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As an homecare nurse for decades I mostly did night shifts. You are paying for 8 fully awake nursing services hours. Permission to nap while on duty raises red flags. Throughout my 40 years of nursing I have even seen cases where. the patient has died while the caregiver was asleep. Staff is supposed to observe for early medical symptoms for their eight hours.

Before you tell the agency,(which likely would fire her), I suggest you confront her and have that caregiver understand naps are unacceptable and continuing taking them result in your telling the agency. In that conversation try it as a problem solving how to not go sleep.

Try suggestions to not sleep: dietary eat protein for their meal/snack because protein promotes wakefulness and carbohydrates makes the body sleepy; coffee/caffeine is useful/ necessary to stay awake with for; a talking watch is good, especially ones that beep on each hour; an oven timer is useful for timing care such a dressing soak for half an hour; (this is a mixed message because it makes sure the patient is tended by an alert caregiver); possibly the caregiver has another job; walk around and do exercises is one way to stay awake; the use of Iphones and tablets I used to oppose, but I have rethought that for when patient is asleep I believe they are OK; I often suggest using WebMD to learn about the medical case.
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On the issue of caregivers sleeping on duty, it is useful to keep a care plan booklet/chart and also a communication notebook for both family and caregivers to write in every shift. I suggest getting the patient's care plan from the agency or constructing one so expectations are clear.

To get a chart, start by collection into a folder all papers that you got from doctor's visits. Care plans can be set up by licensed persons.

If you have professionals coming to the home, ask them about making up a chart. For each page, write 'memo for the record' and the name and credential of the person writing, and the date. This makes the chart eligible to be a legal document.
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They are not paid to sleep and it upsets Mom so put a stop to it. Many caregivers work two jobs to make ends meet so they are constantly exhausted.
Try providing cofee and some nutritious snacks of their choice.
But as DD tells me "Don't get mad Mom take action"
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I worked at an agency and we did not sleep. The family allowed us to sleep and provided all of the linens for that. She had 2 care givers with her 24/7 seven days a week. I had a couple 7 hrs a day mainly meals and some light housework. We paid great attention to their personal hygiene. Sleeping was allowed during the evening if anyone was needed to stay over night. We always kept notes on our patients in basic folders like the kids do. You can also write a note in there that sleeping is not allowed. Before you get yourself upset, go to the office and talk to the management or head nurse if you don't feel comfortable talking to your care giver. They should take care of it immediately. If it continues to happen, change care givers. Angels on Duty is a wonderful group of ladies that LOVE their charges. Great company.
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Caregivers that you hire should never sleep on the Job. If I did that I would be fired on the spot.
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Caregivers should have a break just like any other job. What better time then when mom is sleeping. She may close her eyes to meditate, pray or nap. OR should she go, go, go like a MACHINE with not even one break throughout the day? How cruel and inhumane. Not to mention illegal. SLAVERY ENDED LONG AGO. Employees deserve a little break. Unless mom needs vigilance while sleeping why not let her have some quiet time.... as long as she is near during & when mom awakens.
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I think there is a difference between a nurse hired to monitor a patient for seizures and an aide hired to be available in case of an emergency. And there is no doubt a pay difference for those jobs.

Expectations should be set at the beginning. And if things aren't satisfactory the first step is to talk to the aide/nurse, not to immediately call the boss.
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I'll keep this simple, no no sleeping! You are paying this person to take care of a loved one! This means watching over them to make sure they are safe, sort of hard to do while sleeping. You are not paying them to sleep. I'd talk to them or I'd find someone else.
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