amillion3147

Exactly. I can always get another job. I can't replace me. They would just have to fire me.

I am sorry but I need to make it home at the end of the day. Better check your state laws on that as well and make sure you have the training and permit to carry a weapon. I enjoy home health but I am not willing to die over it.

Stop worrying about the board taking your license. This is coming from a PT who was reported(myself) to NC state board as retalition for exposing issues in the our workplace and standing up for pts when they weren't getting proper care from staff. I was working with along with my friend who is an OT who was basically doing the same thing. Management didn't like that and was out to get both of us and they found the perfect opportunity where the both of us where working with patients in a group to get us all in trouble. Long story short after I resigned and she resigned they reported us both to each of our boards for different things. Mine said I was verbally abusive to a patient which is hardly the truth and was a flat out lie. I forgot what hers was for. I was like and got all upset and worrying but then I realized I had nothing to worry about as I knew what was being said was not the truth. They basically got several employees to make up false allegations and the stories just did not add up when the state came out to investigate and interview witnesses. I called the state board of PT and spoke with the director and was basically told not to worry about anything as anyone can make an complaint and the board will do a thorough investigation and get to the truth. I like you reached out to the board before the complaint ever came through because I had a feeling it was a witchhunt so I told them my version of the situation. About 3 months later they dismissed the whole case and situation because they discovered the staff was actually retaliating against me. License still stayed in good standing. My point is stop worrying if you know you did nothing wrong in terms of malice or ill will to the patient.

always refer to your employee handbook for the correct written notice you need to provide. Otherwise they are well in their right to report you to your board for abandonement. I have worked in places I absolutely hated and worked right down to the full 30 days I had to give, made sure all my documentation was done . badge , keys turned in etc because I wanted to move on with life. A friend who is also a PT left without providing proper notice and the nursing home reported her to the therapy board because they said they left her high and drive without a replacement and the caseload suffered. Management don't give a flying fig about employees these days and they will make up a sitatuion where one did not exsist all because you choose not to work there anymore. Its not worth your license. Always work the full time unless they tell you can leave earlier and then you get that crap in writing.

I am a PT. We have to assess any and all pts that fall because of course fall indicate a balance problem which goes hand in hand with poor safety, decrease muscle strength, poor vision etc. I have over 10 years experience with Alzheimers related dementia. While therapy is not a remedy for everyone with the disease it is of some benefit at all the stages. I enjoy the population because many assume just because they have dementia there is nothing that can be done. That is far from the truth. While we can't change the disease process we can do alot to reduce the fall risk. Iv'e worked with pts that could barely follow simple commands but I got them steadier on their feet. It is not in the scope of your pratice to determine if someone needs PT or not. We make that judgement call as therapists. Best thing is to make the referral and let us do the eval.

It sounds like an honest mistake. Next time just take the extra time to put the pt back to bed since she obviously misunderstood. As far the coughing I know myself. I would have checked in again and I am not a nurse either but a PT. I like all my visits to be incident free if at all possible. Keep in mind your visits dont always go as you have planned as far as times. Sometimes I end up dealing with someone in one visit that causes me to spend extra time in the home making me late for the next visit. Our resposibilty is to care for the pts needs while in the home. If that means I stay 15 min over because you have issues or a situation then so be it. I would much prefer you to be safe when I leave.

That is my next step to report the neglect. I have not witnessed abuse at this time but who knows. The crazy grandson then said the reason why he had a knife in his hand was to protect his grandmother. From what? A nurse who identified herself? His crazy story makes zero sense. If he was that worried about her safety why not call 911 if you want the agency off the property? Bottom line he's shady and doesn't want us to see what is reaally not going on in the home. He has expressed he doesn't want us there. I think he is in way over his head and needs to relinquish his responsibilities. This pt has advanced dementia and lives with her grandson in her own home. I'm like sell the patients home and put her in an alzheimer's facility or memory care assisted living.

I told my supervisor under no circumstances would I set foot back in the home. It's not worth the risk. Will they fire me? Probably not as they can't find reliable staff as it is. He told me they were still investigating the incident. Personally they should have dealt with the situation properly a month back when the nurse was threataenend with a knife. He's a nutcase waiting to explode.

The agency I am with never mentioned anything about malpratice insurance but I always had it and the paperwork to prove I was covered. My last job required it. I guess it depends on who you are employed with. I know they will not pay me for work on completed and submitted because they need the information complete to bill. I do all my paperwork the day of and in the patients home.

I don't understand it either. It baffles me why she entered the home a second time. I have never met this nurse but her behavior struck me as odd as well. I would have called the policce.

The patient has a MD orderd therapies and nursing visits. This person appears to be in their 20's. He's off which I would agree with and probably may even be on something. His behavior is very off. The patient is also neglected as far as care being provided by grandson.

Long story short one of the case managers who is an RN went to the home of a patient to do a supervisory visit. Pt's grandson who is supposed to be taking care of the patient claims he did not know who the nurse was after she knocked a few times despite her name tag being on and her verbally identityfying herself. He then proceeds to come back to the door with a knife and waving it at the nurse. She gets concerned and goes out to the car to call the Daugther who then apologizes for the grandson's behavior who is her son. So the nurse proceeds to go back to the home to knock on the door to gain entry to the home. He opens the door and then slams the door back in her face as she is trying to walk through it. She feels unsafe and leaves. What is the proper protocol for this situation? My issue is if somone waved a knife in my face they could very well use it.Under no circumstances would I have gone back into the home a second time. Now this person is also getting out of pocket with me and displaying very threatening behaviors. I sent an email and called my supervisor to tell him of th situation and I do not feel comfortable going into the home any longer. I have not yet heard back on what they plan to do.

I was given a lowball offer by several companies I am in the Dallas area as well as a PT. It was several companies that attempted that as well. There are so many PT jobs out here that I kept looking.

Yes I told the agency I was going to do the discharge from PT and I would pick him back up if the patient still n eeded the service after he returned. They were going on to try to keep him on. I notice that alot but of course agencies don't like to discharge folks. I always remind pts the need to prove on a continous basis to Medicare that they are homebound and I have to document just how homebound they are. If you verbally telling me our appointments need to be rescheduled because you plan to be at the mall or movie theaters then I will have no choice but to discharge you from my services. I would rather play by the rules then get into hot water with a government agency.

Thanks everyone. I am assured that what I am thinking is very logical. I have x amount of patients that need to be each day. I have very wiggle room to cater to everyone time wise. I think I am too nice about this coming from my friend who is a PT. He simply tells the patients I will be at your home at this time and you will need to be up and ready to go lol. I will be nice about it but I will adopting this habit next week. I don't really like patients trying to dictate my schedule for when they choose to be seen. I would love to tell my doctors office I will be there at this time for my appointment and see who far that gets me lol.