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Daycare Center and Family Home Forum>Term Family Because Of Nurse?
Unregistered 06:42 AM 11-05-2013
Logged out for privacy.
I have a DCG who is here full day on M,W,F and afternoons on T, TH because she attends a specialized programs in the morning. When she comes on T, TH she has a private duty nurse with her because the other program requires it. It is my understanding that the family gets 8 hours every overnight and 24 flex hours per week, and they use some on the Tuesday and Thursdays... and sometimes on the weekends for a break. This lady is their primary nurse and works the day shifts and I believe the majority of the night shifts.
On M, W, F the nurse is not here and we do all of the interventions; the tube feeding, the CPAP at nap, her wound care, and changing her ostomy. Really, we do it all and it's OK because both myself and my assistant are RNs and she is not the only child we have with special needs. So obviously, we don't need the nurse to come in the afternoons on the other days but it would be too disruptive to their nursing schedule for the nurse *not* to come so we allow it. In the beginning, it was actually a bit of a blessing.
Lately, however, it's becoming more of a hinderance than a help. The nurse is rude, unprofessional, and kind of lazy. When she is here I don't feel like myself or my assistant need to do DCG's treatments because the nurse is being paid to do them. She has, on occasion, refused to change the colostomy and waited around until one of us did it. When brought up to said nurse in a professional manner, she got a bad attitude stating, "what do you do when I'm not here?!" and similar smart comments. She's a smoker and while DCG is napping she will go out back and smoke. That didn't bother me so much at first but now the smoking breaks are getting longer and longer and it's disruptive to the other children when she traipses back in during nap, slamming doors and coughing excessively. Additionally, and more concerning than anything, I've seen her do some care on the child with technique that was questionable at best, unsanitary and downright wrong at worse.
Last week one of our other children was having a visit from their Occupational Therapist and said nurse actually sat in on the session and kept interrupting her, trying to converse about non-work things because apparently they have a mutual friend on FB that posted something that may or may not have been contraversial. The OT was really put off by that and when she came yesterday she asked me to please ensure that doesn't happen again.
I had to let her know that the nurse is not my employee and I have no real authority over her. I felt like a real arse. This nurse has been with the family for many years, and I know they won't get rid of her so now we're faced with terming the family because we simply can't handle this nurse in our facility any longer. She'll be here this afternoon and I'm dreading it. WWYD?
I have a DCG who is here full day on M,W,F and afternoons on T, TH because she attends a specialized programs in the morning. When she comes on T, TH she has a private duty nurse with her because the other program requires it. It is my understanding that the family gets 8 hours every overnight and 24 flex hours per week, and they use some on the Tuesday and Thursdays... and sometimes on the weekends for a break. This lady is their primary nurse and works the day shifts and I believe the majority of the night shifts.
On M, W, F the nurse is not here and we do all of the interventions; the tube feeding, the CPAP at nap, her wound care, and changing her ostomy. Really, we do it all and it's OK because both myself and my assistant are RNs and she is not the only child we have with special needs. So obviously, we don't need the nurse to come in the afternoons on the other days but it would be too disruptive to their nursing schedule for the nurse *not* to come so we allow it. In the beginning, it was actually a bit of a blessing.
Lately, however, it's becoming more of a hinderance than a help. The nurse is rude, unprofessional, and kind of lazy. When she is here I don't feel like myself or my assistant need to do DCG's treatments because the nurse is being paid to do them. She has, on occasion, refused to change the colostomy and waited around until one of us did it. When brought up to said nurse in a professional manner, she got a bad attitude stating, "what do you do when I'm not here?!" and similar smart comments. She's a smoker and while DCG is napping she will go out back and smoke. That didn't bother me so much at first but now the smoking breaks are getting longer and longer and it's disruptive to the other children when she traipses back in during nap, slamming doors and coughing excessively. Additionally, and more concerning than anything, I've seen her do some care on the child with technique that was questionable at best, unsanitary and downright wrong at worse.
