Nurses Helping Nurses
allnurses Network: Central | Jobs | Books | Newsletter
allnurses: A Nursing Community for Nurses
Home General News Blogs Articles Students Region Specialty Degrees F.A.Q.
Geriatric Nurses and LTC Nursing /

Blowing the whistle on your facility



Did You Know?
allnurses is the largest community for nurses on the web. We now have over 388,707 members! Join today to network with other nurses, laugh, share, and much more.
Page 1 of 3 1 23 >

Jan 25, 2009 10:22 AM

Blowing the whistle on your facility


For a few months now the quality of care has been drastically declining at the facility that I work at due to the administration trying to cut back on spending.

The staffing ratio was never good to begin with and now it's terrible. Meanwhile the acuity of the average resident has increased significantly. Our DNS has flat out told us that she is here to save the facility money and she thinks we have it to easy on the floors so no help is going to come from her. We are lacking in basic supplies for wound care and stock medications. The ratio of total care, psych, and rehab patients vs. regular geriatric patients has increased dramatically but instead of giving us more resources we are being given less! There are issues with narcotics, polypharmacia, and the use of anti-psych meds that have black box warning labels and yet are being Rx for the elderly like they are candy.

I am really close with a co-worker and we are both disgusted by what is going on in the facility. Since we are a union facility I thought that maybe these issues should be addressed with them but the person advised me against it. Basically I was told that it would come back to me and that there could be a lot of repercussions. I was told that I could be blackballed in the future and that maybe they could find something to use against me that would affect my license.

I want to see something happen but I have to be realistic....I have family to take care of...but my damn conscious would never let me say oh well I only have a few months till I can quit. I'm thinking of contacting the state but I'd like to remain anonymous...has anyone ever done anything like this? What happened? Did conditions improve at the facility afterward...were you able to remain incognito?


Share

Search Tags
has anyone ever done it?
Top

2 Readers Gave Kudos

 
Advertisement
Sponsored Links
 
Page 1 of 3 1 23 >
Reply
21 Comments
No. 1
from oramar
Old Jan 25, 2009, 10:41 AM

Default Re: Blowing the whistle on your facility
The I see post about unsafe conditions here all the time, more LTC than acute but all the time. Most the time people only want to know if they should stay or go. Some people like you, actually wonder if they can do anything about the situation. Yes you can report but to promise you that you could report without repercussions to yourself would be wrong. I wouldn't promise you that. Most people that report do experience somesort of retaliation. Big pat on the back to you for being the kind of person that even cares. Most people here will tell you just to move on from there. A small number will tell you that you have an obligation to report. What they won't tell you is how to pay your mortgage or put your kids through college with no income.
Top

4 Readers Gave Kudos
 
No. 2
Old Jan 25, 2009, 10:45 AM

Default Re: Blowing the whistle on your facility
Talk to your union rep first.

Whistleblower protection won't work once you're fired, unless you have a buttload of money to hire the lawyer to defend you.
Top

1 Reader Gave Kudos
 
No. 3
from Rascal1
Old Jan 25, 2009, 11:25 AM

Default Re: Blowing the whistle on your facility
I don't know why the state could'nt be notified in confidence,if they have'nt already.
Top

1 Reader Gave Kudos
 
No. 4
from caliotter3
Old Jan 25, 2009, 12:36 PM

Default Re: Blowing the whistle on your facility
People I have known to blow the whistle have been found out despite "confidentiality", and have paid the price through threats, intimidation, and blacklisting. Anyone who decides to take this route should be at their new place of employment with plans not to change employers again for a long time. You would be surprised how many years a person's reputation can be the topic for discussion in the nursing commmunity. You can be long gone and still get blacklisted. Legal action is too expensive, time consuming, and in most cases nothing but a joke. So beware and be prepared for retaliation.
Top

2 Readers Gave Kudos
 
No. 5
from chigap
Old Jan 25, 2009, 01:23 PM

Default Re: Blowing the whistle on your facility
Things in these places have been the same for years and years. They are warehouses for people society wants out of sight and out of mind. If the government really cared, don't you think they would have done something already. Really think about moving on and then reporting.
Top

4 Readers Gave Kudos
 
No. 6
from Atheos
Old Jan 25, 2009, 01:30 PM

Default Re: Blowing the whistle on your facility
Before we jump to conclusions how about giving us numbers.

