I Said... 'huh?'

Nurses General Nursing

Published

Imagine that you're the NightShift Supervisor and have been for quite awhile with all linens, medical supplies, residents rooms, exit doors,and entry door keys for access, locking or security when suddenly their aren't any keys and the above doors are inaccessible too you?

Imagine that you're responsible for 170 residents, 15 too 25 nursing staff and several of those in your care are Trachs all using misters,one with MRCA, cancer of the throat and he suddenly goes into distress with the medical supply room locked.

Imagine that you've made several calls trying to attain the keys for immediate entry with NO Call Backs and the nurse responsible for this residents direct care is in a panic as this resident is literally suffocating and close to Resp.Distress and the other residents are in need of sterile solution for their Trachs, but you've no access other that breaking into the supply room.

Imagine that you've reported same to the Nursing Consultants as well as the Administrator with the response being; "Why didn't you wait for Resp.Distress and then 911 him out?"

Imagine calling Corporate Headquarters and explaining this and they agreed with your decision which saved the residents life; not too mention that it protected your License, and told to ask for a 'Peer review' since the Administrator put you on indefinite suspension for "Destruction of Property."

Imagine attending the 'Peer Review' with witnesses notarized statements as well as them present; a notarized statement with the witness present that the Administrator had kicked-in the DONs door for paperwork and told it was all irrelevant because they wanted the 'Names' of those directly responsible for the door damage which you refused as you where the supervisor and instructed them to gain entry. The linen closet was entered by use of a credit card but the Medical Supply room had several dead-bolts and was unattainable with a credit card.

Imagine that you asked of your 'Peers'; "What should I have done?", and you were told that; "You could have called other facilities in the area requesting the needed medical supplies."

HUH? SAY WHAT?

You explain that that was unethical since the facility had the necessary medical supplies and according to the Social Security Act, all doors should have been accessible; not too mention the embarrassment the Corporation would have to contend with and the State Investigation that most certainly would follow, which it did with several 'G' tags and others given.

Imagine that you're Terminated and asked to sign a 'Write-Up' at the close of the 'Peer Review' admitting to destruction of property or sabotage of facility?

Imagine that in your long career as a RN you've never,ever been written-up, too have this shoved in your face. You refused to sign; your terminated!

Imagine receiving a 'Certified Letter' with the write-up enclosed stating that you admitted to destruction or sabotage but refused to sign.

Imagine contacting the Ombudsman,Health Professions Bureau, ANA, VNA, local paper and all agreed with what you did but saying they couldn't do anything about it.

'HUH?' SAY WHAT?

Imagine contacting an attorney and being told it's a 'TORT' issue which may take several years and that you also had a good cause for a 'Libel Suit', but...

Imagine that the facility in question lost not just the supervisor but CNA's, LPN's, RN's, ADON and DON next due in part to their total disregard for the residents care and staffing needs which you made it a point to express to the Administrator on numerous occasions only to be told that they had NO Authority to hire or address the issues which your response was to ask if they were primarily there as 'A SEAT WARMER.'

'IMAGINE'

Webster's definition of this 'Corporations' mindset:

For the Administrator of the facility, VP of this corporation that told me he'd investigate then declined, the Corporation Headquarters that agreed with what I'd approved but stated that they couldn't get involved and that 'Said Administrator' was under investigation,and last but not least, my 'Peers' (Peer Review panelist), whom demonstrated and advocated fully the below definition.

"Careerism > the policy or practice of advancing one's career often at the cost of one's integrity".

Director of Nursing

Location: Fredericksburg State/Province: VA

Salary: $55,000-$75,000 Duration: Full Time

Job ID: VEBDONFRED Date Posted: 05/24/2002

Description:

Great opportunity with one of the leading providers of healthcare in the country. Seeking a Director of Nursing for a large and active subacute facility in Fredericksburg, VA. Responsible for the overall operation of the nursing department. Successful candidates will be a registered nurse with RN licensure in good standing in Virginia or Virginia Eligible. MUST have at least 2 years of experience in LTC as DON/ADON or equivalent. Knowledge of State and Federal Regulations Good communication and interpersonal skills. Strong leadership and clinical management skills and desire to be part of a winning team. Relocation assistance available. Excellent compensation and benefit package including bonus structure.