Last week one of our other children was having a visit from their Occupational Therapist and said nurse actually sat in on the session and kept interrupting her, trying to converse about non-work things because apparently they have a mutual friend on FB that posted something that may or may not have been contraversial. The OT was really put off by that and when she came yesterday she asked me to please ensure that doesn't happen again.
I had to let her know that the nurse is not my employee and I have no real authority over her. I felt like a real arse. This nurse has been with the family for many years, and I know they won't get rid of her so now we're faced with terming the family because we simply can't handle this nurse in our facility any longer. She'll be here this afternoon and I'm dreading it. WWYD?
SSWonders 06:52 AM 11-05-2013
From what you are describing this situation wouldn't work for me. I am not a smoker so having someone around me that smokes would bother me. You just can't get rid of that smell on someone, even one who smokes outside, and I wouldn't want myself or the children I care for exposed to it. That in and of itself would be enough for me to end that situation.
I would not allow her to sit in on someone else's session. That's a privacy violation not to mention disruptive.
Add those two biggies to the other issues and I wouldn't be allowing her in my home.
I would tell the parents that she can't be there and if it's a problem for them so be it. It isn't worth the additional stress.
I would not allow her to sit in on someone else's session. That's a privacy violation not to mention disruptive.
Add those two biggies to the other issues and I wouldn't be allowing her in my home.
I would tell the parents that she can't be there and if it's a problem for them so be it. It isn't worth the additional stress.
daycarediva 06:59 AM 11-05-2013
Originally Posted by SSWonders:
From what you are describing this situation wouldn't work for me. I am not a smoker so having someone around me that smokes would bother me. You just can't get rid of that smell on someone, even one who smokes outside, and I wouldn't want myself or the children I care for exposed to it. That in and of itself would be enough for me to end that situation.
I would not allow her to sit in on someone else's session. That's a privacy violation not to mention disruptive.
Add those two biggies to the other issues and I wouldn't be allowing her in my home.
I would tell the parents that she can't be there and if it's a problem for them so be it. It isn't worth the additional stress.
There is no smoking in/around my home. Since it's personal property, I CAN control that. So she wouldn't be allowed to smoke during those hours. From what you are describing this situation wouldn't work for me. I am not a smoker so having someone around me that smokes would bother me. You just can't get rid of that smell on someone, even one who smokes outside, and I wouldn't want myself or the children I care for exposed to it. That in and of itself would be enough for me to end that situation.
I would not allow her to sit in on someone else's session. That's a privacy violation not to mention disruptive.
Add those two biggies to the other issues and I wouldn't be allowing her in my home.
I would tell the parents that she can't be there and if it's a problem for them so be it. It isn't worth the additional stress.
Does she work for an agency? Can you file a complaint through them?
Can you speak to the parents directly, stating that you and assistant are more than capable and ask that the nurse NOT come during the child's time in your care? It is disruptive to the other children, etc.
As far as NOT saying anything to her about the OT visit, that IS your jurisdiction. Even if she isn't employed by you, she IS a guest to your program and you absolutely have the right to tell her to stop interrupting another child's therapy session and to please remove herself from the room.
TheGoodLife 07:03 AM 11-05-2013
Originally Posted by daycarediva:
There is no smoking in/around my home. Since it's personal property, I CAN control that. So she wouldn't be allowed to smoke during those hours.
Does she work for an agency? Can you file a complaint through them?
Can you speak to the parents directly, stating that you and assistant are more than capable and ask that the nurse NOT come during the child's time in your care? It is disruptive to the other children, etc.
As far as NOT saying anything to her about the OT visit, that IS your jurisdiction. Even if she isn't employed by you, she IS a guest to your program and you absolutely have the right to tell her to stop interrupting another child's therapy session and to please remove herself from the room.
There is no smoking in/around my home. Since it's personal property, I CAN control that. So she wouldn't be allowed to smoke during those hours.
Does she work for an agency? Can you file a complaint through them?
Can you speak to the parents directly, stating that you and assistant are more than capable and ask that the nurse NOT come during the child's time in your care? It is disruptive to the other children, etc.
As far as NOT saying anything to her about the OT visit, that IS your jurisdiction. Even if she isn't employed by you, she IS a guest to your program and you absolutely have the right to tell her to stop interrupting another child's therapy session and to please remove herself from the room.
All of this!! Worse case scenario, they keep their nurse but have her work different hours outside of when the child is in your care. If they want to keep the child in your care, I would present that as the only option, otherwise term. I hope things work out for you!
Unregistered 07:10 AM 11-05-2013
Thank you so much for the replies. My DH is a smoker so we have a pavilion out back where he smokes and she goes out there. I don't smoke, and it stinks to me but I am not going to be a hypocrit when it's a known fact that my DH will light a couple every now and then. It was actually my DH who gave her permission her second week here to smoke out there when she saw him smoking on his day off. :P
I need a backbone, that's for sure. I was so embarrassed when the OT came to me while she was filling out her paperwork and asked that I monitor the nurse and ensure it didn't happen again. I was simply mortified! She really made it sound like I didn't have control of my program, and I guess in that instance she's right...
Yes, that will be addressed with the nurse because it's obvious she has boundary issues and doesn't know the right thing to do all the time.
She is employed through an agency but would it be overstepping my bounds to report her directly to the agency when their contract is with the family? I'll have to look into that. As far as having her not come, we addressed that in the past because we didn't know how the arrangement would work initially but we were informed that because the bus picks them up in the morning and drops them here the nurse doesn't have access to her car until the parents pick her up and take them back to their house where her car is parked. She is required to ride the program bus with the DCG. It's so complicated, and I really don't see a way out besides losing a little girl and family that I overall adore.
I need a backbone, that's for sure. I was so embarrassed when the OT came to me while she was filling out her paperwork and asked that I monitor the nurse and ensure it didn't happen again. I was simply mortified! She really made it sound like I didn't have control of my program, and I guess in that instance she's right...
Yes, that will be addressed with the nurse because it's obvious she has boundary issues and doesn't know the right thing to do all the time.
She is employed through an agency but would it be overstepping my bounds to report her directly to the agency when their contract is with the family? I'll have to look into that. As far as having her not come, we addressed that in the past because we didn't know how the arrangement would work initially but we were informed that because the bus picks them up in the morning and drops them here the nurse doesn't have access to her car until the parents pick her up and take them back to their house where her car is parked. She is required to ride the program bus with the DCG. It's so complicated, and I really don't see a way out besides losing a little girl and family that I overall adore.
TwinKristi 07:19 AM 11-05-2013
I would give the DCPs the option of terming or having the nurse not come T & Th. and explain it's just not working out to have an extra person here on those days and you and your asst are capable of doing it so there's just no need.
AND in my opinion, there should be NO smoking during business hours. Dh or RN! In CA there is no smoking on the premises at all during business hours. Plus, is your dh actually WITH the DCKs when he's there after smoking? I would guess not if you have an assistant as well. The RN is there to be with a special needs child and that's just plain unprofessional IMO!
AND in my opinion, there should be NO smoking during business hours. Dh or RN! In CA there is no smoking on the premises at all during business hours. Plus, is your dh actually WITH the DCKs when he's there after smoking? I would guess not if you have an assistant as well. The RN is there to be with a special needs child and that's just plain unprofessional IMO!
Blackcat31 07:32 AM 11-05-2013
I definitely agree about the smoking. There should be NO smoking on the premises EVER.....especially not during hours the child care is open.
I would also "term" the nurse and let the family decide what they want to do. They can use the nurse other hours instead of during care hours with you.
I would be honest and open with the family about exactly why you don't want to have the nurse at your facility. Write it in a letter/e-mail if you can't have the face to face conversation but either way, I would just stop allowing the nurse to come to the daycare.
