I currently work in a SNF and am a nurse responsible for 40 patients on my unit. We have approx. 120 patients in total and 3 nurses to cover the shift. I just found out that they want 2 nurses to work per shift. I think this is very unsafe, since our acuity is getting greater and we always seem to be short on CNA's to help with the most basic needs.
The facility knew this shortage was coming, yet they haven't done anything to prevent this..just assumed that the remaining nurses would pick up the slack. I've heard that they can get away with this lack of nurses because on paper they do have enough RN's - it's just that half of them are administrative and do not work on the floor.
Tomorrow is the first day that I am expected to carry 60 patients by myself. Did I mention that I am a new grad and have had my license for only 2 months? I've told my DON that I did not feel safe with this scenario and she basically blew me off. I'm seeking new employment - but I'd like to know if I am right to refuse to accept the extra patients.
The administrator and owner of the facility is awful and threatens to take action to revoke licenses for patient abandonment. But is it really abandonment if I refuse to take the assignment in the first place?
Any advice would be great. I'm going to stand my ground tomorrow and refuse to accept the extra load. Perhaps to some, I sound like a whiner, but as a new grad, I don't want to risk my license for a facility that doesn't care about their nurses or residents. My opinion is that some of the RN's that are administration need to get their behinds in there and fill the shortages. Do I have any rights??