They've also got postings for; ADON,RN's,LPN's,and CNA's.

As you've read, I was supposed to move into ADON position, and I applied for DON position 3 times with NO Reply.

Still interviewing in Florida...

Received mail from 'The Facility' today;

SEPARATION ACTION FORM

Reason Code 1.01

Eligible For Re-Hire NO

REASON CODES

Involuntary- #13 Conduct

Note: Explain if Conduct Code:

Associate 'DIRECTED' another associate to 'Break Down The Door'(lie, never said the word BREAK,simply stated need to gain entry),to central supply the weekend of 4/5/02. Associate ______

admitted this during interview with E.D.________&

ADON ________.

APPROVAL

Facility comments and notes:

Category one violation 1.10; "Theft or Attempted Theft, Defacement or Sabotage of Facility, Residents, Visitors,or Associates Property".

Signed by Executive Director____________

Copy- Facility personnel file

Copy- Unemployment compensation agent

Curiousity: Signed and Dated 4/12/02

Received today: 05/29/02

Some one should publish a book "Nursing Horror Stories"

Hey Betts! Good luck with this...it's criminal that destruction of property takes precedence over a patient's life! Waiting for a code to call 911? Calling the facility down the street for supplies that are already on the premesis? Not being able to access key equipment because of a locked door to which keys should have readily accessible? This is my definition of a nightmare! Stephen King should use this as a plot! Find a good lawyer, and kick butt!!

Mr. Governor,

I applaud your approach, admirable as it is; it's not the major problem. What about nurses that come to Florida after the 2 to 3 months wait for a license, only to be told that they've NO Experience practicing as a Nurse in Florida? Granted, we will need to educate ourselves to the laws here, but we knew that when we came. Why should facilities (Corporations) be allowed to "Skirt" the age discrimination laws with the above?

I returned here, and have almost 30 years experience in healthcare, at my expense in hopes that 'Home' would be different. It's expensive to fly here, rent an auto, temporary housing w/utilities, and then find affordable housing to purchase, without being "Rejected' because we've not had any "Practice" as a nurse here.

A "Nurse is a Nurse"; "Professional Caregiver", and what we do isn't "Practice", but years of "Education", "Skills Learned and Applied", proven over years of working in short staffed facilities, long hour's, and all to often, with uncaring "Corporations" that terminate us for unjust causes because we "Care about those we Care for".

Mr. Governor,

We want the "Respect", and the "Dignity" afforded other "Professionals", such as "Firemen and Teachers" get with home purchases. Relocation expenses, and the right to do our "Jobs" without "Fear" or "Intimidation". In short "JOB SECURITY". Immediate and affordable "Health Insurance", without the 90 day constraints.

Our motto:

"We Care What's Given and We Give What Cares"; "We're Healthcare Professionals".

Respectfully,

Letter sent to Governor Bush in Florida commenting on his new law concerning nurses in Florida. Input?

I've accepted a position with a "Revolutionary Corporation"! They actually DO CARE about the residents and staff! Whoa, what a concept; Caring for the Health of others when your a Healthcare Corporation!

I feel reprieved and grateful that they looked upon me with respect , an individual with integrity, without question to my knowledge of nursing; per: past resolve.

My first week and already they're talking of me becoming a "Corporate Nurse",advocating their policies; policies I believe in, and have attempted to initiate everywhere I've been.

I still need your support as I WILL NOT GIVE IN, GIVE UP,or COWER to the "Latch-Key Corporation." They also agreed that I shouldn't!

06/03/02> Made an offer on a Pool Home...will know if they accepted after 5pm today. My husband says that we're going to have a "Enclose the Pool with a Screen Enclosure Party" if they do. When it comes to being "Mechanically Inclined", my husband isn't... Always has parts left over. lol

UPDATE: Reply from the Florida DOH; I'd sent the message to Govenor Bush whom must of forwarded.

