Wow my patient is crazy!

ventmommy · Sep 4, 2013

A nurse might have a different opinion but if that is how the child behaves, either the agency helps the mother get her life together and get his behavior under control or they shouldn't staff the case. How can the agency send another nurse there knowing that a previous nurse was assaulted?

It doesn't say why this kid has PDN but if, for example, he has it because he has a trach, what happens when he locks you out and pulls out his trach and codes?

Are the nurses "allowed" to talk to the pediatrician? Can they ask for a referral to psych or neuro-psych services? Or social work?

OrganizedChaos, LVN · Sep 4, 2013

The mother does do anything & we - the nurses - are told to be "strict". I don't know what the agency thinks about this, they know how the mother is & how she parents. He is on a trach because he has respiratory difficulties. But he's only on a vent when he sleeps. He's very active, runs & plays. But it could be a real possibility for him to lock a nurse out & pull out his trach. It's scary. We take him to all his doctors appointments, but as for referrals I don't know. I wasn't on the case long.

systoly · Sep 4, 2013

:roflmao:

that reminds me of the time when a frail 90 some year old 85 pound lady gave me a bit of a shiner

i don't see how being strict when the mother isn't can work

mixed messages and inconsistency will make things worse

as ventmommy said, the mother needs to start being a parent

how can the agency send more nurses?

$$$$$$$$$

OrganizedChaos, LVN · Sep 5, 2013

Yeah, I know that she needs to but that is how the mother is & the agency knows that & does nothing. They will continue to staff the case, just like they did with me. It's terrible & something should be changed.

SDALPN · Sep 5, 2013

Pressing charges for assault would be a good start. Sounds extreme, but if there is a history of this then this kid needs to be straightened out before he's an adult. Calling social services our reporting him as a danger to others would be another way to go. If you aren't comfortable with that, notify the pcp of the behavior issues. Putting the ball in their court makes it their responsibility and relieves you. The agency won't help you and will keep quiet to keep the cash flow coming. But if they find out you reported the situation, you can be guaranteed that you will be looking for work. This situation certainly needs to be reported for the Childs safety and for his future nurses safety.

ventmommy · Sep 5, 2013

I can guarantee you that if this child locks you out and pulls out his trach and suffers or dies because of it, the MOTHER will be first one to run to BON and complain that you were negligent by not even being in the house with him.

Having a trach or any other special need is not a special license to act like a jackass. Just because he has a trach doesn't mean this mother is exempt from parenting him. He still needs boundaries, chores, responsibilities and rewards.

She and the kid need counseling before he grows up to be like the paralyzed guy on Criminal Minds that kills women for fun and his parents clean up the mess and dispose of the body to protect their sweet little boy.

OrganizedChaos, LVN · Sep 5, 2013

She doesn't parent any of her kids, it's not just him. She is barely ever home, she is the only breadwinner & even on weekends she isn't there. It's a crazy mess. I'm just glad I'm out. The other nurses he has have been there for years. One night nurse even told me she liked working nights because he is too hectic during the day! Yikes.

Adele_Michal7, ASN, RN · Sep 10, 2013

Oh my. I'm so sorry.

"Having a trach is not a special license to act like a jackass."

-Ventmommy

First entry into the Allnurses Hall of Fame Quote Book

eeffoc_emmig · Sep 12, 2013

Don't have any sound advice on this one. One of biggest pet peeves in private duty is when parents expect nurses to do their jobs...teaching, discipline, hugs and affection.