This is YOUR business and you have every right to not allow someone to be in attendance, especially someone with those types of professional or rather non-professional habits and attitude.
I would also "term" the nurse and let the family decide what they want to do. They can use the nurse other hours instead of during care hours with you.
I would be honest and open with the family about exactly why you don't want to have the nurse at your facility. Write it in a letter/e-mail if you can't have the face to face conversation but either way, I would just stop allowing the nurse to come to the daycare.
This is YOUR business and you have every right to not allow someone to be in attendance, especially someone with those types of professional or rather non-professional habits and attitude.
Unregistered 09:02 AM 11-05-2013
I sent DCM an email outlining my concerns and requesting a sitdown regarding our next steps. DCM wrote back just now stating she had been feeling like that it may not be working out and is currently deciding if this is the best place for her daughter. I then called (because now I'm feeling anxious) and asked her what her concerns were and apparently this nurse has been telling some pretty tall tales to mom. Nurse has been with the family for a while so they were taking what she says at face value but I assured mom that 90% of what she was being told was exaggerated or a straight out falsehood. DCM is meeting us this evening to come up with a gameplan because she really wants to keep her daughter here (we're one of the few daycares in the area that take this level of special needs children- especially full time) but she has her own real concerns she wants laid out on the table and addressed. This should be interesting. In other news, DCG is here but with a substitute nurse. Apparently her regular nurse called off. Thank God for small miracles. 
Play Care 09:19 AM 11-05-2013
Originally Posted by Unregistered:
I sent DCM an email outlining my concerns and requesting a sitdown regarding our next steps. DCM wrote back just now stating she had been feeling like that it may not be working out and is currently deciding if this is the best place for her daughter. I then called (because now I'm feeling anxious) and asked her what her concerns were and apparently this nurse has been telling some pretty tall tales to mom. Nurse has been with the family for a while so they were taking what she says at face value but I assured mom that 90% of what she was being told was exaggerated or a straight out falsehood. DCM is meeting us this evening to come up with a gameplan because she really wants to keep her daughter here (we're one of the few daycares in the area that take this level of special needs children- especially full time) but she has her own real concerns she wants laid out on the table and addressed. This should be interesting. In other news, DCG is here but with a substitute nurse. Apparently her regular nurse called off. Thank God for small miracles.
I sent DCM an email outlining my concerns and requesting a sitdown regarding our next steps. DCM wrote back just now stating she had been feeling like that it may not be working out and is currently deciding if this is the best place for her daughter. I then called (because now I'm feeling anxious) and asked her what her concerns were and apparently this nurse has been telling some pretty tall tales to mom. Nurse has been with the family for a while so they were taking what she says at face value but I assured mom that 90% of what she was being told was exaggerated or a straight out falsehood. DCM is meeting us this evening to come up with a gameplan because she really wants to keep her daughter here (we're one of the few daycares in the area that take this level of special needs children- especially full time) but she has her own real concerns she wants laid out on the table and addressed. This should be interesting. In other news, DCG is here but with a substitute nurse. Apparently her regular nurse called off. Thank God for small miracles.
If you have not already, document everything that is going on, including any statements from other professionals (OT, PT, etc) who have witnessed the nurse's behavior. Call your licensor and report all issues so she has the heads up.
It sounds as though this is headed to a very ugly place
TwinKristi 02:41 PM 11-05-2013
Wow! That's crazy! I can't believe the parents didn't come to you sooner when she was saying these things. What kinds of things was she saying?
daycarediva 02:53 PM 11-05-2013
Originally Posted by Play Care:
If you have not already, document everything that is going on, including any statements from other professionals (OT, PT, etc) who have witnessed the nurse's behavior. Call your licensor and report all issues so she has the heads up.
It sounds as though this is headed to a very ugly place
If you have not already, document everything that is going on, including any statements from other professionals (OT, PT, etc) who have witnessed the nurse's behavior. Call your licensor and report all issues so she has the heads up.