I remember days of having 14-16 patients. Our CNAs have 7-8 (no trachs, no vents, few caths) and complain about how unsafe it is and how there is not enough time to get everything done. The same CNAs that stand around half of the shift with nothing to do.

So, before we all jump on administration or the nursing home which seems to be the MO here, give us some numbers.

What kind of patients do you have and HOW many do you care for.
Top

1 Reader Gave Kudos
 
No. 7
Old Jan 25, 2009, 03:06 PM

Default Re: Blowing the whistle on your facility
I kinda believe the OP....lacking basic supplies, stock meds, short staffing....it happens. Staffing is a biggy to try and prove and sometimes there is enough planned, but with call offs etc......

Call the state or corporate. The state will let you make annon complaints.

Stanley...I see what you are getting at, but.....it happens
Top
 
No. 8
from Bronx_RN
Old Jan 25, 2009, 04:09 PM

Default Re: Blowing the whistle on your facility
I actually wrote a list of my complaints.

On the floor I worked yesterday I had 41 patients and I'm the only nurse on the floor. I passed all the meds, I had two trached patients (no inner cannulas in sight), 12 wounds to dress, and 5 f/s to do with coverage before lunch. A lot of them are psych patients but it's 3 of them that are aggressive and non-compliant with meds. They go in and out of the facility all of the time for hitting other residents and staff. One has hit 5 people in the last 3 weeks (3 residents, one aide, and a supervisor).

For wound care I did not have any mesalt, solosite or calcium aginate. I had no adhesive dressings only gauze (rolls and 4X4), ABD pads and tape. The irrigation sets had not been changed for the eight GT patients by night shift because we had none. I had no tylenol 325mg, maloox, enteric coated aspirin 325mg. I ran out of albuterol for the nebulizers (had to borrow from another unit). The emergency box is missing...the 02 tanks in the emergency closet were empty and I had no tubing for the tanks or cannisters or tubing for the suction machines. The narcotics don't fit in the narcotic box so they are stored on the med cart. Labs that arrived on Friday were sitting at the nurse's station and no one called the doc with the results. The monthly renewals had not been touched, I'm responsible for charting writing the 24 hour report, auditing the CNA books. The lock on the med fridge is broken and the place has roaches...do I need to go on?

I'm going to delete this later on cuz I don't know maybe I'm giving out TMI.
Top

4 Readers Gave Kudos
 
No. 9
from chigap
Old Jan 25, 2009, 04:25 PM

Default Re: Blowing the whistle on your facility
Run now before you burn out!I think you have more than justified your position, BxRN2B. Here in NZ they just had an expose on a SNF where someone from the news crew worked as a caretaker. Now everyone is up in arms as if this is something new and only takes place at that facility. The nursing union even reacted like they were shocked. I lasted all of two or three shifts in a SNF. Aide slept all night and then tried to tell me what do. Patients not toileted, falling and etc. Too bad because it could be satisfying work.

It happens all over the world where people believe elderly people have no value in society and are a burden. I love seeing Asians and Pacific Islanders and their sense of family and responsiblility.
Top

1 Reader Gave Kudos
 
Page 1 of 3 1 23 >
Reply




Thread Tools


Who's Online
239 members
1,965 guests
2,204

1

Four Lehigh Valley Health Network nurses accused of...

46

lawsuit - But don't most RN's work through breaks/lunch...

0

Patient Evaluation of Retail Clinic Care

7

The hard to reach on-call doctor, and its effects on...

10

Woman charged with passing off prescription drug as...

23

Man in "Vegetative State" was conscious for 23...

2

Interesting article on ThedaCare's Collaborative Care Model

13

Possible breakthrough regarding MS

63

16th Philly area hospital to stop delivering babies: Mercy...

14

Really interesting article on Indian open hearts



44

Dear preceptor

1

Society Needs Care Too

13

Why am I doing this, anyway?

2

Nurse Heal Thyself

10

My Papa, why I am the nurse I am today.

17

I made it through

11

An angel's gaze

16

A Sister Never Forgets

16

Ruby's Marbles

42

What Do Operating Room Nurses Do?

14

My Little Old Jedi

21

I love this job......

23

"I hear voices"

20

Preventing FRUTI (Foley Related Urinary Tract Infection) in...

24

Error and Attitude





Sponsored Links

Currently Reading This Page: 1 (0 members & 1 guests)

Interested in the hottest topics of the week? Subscribe to the Nurse-zine Newsletter.
Enter email address: