First of all realize this is happening in LTC all over the place, and it is quite normal to have your license threatened for patient abandonment, if you refuse to stay. The administrator may be a bully, but LTC is full of them. There is a form called assignment with objection I believe it is called, you can find it is the Million Nurse March discussion, or at www.florenceproject.org,
fill it out and ask the DON or Administator to sign it, keep a copy for yourself and ask for a copy to be put in your personnel file. Expect to get alot of crap if you do this, however remember you are standing up for not only yourself but for the patients you are responsible. If something untoward was to occur it is your license on the line, no matter how many aides you may have in the building, ultimate responsiblity falls to you.And trust me when I tell you that if a bad situation happened it is you they will be looking at, not the admin. or the DON if someone did it would be in an ancillary manner. It is a difficult situation but first of all PROTECT YOURSELF. Last but not least think about becoming active in the Million nurse march, it is situations like this that we are trying to bring to the attention of the public and legislators. It is imperative that it is not the nurse that should take responsiblity for these types of problems. That should fall to management, nurse management or otherwise. Is the facility going to quit taking patients because of staffing issues? absolutely not. We must make the public and legislators understand these are real issues, with real consequences and the nurse should not be the one out there alone trying to figure out how to practice appropriately and take care of all the patients at the same time.
Think about the form I told you about, it is bound to piss them off, but you need to protect yourself. And think about the march, it is worthwhile and it is nurses in situations like yours we are trying to protect, as well as the patients you know are not getting the care that they need.