Re: "Don't Send Anyone Out!" Originally Posted by TheCommuter I'm a newer LVN and employed as a weekend-double shift nurse at an upscale nursing home. My weekend RN supervisor has a happy-go-lucky, coolly unconcerned personality. He unrelentlessly picks on some nurses but tends to leave me alone.
He has made it crystal clear that we are to refrain from sending any resident to the hospital unless they are extremely ill. His reasoning is monetary: if a resident spends one week in the hospital being evaluated and treated, then the nursing home will lose one week's worth of money from that resident. Private-room residents pay $6,900 monthly and semi-private residents pay $4,600 monthly. This seems fishy and unethical to me. I usually will send a sick resident out because I want no person to die or worsen under my care. Any thoughts or comments on this issue?
If I were you, I would make sure and save any and all written letters, directives, communications, etc, from this supervisor and other supervisors, to use as evidence in case something happens to one of your residents. This includes any cell phone and/or home answering machine messages.
Remember my letter on practicing "defensive employment"? An ounce of prevention is worth a pound of cure. And a picture, or piece of paper, is worth a thousand words. JMHO, and my NY $0.02.
Lindarn, RN, BSN, CCRN
Spokane, Washington
Personnally, I always saved any and all communications from administratration and management. If not, it is you word against theirs. ALWAYS start a "paper trail" about management, abusive, neglectful physicians, and lets not forget, the co-workers who sleep in duty, and/or, do not do their work.
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