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Ethics, conflict of interest on job, who is responsible?


Question Posted Sunday June 6 2004, 11:50 am

I am having a big problem on my job. I am a licensed nurse working in Home Care in Florida. What is commonly called Agency work. There are several nurses working this particular Case. We all are experienced nurses, and adore our little patient, which is a handicapped child. We all have been on this particular job for several years,and everyone does a good job. One nurse who I will call N, causes a lot of unneccessary friction on this home case. The father of this child is alone, and is a divorced, retired older man. And he is the primary care giver for this child. N has been intimately involved with this gentleman, off and on for a couple of years. She works the night shift and sleeps. She manipulates this man, and the shedule changes according to her wishes.When he leaves town on business trips, she comes and goes in the home, and causes problems for whichever nurse is working at that time. The agency is aware that she sleeps and that she is imtimately involved with this pts father. But has done nothing to rectify this situation. I learned ethics and conflict of interest when I studied nursing, but obviously some people do not follow this guidelines. Besides this , the nurses brags about being able to work 2 jobs. If everyone working in nursing could sleep, then everyone could work two jobs. She is married and has children. Besides this nurse being liable, and the agency. Should medicare also be advised of this situration? Nurses are threatening to leave this home case, if nothing changes and soon. What about the licensure agency, here in Florida? Thanks in advance for reply

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MotherJune answered Thursday June 10 2004, 1:02 pm:
The world is full of users and this woman is one of them. You said you reported it and nothing was done. Since the man has been romantically involved with her, perhaps they feel it is his choice to let her sleep. However, sleeping on the job when you are supposed to be responsible for a child is serious. A situation might arise that could result in the child being injured from neglect (choking, falling out of bed, etc.). If the Home Care agency won't respond, then PLEASE report it to the licensing agency. The thought of a lawsuit from neglect or malpractice seems to make health care facilities straighten up. My mother is in a nursing home facility and I make weekly appearances and spend time talking with my mother to check that they are fufilling the duties that she pays for each month, to ensure the best of care. They respond quickly when I tell them that the state licensing board would be interested in what I have to say.

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Nevaeh answered Monday June 7 2004, 1:57 am:
Most definately tell the right "authorites" about this. Seems to me she not the only one being "screwed" if you get my drift. With all the schedule changes to suit her needs, well hey ya know, all the other nurses have a life to and deserve for the schedule to stay the way it is supposed to so they they can go about there life's also. She should be removed from this case promptly! Good Luck in doing the right thing.

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DruidX answered Sunday June 6 2004, 12:42 pm:
I'm afraid I don't know much about homecare in Florida, so I'm not sure what medcare is, but if they are the governing body of care agencys, then I would tell them. If all this means the patient is reciving or would recive worse care then you definatly have to tell someone in authority.

It makes one wonder how this woman became a carer in the frist place!
good luck :)

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