It's a fine line. I took care of one child from the time she was born until about age 8. That was the case I was referring to when I mentioned transporting the child. One nurse on that case often took the child for weekends at her own home and transported her. (12 hr shift paid for by the agency, 12 hr at night unpaid) Can you imagine the liability if something had happened to that child in transport or at her home off the clock?
The relationship I had w/ the mom was a friendship although we didn't hang out together. I was a support person to her when her marriage failed. One day I came to the home for my shift and found the mother w/ the divorce papers that had been served hours earlier, clutched in her hands, and she was crumbled on the floor in a catatonic state. Her daughter was crying and needed a diaper change. So I tended to my patient first, calmed her down, started a feeding and then put my arms around her mother and let her sob in my arms. I couldn't not help her in her time of need. Was it crossing the line? Maybe. I considered that in helping mom, I was indirectly helping my patient also. But despite how well we knew each other, she knew I'd never not follow the agencies policies in the care I provided for her daughter and she never asked me to. I don't work for the agency anymore and I'm still a friend of the mother. She is in a different town and we meet for dinner occasionally, and she is my Facebook friend. Someday, when I don't work full time or when I retire, I intend to care for her daughter, so mom and her husband (they worked it out and got back together) can go on their first ever vacation. But now I can do it without compromising my professional standards. As I said, it's a fine line and there are no easy answers.