sylvioandirene

Ive been in Home health for 1 year and it has been a very steep learning curve. The computer documentation takes hours and hours and I feel I haven't been adequately trained in several skills including the computer software system. The other day I was assigned to admit a new patient on the weekend to teach them how to self administer TPN in their new PICC line. Ive been promised for the last year they would send me out to train how to do this but never got around to to it. I've administered TPN in the hospital years ago but teaching a young, stage 4 cancer patient and their family how to do it in their home using needles and adding additives and the CADD pump etc etc .was daunting not having seen it done before. When I told my boss I felt very unprepared to do this since I hadn't been trained in it before she said she was sending out another new nurse who hadn't done TPN before but was familiar with IV admissions from her last job and the cadd pump and she felt confident we could "figure it out" together and I could probably look up a video about it on UTUBE. We were both quite unnerved about this. Luckily I was able to find one of the other experienced nurses to come with me. She ended up doing the teaching and it was very helpful for me. Im really angry about this situation but not sure what to do. The older nurses all say they have had in services about these things and training when they started years ago but since budget cuts etc and several nurses retiring early theres no one to train me. I guess I could refuse to go out but I've managed to survive thus long by Gods grace through helpful coworkers. What would you have done? I feel like going to my boss's boss and asking her is this how we train magnet nurses in home health now? We refer them to watch a Utube video? This is not safe or fair to the patient, the family or me.