[HannahRN24]

I have a question for experienced home health nurses out there!! I have 3 years hospital experience but I am new to home health (and I do love it very much so far!). The other day, an LVN and I disagreed about a certain pt's need for a HHA. I feel that the pt doesn't need the aide but the LVN doesn't agree. So she went behind my back and had the HHA supervisor (who is a CNA herself) change my frequencies, change my documentation on the Oasis Recert, and someone forged my initials on it!! I was so angry as anyone would be, so I immediately wrote a communication note (that goes into the chart), corrected my documentation and put my notice in. The owners had a meeting with everyone and they are not taking any corrective action against anyone or making any efforts to rectify the situation. Is there anything else I should do to protect myself? I really don't think I'm overreacting...I mean, this is illegal activity and disrespectful and immoral, etc.....would love to hear everyone's thoughts!! Thanks!

[cookie102]

first what i would be angry about is the LPN over riding the RN orders,,,you are the case manager and she works under you,,,,communication between the 2 of you is necessary for input, and perhaps she has seen something that you didn't....but the RN has the final say as it is she who will supervise the aide .... i don't understand why nothing was at least said to her!!! it is wrong....that would anger me also...

[caliotter3]

Inasmuch as the owners did not back up their RN in this matter, or even bother to discuss the matter with their RN supervisor, I believe you did the right thing in resigning. The CNAs are running the ship and showing you that you are not respected there. In the past, I have found that when management does not deal with forged documentation or other instances of fraud, it is not a good idea for the person who reports this to them, to hang around. Only you can protect your license. Why stay in a position where down the line you may be answering for your employer in an investigation? There's another job out there for you. Good luck.