u/muffy-crosswire

▲ 57 r/nursing

Has anybody whos done private duty and/or home health been monitored the entire shift, every shift?

I took a PRN private duty assignment for a young adult pt who requires a lot of care. The pt lives with mom and grandma in an apt. They are always home, and the pts room is the living room and i can't tell if the grandma also lives in the living room, but she is there sitting by me every shift. She doesn't speak to me except if its to criticize how I did something. She also gets upset by random things, like for example, the apt is very cluttered and there is no table counter space anywhere and only one dining chair I can sit in the whole shift. I briefly placed a pill organizer on a chair that I hadn't ever sat in, and she got mad I did that, it was either the chair or a random stack of boxes or ontop of my open lap top which im sure wouldve also been a problem. I understand why that was an issue but I had to set it down somewhere quickly to go tend to the pt. I switched my shifts from 12 hrs to 8 hrs which did make a big difference, but its still hard because of the constant monitoring and I feel like I have no autonomy because I get criticized. There is a lot of down time and I feel weird doing anything like getting on my lap top because shes right there. I thought maybe she was there in the room the whole time for the first shift because they didn't know me yet, but no its every shift the entire shift. It makes me feel untrusted, and they have other rules which makes me feel unwelcome. I haven't ever had a pts family like this. They also have a hard time retaining nurses but I was told it was for another reason, but I think its because of the grandma and unwelcoming environment.

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u/muffy-crosswire — 11 hours ago

Conflicted between two job offers -- Boarding school nights vs. traditional school nurse?

I'm conflicted between two job offers, both as a school nurse. One is an overnight position at a boarding school. The boarding school nurse job is 3 x 12s nights. The school nurse job is 5 x 8's days (7a-3p)

I used to work nights at the hospital. It was a bit rough mentally to work nights but I wasn't in the best mental state at that time so I feel like I'd handle it better now. I did like the usually slower pace. I've been doing 1:1 school nursing with a student for the last 2 yrs, which is what sparked my interest in school nursing. I liked the job and the schedule was nice, but I know 1:1 is very different from being a school nurse. I also felt like I was losing skills, it was very repetitive, I didn't really feel like a nurse, there was consistent lack of boundaries with the school expectations and my role, and the biggest issue was no benefits, no PTO, no health insurance, no job security, and no opportunity to transition into a permanent role so I decided I won't return for next school year. I figured I can always go back if I want to later.

Both new positions pay almost the exact same, are both only about 10 minutes commute from my house, and both offer similar benefits. The main deciding factor is the schedule and work load at this point. I'm unsure of what to do.

Just looking for some input.

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u/muffy-crosswire — 8 days ago