I have to agree with Kevin ... MAR's need to be signed. If this facility is trying to improve the standard of care and trying to comply with regulations and the nurses are still not completing their charting, what recourse does the administration have? Having worked as an administrator for several nursing homes (the highest regulated industry in health care) I can totally understand the zero tolerance from leadership at the facility. It is a terrible thing to ask your professional nursing staff to comply with regulations and sign their MAR's, only to find out during an insepction that there are MAR omissions because nurses have not signed off the meds they gave. Yes, this would include boost pudding as well as anything else your facility includes on their MAR's.
At my hospital, we have a bar code medication administration system. Trust me, if we are late on our med pass or their is an omission, administration and quality management are made aware of it and the nurse must complete an medication error report. We do not have a zero tolerance policy ... yet, but it is the nurses responsibility to ensure that he/she documents.
One suggestion I might give is to ask your Director of Nursing to set up a quality council to review this standard with nurses and be a part of changing the zero tolerance policy. Many times, leadership resort to threats because they are running scared
and feel powerless to change the problem
. Nurses that come to the table and offer to help fix the problem, provide leadership with a restored sense that perhaps there is a way to fix the problem without firing people. That might be a better solution. Good luck.
PS - I would not leave, especially if you have been there a long time, but offer to help.