Quote from sapphy
but i am in a position that if someone does not pick up the slack for her... our patients have to have an assessment done by an rn every 24 hours.... eventually it comes back to haunt me and all the other rn's i work with.... if there is a blank assessment form on a patient's chart... when they do chart audits what we get back is these rn's were working that day ... they are all responsible for it regardless of whether or not it was on my assignment.
whoa, i really had to step back when i read these statements. i as a nurse am not responsible for another nurse's written assessment or the lack thereof....that nurse is responsible for her own. one thing to learn about being a solid nurse is knowing what you are responsible for and what you are not. if this nurse sits at the desk and neglects her duty, your picking up her slack only enables her behavior to continue doing more of the same. boundaries, even between professionals on the job, are your friend. by picking up her slack, you actually take away good solid evidence for your don to discipline her properly (for her apathy and neglect). do not do this again. hold this nurse accountable for her patients and her charting. let's turn this around a bit. do you really believe she is responsible for your behavior, your role as a nurse, and for the care of your patients? i bet not. if this type of behavior persists, especially after being confronted by the don, she will hang herself....you are not responsible for it. however, you are responsible to objectively document incidents of neglect by her towards her own patients..as evidenced by (fill in the blank) and forward it to your don (if keeping a copy/notes for yourself, it must be solidly secured). this is what a "prudent" nurse would do and what the court will ask if legalities should ever become involved...as a "prudent" nurse, what did you do when you saw the nurse consistently neglect her own patients/confabulate patient assessments (because she obviously did not assess them)? that is your responsibility...to report. you did the right thing directing the lpn. but, you also need to realize when you do not step up to the plate yourself when you witness consistent behavior like this with your own eyes, you actually condone it. ultimately, your don is responsible for her...not you. if an audit comes and this nurse's assessments are blank, your don is responsible...not you. please do not feel guilty for this nurse or for the consequences that fall upon her as a result of her inaction towards her patients and the lack of teamwork she displays towards staff. the guilt is hers, and hers alone. eventually, she will hang herself. it is just a matter of time. if this happens, you need to accept that...another boundary...in order to take care of yourself.
i wish you the best. i really hope things improve. be prepared if they don't.