Accused of "Cheating her out of medicine" - page 2

This is 50% rant, 50% request for advice. First, background info: I'm an LPN for a large company providing in-home services to MR/DD clients. (I have serious doubts regarding the company's ethics,... Read More

  1. by   santhony44
    I have to wonder what exactly she thinks you're doing with the "extra" meds the patient isn't getting.

    I think this woman does have a major chip on her shoulder in regards to nurses, and yes she's way out of line. I think you're handling it fine and have also had some really good suggestions from others. Good luck!
  2. by   VegRN
    ooops
    Last edit by VegRN on May 11, '07
  3. by   VegRN
    Quote from TrudyRN
    In reality though, this is besides the point, he has no business nosing into the pts medical concerns.

    Actually, this person is supposed to keep an eye on the patients very closely and there is nothing wrong with her being very much aware of the clients' medical situations. In fact, there is everything right with it, since she is on-site and the nurses are generally not. This staff member is the nurses' eyes and ears in this residential care facility.

    The problem is what she said and the nasty way she said it. She needs to be reprimanded and counseled to be courteous and mature and professional, and, if she has concerns, to contact the RN or whoever is on call for such concerns, instead of badmouthing the nurses.

    Just wondering - how come she wasn't concerned that the client wasn't getting the drops q3 throughtout the 12-hr period?
    Or ATC q3? Personally, I think 12 hours without the drops is too long but if the surgeon is happy with it, I guess it's ok.

    OP - how come you're meeting with your boss' boss and not with your boss?
    Trudy, what about HIPPA? It seems to me that a non medical person having access to a persons med list would be a violation. Keeping a close eye on them is all fine and good but having access to med list? Seems like HIPPA would not like that.
  4. by   TazziRN
    Veg, non-medical personnel responsible for the medical care of others are allowed access to information.
  5. by   MrChicagoRN
    Quote from LightCommaStix

    When I come back to house at 3:30 pm to administer meds, the house staff asks me, "So who is going to give her 6pm eye drops?" I tell staff she doesn't have eye drops due until 8pm. Staff says "No, Home Supervisor told us to have her drops given at 6pm. She said she really needs as much medicine as possible right now. -" and yes, this is a direct quote - "Home Supervisor told us the nurses are cheating her out of her medicine. She could have them every 3 hours, but is getting them every 4 hours." The Home Supervisor had arranged for staff to bring her to a state-certified Medication Aide at 6pm and give an additional dose of her eye drops.

    To summarize, Home Supervisor:
    A) Told her staff to administer medication not scheduled at that time, which amounts to
    B) Practicing medicine without a license and
    C) Told her staff "The nurses are cheating her out of her medicine"!

    I can't emphasize how humiliated I felt. Three layperson, house staffers with no medical/nursing training questioned my ethics and told me how/when I should administer medication. Stating something like I'm "cheating her out of her medicine" opens me up for accusations of theft and malpractice. Can you imagine the jeopardy my nursing license would be in if the wrong person had heard that statement? (It may already be in jeopardy as we speak!) What if the staff continues to say this about the nurses? This is COMPLETELY unacceptable behavior. Not that this should affect my decision, by this particular Home Supervisor is open hostile to the nursing dept. She's been overheard (by both myself and other nurses) making anti-nurse remarks such as "They get paid the most and work the least" and "If I had the power, I'd fire them all."

    Should I press the 'Home Supervisor is practicing medicine without a license' issue? What would you do?
    Absolutley no need for you to feel humiliated. If someone else acts like a fool, that's their issue.

    You are following MD orders to the letter. When there was a dispute over the plan, you reported it appropriately.

    You did not nothing wrong. Don't feel defensive, don't feel you need to respond emotionally to her false statements

    If it's appropriate to the conversation, it'd be ok to mention her openly hostile attitude towards nursing, but basically keep a cool head.

    I'd probably say something like, "I'm confused as to why the home supervisor is attempting to change medication orders. Does she have the authority to do so?"

    We all know the answer, but it sets her up without it being a direct accusation
  6. by   mercyteapot
    I honestly don't believe your license is in any danger whatsoever, but if it gives you peace of mind, perhaps schedule a consult with an attorney.

    As for the vent portion of your post... I work with a number of both families of individuals with DD and professionals who care for them and all I can say is that I truly wish this story surprised me. I've not heard these exact details before, but I hear similar sagas all the time. I also wish I believed filing a report or complaint with the state agency that licensed the home would make any difference, but I don't believe it will. These sorts of things just never seem to raise any flags and then along will come a tragedy when one of these rogue staff members ends up causing harm to a patient and everyone throws their hands up as if to say 'Who knew?"

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