This new agency based in Texas apparently is reporting hundreds of nurses that worked for the defunct agency for various offenses.
The gossip going around is that the new agency realized that the buyout was a mistake,are peeved about it,and taking it out on us.
That may well be the case, but it doesn't change the clinical situation, and doesn't make it acceptable to give medication, inc. formula, when you don't know for a fact what you're giving. That's still bad practice and still the individual nurses' responsibility.
When I discover that the mom is doing something different than the order, I talk to her about it. If she stands her ground about the discrepancy, then I take the necessary steps to get the order changed by the doctor, with an intervening written communication note to the nursing supervisor.
When I discover that the mom is doing something different than the order, I talk to her about it. If she stands her ground about the discrepancy, then I take the necessary steps to get the order changed by the doctor, with an intervening written communication note to the nursing supervisor.
We did not know,because she never told us.
She did not tell the previous nursing supervisor either.
She has apparently been doing this for a year.
The only thing I remember doing is asking the orienting nurse "Where is the formula?".
She said "Mom makes the formula" and keeps it here in this container labeled "feeding" in the fridge.
She did not tell the previous nursing supervisor either.
She has apparently been doing this for a year.
The only thing I remember doing is asking the orienting nurse "Where is the formula?".
She said "Mom makes the formula" and keeps it here in this container labeled "feeding" in the fridge.
I do see Elecare and water around.
Well, I would hardly expect the mother to volunteer to you that she's mixing the formula wrong. Did you ask? Did you ever observe her mixing the formula? It's the responsibility of the licensed nurse to verify what you're putting into someone's body. Didn't we all learn that in nursing school?
If you want to know "what other PDN nurses do", here it is:
As a former PDN nurse, I ALWAYS prepared my feeds, or the nursing staff did per the 485-and verified what was being used by matching up the supplies per the 485 for insurance.
If a parent/caregiver changed the feelings, I always let my supervisor know that they were in the loop.
JBN is a PDN nurse and has an excellent rationale to the situation.
As a PDN nurse, one MUST adhere to standards of care and the 485, as well as exercise prudent nursing judgment when there are alterations in the plan of care and use resources available-or supervisor and provider- to plan or advocate for the pt to make the best decisions for the plan of care.
If anything deviates from it-including the parent wanting control over making feeds-that is to be reported and documented, as well as assessed; ask what and how the parent is handling the POC or procedures-ask for a return demonstration and be prepared to teach or come up with a plan that works in favor of the pt; get the office and the provider involved and go from there.
The supervisor is in a position to report this to the state-blindly allowing a parent, in this case, to make feeds that is not only deviating but the POC, but potentially harming the pt, since Elecare is specifically used for pts who have a milk allergy is bordering on negligence, at least a due to the fact that no one bothered to assess the situation by asking the parent; if they gave resistance, then it is up to the nurse who is basically on the front line to get others involved if the parent/caregiver is being resistant to divulging information and care that may not be in the best interest of the pt.
We did not know she added milk until she told the new supervisor
Well, I would hardly expect the mother to volunteer to you that she's mixing the formula wrong. Did you ask? Did you ever observe her mixing the formula? It's the responsibility of the licensed nurse to verify what you're putting into someone's body. Didn't we all learn that in nursing school?
No,because I do not see her on night shift.
She makes the formula on evening shift.
Was told she doesn't really want us in the kitchen like that.
Was told she doesn't really want us in the kitchen like that.
So what are you getting from this thread? It seems like you came here to validate your decision and to place blame on the supervisor for being mean and writing everyone up. All you're offering are excuses and not demonstrating that you are learning from your mistake.
Specializes in Complex pedi to LTC/SA & now a manager.
No,because I do not see her on night shift.
She makes the formula on evening shift.
Was told she doesn't really want us in the kitchen like that.
Then you seek support and clarification from the supervisor. Ask in the morning then. So I just want to get this right, "is this the current formula mixture..." Problem solved you have a parental quote to document and CYA
The time to discover what the deal was, happened when first told that Mom prepared the 'formula'. I never administer a med, a feeding, or a treatment that has been prepared by someone else. That is how I avoid problems such as this.
But you kinda did. The formula is a re-imbursible "medication" being paid for for medicaid. You stated that you pour it in the feed bag, even though it's been prepared by the mom, NOT you.
I get it, I do. I have been a PDN nurse. I never poured formula prepared by someone else. I would mix up what I would need for my shift and use that.
I would never,ever give a pre poured med.
Can a mod move this to the PDN forum?
Just want to see what other Pdn nurses do in these situations.
That's sad. Families want people in their homes caring for their ill children, but don't "want you in the kitchen". So many stories like this in the PDN world =(
No,because I do not see her on night shift.
She makes the formula on evening shift.
Was told she doesn't really want us in the kitchen like that.
So what are you getting from this thread? It seems like you came here to validate your decision and to place blame on the supervisor for being mean and writing everyone up. All you're offering are excuses and not demonstrating that you are learning from your mistake.
elkpark
14,633 Posts
That may well be the case, but it doesn't change the clinical situation, and doesn't make it acceptable to give medication, inc. formula, when you don't know for a fact what you're giving. That's still bad practice and still the individual nurses' responsibility.