I have a few questions, I work at a nursing and rehab center. The few nurses we have working there believe that we are being delegated tasks that are not within our license peramiters.
Are LPN/LVN's to be filling out ACUTE CARE PLANS
, ex:s/t's, falls, abt's?
Are LPN/LVN's to be doing QUARTERLY YEAR SUMMARIES?
Are LPN/LVN's to be filling out MDS's?
The facility I work at, has a new MDS coordinater, new ADON, that have come here with their own ideas on how things are to be done. They are delegating their work to us, for the simple fact they dont know the residents well enough.
Yet they are able to do stand up with the day nurses, specifically and know detailed information on each resident, neither one will work the hall, or go and physically examine a resident.
The quarterly year summaries were delegated with the excuse, "Each of these are supposed to be done on every resident, every 3 months, it would take me 3 months to do one of them, because, i am new, and have no idea what these people are like, you guys know them like the back of your hand."
The paper work has become so outrageous, that we are there on average 3-4 hours after each shift. Here is a list of things that I am referring to:
fall assessment form
inc rep form
acute care plan form
neuro check form
change of condition form
Our new admits have been changed from 72 hour documentation to 14 days documentation Q shift.
We now have to chart on every lab draw, every UA, that they are drawn, pending, faxed to doctor and then wait for new orders. As many of you know this can take weeks.
We then are told that we can not go into overtime.
If anyone can tell me about this, do you think that the delegating is being abused I dont wish to lose my license for doing things that I am not trained or licensed for.
And if i am doing mds coordinators job I WANT HER PAYCHECK! he he, I can dream can't I.