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What do I do? Roaches, no heat...

Private Duty   (5,372 Views 25 Comments)
by SDALPN SDALPN (New Member) New Member

SDALPN works as a Peds Nurse.

1 Like; 16,028 Visitors; 997 Posts

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AnaCatRN works as a Pediatric and Cardiac RN, currently working as a p.

3,914 Visitors; 104 Posts

There is also the possibilities that you may take one of those creepies home with you...

:eek: That is so true!

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Simply Complicated has 5 years experience and works as a Psych RN.

11,295 Visitors; 1,100 Posts

As others have said, you have an obligation to call adult protective services and make a report. If anything were to happen down the line, say the patient got hypothermia for example from living with no heat.. it is your license on the line.

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5,804 Visitors; 346 Posts

Uckkkk!!!! That is not worth any amount of money --- what if you get those roach eggs on your shoe and bring them home??? Gah.......keep looking for jobs, there are jobs better than that out there, there really are. Who owns that building and why don't they call an exterminator?!

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SDALPN works as a Peds Nurse.

1 Like; 16,028 Visitors; 997 Posts

I wasn't aware that there was an adult protection services. I knew there had to be some sort of organization that does what child protection services does.

They do have heat and lights. But they choose not to run the heat and to keep the windows open.

I'm very worried about taking home some critters too. Its not my biggest concern. I'm more worried about the patients situation. I don't like the idea of a roach hitchhiking to my home. But worst case I can get an exterminator (have one in the family).

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BabyLady works as a RN.

14,563 Visitors; 2,300 Posts

I am not experienced in home health, but I wonder if a call to the health department and/or adult protective services might be in order...

It is MOST DEFINATELY in order.

Roaches carry a laundry list of disease and learning to "live with them" is not the solution.

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ProBeeRN has 10 years experience.

2,797 Visitors; 96 Posts

Call Adult Protective Services. They may remove the pt from the home. However, they may just tell the family "the heat needs to be on"-- if the home does have heat available--and if the family complies than that will be it. What about a space heater and keeping the pt window closed? At least that would be something.

As far as the roach infestation- I've seen many a pt in a roach or bed bug home- from what I've (personally) encountered, that is not necessarily considered an abuse or neglect situation. But definitely call APS and they should at the very least get a caseworker involved in there that can assist with overall environmental management.

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SDALPN works as a Peds Nurse.

1 Like; 16,028 Visitors; 997 Posts

It surprises me that the agency knows and hasn't done a thing. I would think they would be responsible too.

I've seen roaches in other homes too. A roach is one thing, roaches crawling around in the light/day is another.

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anurseatlast has 4 years experience and works as a public health nurse.

6,274 Visitors; 224 Posts

Absolutely report to adult protective services. Also, document every time you talk to someone at the agency in detail. (Once you find another job, report them too) Every time you go, you are putting yourself in danger - you are in a house that is in the ghetto of the ghetto with all the windows open? What keeps anyone from coming into the house while you are there? Is it really worth it? I know jobs are hard to find but I would not go back, ever, at all. Not all agencies are like this. As someone said, do travel nursing for a while if you have to but get out now - for your personal safety, your patient, and your license.

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4,656 Visitors; 50 Posts

Please continue to care for this patient. She needs the help. As for the situation, roaches and coldness of the place, maybe the family is poor (very poor) or they have cultural issues. Provide the needed care and education to the patient and the family. Document the conditions as accurately as possible ( no drama...just the facts). Your agency must have a case manager or OASIS coordinator and a social worker who can make afollow up environmental assessment and then make the appropriate referal to the local social service agency. The family may qualify for heat subsidies and other entitlements. The social worker knows this area and can be a tremendous resource.

From reading your post, you do not like or want to do adult health nursing-I could be wrong but this is the impression I get when I read your post. While your agency signed you up for pediatric cases, they should have told you to expect occassional adult assignments.

If you feel unsafe, ask your supervisor about having a security guard/escort go with you on your visits.

Please do not let this one sad case turn you off to home health nursing.

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SDALPN works as a Peds Nurse.

1 Like; 16,028 Visitors; 997 Posts

Its not home health, its private duty nursing. So its not just a visit. Its being there for hours at a time. Been doing it for years so I understand its not the norm. I just haven't done much with adult patients. I have worked with some adult patients. I'm just not as experienced with adults in the home. Yes, I do prefer peds. This has to be reported though.

Since posting the issue. I have already applied at another agency. Work is hard to find around here though. Applying doesn't mean hearing back from anyone. I will be talking to the DON about reporting them and if that doesn't work I'll report it myself and then report the agency. This is scary stuff!

I have a hard time understanding how so many people could allow this to go on. There have been many people there before me. From what I've heard they have had a hard time keeping staff there. I'm having a hard time sleeping over this. Its hard to believe these supervisors can go home to their warm, bug free homes and forget about someone living in these conditions. It seems like so few people actually care in this field anymore.

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4,005 Visitors; 141 Posts

ditto call social services

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Simply Complicated has 5 years experience and works as a Psych RN.

11,295 Visitors; 1,100 Posts

Its not home health, its private duty nursing. So its not just a visit. Its being there for hours at a time. Been doing it for years so I understand its not the norm. I just haven't done much with adult patients. I have worked with some adult patients. I'm just not as experienced with adults in the home. Yes, I do prefer peds. This has to be reported though.

Since posting the issue. I have already applied at another agency. Work is hard to find around here though. Applying doesn't mean hearing back from anyone. I will be talking to the DON about reporting them and if that doesn't work I'll report it myself and then report the agency. This is scary stuff!

I have a hard time understanding how so many people could allow this to go on. There have been many people there before me. From what I've heard they have had a hard time keeping staff there. I'm having a hard time sleeping over this. Its hard to believe these supervisors can go home to their warm, bug free homes and forget about someone living in these conditions. It seems like so few people actually care in this field anymore.

While you do need to talk to your agency about reporting it, you should still report it regardless of what they do. Since you are the one working there, it is your duty to report it. They will need information from the person who has observed it. It's completely within your scope of calling it in. I've been through this before with a patient while doing home health. It's not just the agencyies responsibility to report it, it is yours.

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