It sounds as though this is headed to a very ugly place
I would be calling/emailing this to my registrar or licensar as well. Doesn't sound good.
I am glad Mom is willing to do a sit down and discuss everything! That is a positive step. Is it possible to have statements from the assistant and/or OT or any other adult that has witnessed her behavior when you go into this meeting? Having the assistant there would be my priority, as it's essentially the word of the nurse vs. you & assistant.
originalkat 06:54 PM 11-05-2013
Originally Posted by Blackcat31:
I definitely agree about the smoking. There should be NO smoking on the premises EVER.....especially not during hours the child care is open.
I would also "term" the nurse and let the family decide what they want to do. They can use the nurse other hours instead of during care hours with you.
I would be honest and open with the family about exactly why you don't want to have the nurse at your facility. Write it in a letter/e-mail if you can't have the face to face conversation but either way, I would just stop allowing the nurse to come to the daycare.
This is YOUR business and you have every right to not allow someone to be in attendance, especially someone with those types of professional or rather non-professional habits and attitude.
I definitely agree about the smoking. There should be NO smoking on the premises EVER.....especially not during hours the child care is open.
I would also "term" the nurse and let the family decide what they want to do. They can use the nurse other hours instead of during care hours with you.
I would be honest and open with the family about exactly why you don't want to have the nurse at your facility. Write it in a letter/e-mail if you can't have the face to face conversation but either way, I would just stop allowing the nurse to come to the daycare.
This is YOUR business and you have every right to not allow someone to be in attendance, especially someone with those types of professional or rather non-professional habits and attitude.
YES!! ALL OF THIS!!
Unregistered 06:52 AM 11-06-2013
Mom came stayed until after the last kid was gone and we sat down: her, dad, substitute nurse entertained DCG, and the primary nurse showed up about halfway through.
Mom's concerns:
1. That we are re-using the colostomy bags. No. ONCE we ran out and we called mom to bring more. She was in a meeting and couldn't come right away so we emptied the one we had and put it back on so the stoma would stay protected and clean. When mom showed up we changed it out IMMEDIATELY. It wasn't a dirty technique or anything, but apparently she was sitting on that complaint for a while. That happened back in May.
2. The "bus driver" has complained to the parents at the IEP meeting that no one is there to get the girl off the bus sometimes and they've had to wait up to 10 minutes for someone to come out. This is somewhat true because if the bus is early we can't just run out there and grab her. We have to bundle half the kids up to get DCG off the bus because we have to stay in ratio. We have special needs children and "hustle" isn't necessarily in all of their vocabulary so if it takes a while, then it takes a while. Sorry. However, when the bus is on time or late (which happens more often than not) we are outside WAITING. Besides, those are days that the nurse is with her and she really could bring her in herself. Why she won't and we have to go out to get her I still don't have a clear understanding of... Bus driver is in quotes because I actually think that came from the nurse, but I digress.
3. We make her stay in the bed long after she's awake. I know that one came from the nurse. We nap for two hours. Older kids can have a quiet time. She has autonomic disorder and she storms. Sometimes she is sleeping at nap and sometimes she is awake, but we always lay her down at the same time. Routine is important, especially for children with regulation issues. Period. She's not just staring at the wall for hours on end. She's being read to, she has the light and sound machine, sometimes we'll put in a Baby Einstein's video. She always gets her range of motion and therapeutic massage at that time. She's not being neglected and quiet time in non-negotiable. Nursey-poo had mom believing it was something bigger than it was.
4. We leave her tube feeding out. I didn't even want to address that one but I did. Mom had to pick up early a couple weeks ago and would be running the feed in the car on the way to the doctor's office. I had the setup altogether when she came, grabbed it off the counter, and put it in DCG's backpack so they could get going. I was doing her a favor. No, the feeding hadn't been sitting there since drop off; I literally had just made it like a half an hour prior. And let's be honest. There is a 24 hour life on it anyway...