Subj: FW: Nurses Act

Date: 6/5/2002 7:34:29 PM Eastern Daylight Time

From: [email protected]

To: [email protected]

Sent from the Internet (Details)

Hi Betty,

Sorry to hear that you had difficulty in the transition to Florida. You will find that there are some real opportunities for nurses right now in Florida. The competition in the Orlando area has opened up attractive salaries, bonuses and improving working conditions. I think you can find a rewarding career here, especially with your 30 years of experience.

Dan

____________________________________________

Dan Coble, RN PhD CNAA C, BC

Executive Director, Florida Board of Nursing

4052 Bald Cypress Way, Bin #C02

Tallahassee, FL 32399-3252

____________________________________________

850-245-4158

850-245-4172 FAX

http://www.doh.state.fl.us/mqa/nursing/nur_home.html

UPDATE:

Subj: Re: I Said.....'huh'

Date: 6/6/2002 2:48:15 PM Eastern Daylight Time

From: [email protected]

To: [email protected]

Sent from the Internet (Details)

DEAR BETTY,

PLEASE SEND YOUR PHONE NUMBER OR CALL OUR OFFICE TO SPEAK WITH JUDITH

DIRECTLY--757-498-8600.

OUR EMAIL SYSTEM HAS NOT BEEN FUNCTIONING CORRECTLY AND IS STILL IN THE

PROCESS OF BEING FIXED AT THE OFFICE...JUDITH DOES NOT HAVE EMAIL

ACCESS--BUT DID RECEIVE YOUR REPORT.

WE WORK ON THIS ISSUE ON A DAILY BASIS, 7 DAYS A WEEK, ON AN ALL VOLUNTEER

BASIS, AND HAVE OURSELVES EXPERIENCED FIRST HAND WHAT YOU HAVE WRITTEN IN

YOUR REPORT....WE, OF COURSE, FEEL VERY STRONGLY THAT THE ISSUE HAS

MERIT--AS WE HAVE DEDICATED OUR LIVES TO IT.

IT IS WONDERFUL TO HAVE MEDICAL PROFESSIONALS SUCH AS YOURSELF DEDICATED TO

THE EFFORT.

IF YOU WOULD LIKE TO BECOME A MEMBER OF THE CITIZENS' COMMITTEE TO PROTECT

THE ELDERLY, PLEASE SEND YOUR ADDRESS VIA EMAIL AND I WILL MAKE SURE YOU

RECEIVE ADDITIONAL INFORMATION.

SINCERELY,

JENNIFER CAMPBELL

...AND THEY WONDER WHY THERE IS A NURSING SHORTAGE..

Since I first posted this issue, I've read of one poster that received any reply. I've been diligent in posting any and all replies I've received other than the half dozen pm's of support which stopped as well,and would be interested in hearing of other replies received.

Please email or fax if you've the time.

Thank You,

Betts(Betty)

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Nursing-home residents periled by inane policies

Suppose your mother is in a nursing home. It's late at night. Suddenly, she can't breathe; she's fighting for air. There's a nurse on duty who knows how to help Mother breathe, but the supplies are locked in a room where the nurse cannot get them. The nurse needs to act fast. What should she do?

She calls the "keeper of the keys" at home. There is no answer. If she calls 911, the response time will be 10-15 minutes. Mother won't last.

Should she break open the door to the supplies?

In this real life situation, which happened in Virginia, the nurse broke open the supply-room door and got the supplies that kept Mother alive.

Unfortunately, the nursing home that locked the supply room refused to give the keys to the nurse who could use them to save lives, then fired the caregiver who actually did save someone's life.

This incident actually happened to a friend of mine. I have been in nursing for over 15 years, and I wish I could say I am speechless, but I can't. I have seen so many practices that should not have been. They are not done by nurses who care about their patients--they are done by corporate America, which cares nothing for you or your loved ones' health or safety.

Betty Krystosek

Orlando, Fla.

Date published: Wed, 06/05/2002

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