to them if I am asked to. If the agency tells me tomorrow that they told her I would be doing laundry, I will report the office to corporate. I'm tired of hearing about customer service! Someone has to say enough is enough with the customer service garbage. They're PATIENTS, not customers! And how can they be all about customer service when the state/Medicaid is paying the bill? Having a kid who needs private duty nursing they can't afford without government assistance does not equal winning the lottery and getting free maid service. I'm actually really here so mom has the free time so she can work, sleep, and do her own housework. Sigh...
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