5. I don't allow the nurse leeway to do her job. This one was laughable on so many levels that my assistant literally needed to excuse herself. Nurse claims we always jump in and won't let her do interventions. I told mom I wish the nurse would! Ugh. I think it was abundantly clear that the nurse and I don't mesh well. She's a liar and I don't tolerate liars.
What we took away from the meeting is this:
DCG has to attend with a nurse because her morning school requires a 1-to-1 and there is no way for the nurse to self-transport after morning school. Family is not willing to lose their nurse, but they agree the disruption of having this particular person here two afternoons a week is not working out and is adversely affecting DCG. The family will talk to the agency to see if they can get another nurse in for two days per week and hopefully the other nurse can make up the lost hours on night shift of the weekends. If there aren't any nurses available to work the two days then DCG will likely not come on Tuesdays and Thursdays until a nurse can be found. They prefer her being in "school" full time because the schedule works and she's making great strides here, but they're also very strongly bonded with the nurse. Both parents were really sweet and open to the communication, and after they left DCD texted me and said he and mom were discussing it in the car and some of the things I brought up they saw at home (regarding the full time nurse) but she always had an excuse and they wanted to believe her. Now they are questioning her skillset and her ethics but DCG loves her and they don't want to disrupt her routine too much. I replied that I understood and I knew they would ultimately do what's best for their family, to which he replied "of course we will. She's our everything."
In the end, I'm unsure of what's going to happen but at least we have a platform to revisit when this inevitably comes up again.
As an aside, DH is never with the children, especially after smoking. He goes from the house to the pavilion, and back again. The pavilion is on the opposite side of the backyard from the daycare extension. You can see the pavilion from the sun room but it's in a completely different air space. That's part of the problem. The nurse has to walk across the backyard into the other part of the fenced-off garden and over the (dried up) pond to the pavilion. It takes a good 3-4 minutes to get there. Smoking takes 5-10 minutes, and then there's the 3-4 minute walk back. You have to come through the other gate, which closes loudly; the sun room screen door, the inner screen door, and the inner wooden door. Lots of loud slamming. Every. Single. Time.
Mom's concerns:
1. That we are re-using the colostomy bags. No. ONCE we ran out and we called mom to bring more. She was in a meeting and couldn't come right away so we emptied the one we had and put it back on so the stoma would stay protected and clean. When mom showed up we changed it out IMMEDIATELY. It wasn't a dirty technique or anything, but apparently she was sitting on that complaint for a while. That happened back in May.
2. The "bus driver" has complained to the parents at the IEP meeting that no one is there to get the girl off the bus sometimes and they've had to wait up to 10 minutes for someone to come out. This is somewhat true because if the bus is early we can't just run out there and grab her. We have to bundle half the kids up to get DCG off the bus because we have to stay in ratio. We have special needs children and "hustle" isn't necessarily in all of their vocabulary so if it takes a while, then it takes a while. Sorry. However, when the bus is on time or late (which happens more often than not) we are outside WAITING. Besides, those are days that the nurse is with her and she really could bring her in herself. Why she won't and we have to go out to get her I still don't have a clear understanding of... Bus driver is in quotes because I actually think that came from the nurse, but I digress.
3. We make her stay in the bed long after she's awake. I know that one came from the nurse. We nap for two hours. Older kids can have a quiet time. She has autonomic disorder and she storms. Sometimes she is sleeping at nap and sometimes she is awake, but we always lay her down at the same time. Routine is important, especially for children with regulation issues. Period. She's not just staring at the wall for hours on end. She's being read to, she has the light and sound machine, sometimes we'll put in a Baby Einstein's video. She always gets her range of motion and therapeutic massage at that time. She's not being neglected and quiet time in non-negotiable. Nursey-poo had mom believing it was something bigger than it was.
