Quote from bklynborn
You worked in a small facility. 2 nurses 4 aides per shift, and were told to watch your back, that there were "spies" on the floor? What if you found out who this person is by being direct and asking her? What if this person made the same errors as everyone else but instead of knowing she was human and not faultess, she was a "reporter"? How would you handle a situation like this?
What if you facility was in one town and your pharmacy was 80 miles away, med orders are faxed and often late in arriving or don't arrive at all. What if you had 2 patients on psych meds (not in the e-kit) who were out of that particular med and the pharmacy when called said they would taxi them up and didn't? Would you borrow or circle and state "not available"? Considering that the "spy" is in the house.
What if? What would you do?
What if the DNS approved of having and even encouraged the "reporter" calling it a med audit?
You know what, Brooklyn born, I have worked at a horrible LTC facility such as the one you're describing. I used to chart on the MAR by circling the med that wasn't available and putting on the back of the MAR, "med not available". I would always be accosted by the nurse supervisor and she would say, "we can't chart that" but I don't care. I don't care if the State comes in and sees that type of charting. I actually hope they do. Then that way, we wouldn't have problems with getting our meds when we need them.
I know how it is. I'm no longer in LTC, even though I LOVE working with the elderly. There are indeed some "spies" amongst us. And when I quit, I told the DON just that. I told her that I can no longer work there. She wanted me to work ALONE with 48 patients on 2nd shift. I told her, "____ no!" I wasn't about the GIVE my license up that easily. I loved my residents, but I had to go. I told her that it was too many people up in there trying to deliberately find mistakes to report someone on. And when you do make a mistake, they don't give you a chance, they just hang you out to dry. So, I left and I'm now VERY happy at this wonderful rural hospital on a medical floor. I was even considering leaving nursing all together. But the Lord felt that it wasn't quite time for me to leave and found me this wonderful place to work.
My suggestion to you is to leave this place you are referring to and go somewhere where you are needed and not used. If your license get's revoked, how are you going to explain that on a job application? It's not worth it.