4. We leave her tube feeding out. I didn't even want to address that one but I did. Mom had to pick up early a couple weeks ago and would be running the feed in the car on the way to the doctor's office. I had the setup altogether when she came, grabbed it off the counter, and put it in DCG's backpack so they could get going. I was doing her a favor. No, the feeding hadn't been sitting there since drop off; I literally had just made it like a half an hour prior. And let's be honest. There is a 24 hour life on it anyway...
5. I don't allow the nurse leeway to do her job. This one was laughable on so many levels that my assistant literally needed to excuse herself. Nurse claims we always jump in and won't let her do interventions. I told mom I wish the nurse would! Ugh. I think it was abundantly clear that the nurse and I don't mesh well. She's a liar and I don't tolerate liars.
What we took away from the meeting is this:
DCG has to attend with a nurse because her morning school requires a 1-to-1 and there is no way for the nurse to self-transport after morning school. Family is not willing to lose their nurse, but they agree the disruption of having this particular person here two afternoons a week is not working out and is adversely affecting DCG. The family will talk to the agency to see if they can get another nurse in for two days per week and hopefully the other nurse can make up the lost hours on night shift of the weekends. If there aren't any nurses available to work the two days then DCG will likely not come on Tuesdays and Thursdays until a nurse can be found. They prefer her being in "school" full time because the schedule works and she's making great strides here, but they're also very strongly bonded with the nurse. Both parents were really sweet and open to the communication, and after they left DCD texted me and said he and mom were discussing it in the car and some of the things I brought up they saw at home (regarding the full time nurse) but she always had an excuse and they wanted to believe her. Now they are questioning her skillset and her ethics but DCG loves her and they don't want to disrupt her routine too much. I replied that I understood and I knew they would ultimately do what's best for their family, to which he replied "of course we will. She's our everything."
In the end, I'm unsure of what's going to happen but at least we have a platform to revisit when this inevitably comes up again.
As an aside, DH is never with the children, especially after smoking. He goes from the house to the pavilion, and back again. The pavilion is on the opposite side of the backyard from the daycare extension. You can see the pavilion from the sun room but it's in a completely different air space. That's part of the problem. The nurse has to walk across the backyard into the other part of the fenced-off garden and over the (dried up) pond to the pavilion. It takes a good 3-4 minutes to get there. Smoking takes 5-10 minutes, and then there's the 3-4 minute walk back. You have to come through the other gate, which closes loudly; the sun room screen door, the inner screen door, and the inner wooden door. Lots of loud slamming. Every. Single. Time.
MotherNature 08:37 AM 11-06-2013
I hope they get a new nurse. She'd get on my nerves too.
Msdunny 10:07 AM 11-06-2013
Can the nurse not take the child home on those days and care for her there? I know that would cut her time in your care, but it seems she is receiving 'double' care. I may have missed something...if so, please disregard!
butterfly 10:43 AM 11-06-2013
Originally Posted by Msdunny:
Can the nurse not take the child home on those days and care for her there? I know that would cut her time in your care, but it seems she is receiving 'double' care. I may have missed something...if so, please disregard!
I was going to post the very same thing!! I don't understand why the nurse can't be caring for her at the child's home or the nurse's home or somewhere else.Can the nurse not take the child home on those days and care for her there? I know that would cut her time in your care, but it seems she is receiving 'double' care. I may have missed something...if so, please disregard!
EntropyControlSpecialist 11:36 AM 11-06-2013
I've worked with a lot of nurses and have always enjoyed them. I would be miserable having to "work with" someone like that woman. I hope things get resolved soon. You sound like a wonderful care provider and their child is blessed to have you in her life.
Unregistered 11:45 AM 11-06-2013
The PDN is paid for by Medicaid, our services are paid for by the parents, so it's not double billing or anything like that. If they don't get a new nurse to attend morning school with her on Tuesdays and Thursdays then DCG will get dropped off at the family home with the nurse and remain there until the parents get off. It's not ideal because the parents prefer her in a full time group setting but it looks like it may end up going that way.