Problems at the SNF

Specialties Geriatric

Published

I have been working at this snf a little over a year now and I am quickly losing faith in this whole profession. Firstly, I am a white male somewhat new grad with Filipino bosses and coworkers. There have been a lot of changes going on: the administrator was fired, many of the admissions people have been let go of and today the DSD was fired. What really bothers me is the manner in which they did this. The DSD was in the middle of an inservice with CNA's and they pulled her out and told her she was fired. The poor woman then had to go back in the room and get her belongings in front of the cnas, humiliated. This complete lack of compassion really infuriates me. I have noticed that many of the filipino supervisors dont seem to have much compassion for the residents or the staff. Afterwards, they were joking about what had happened. My point is this: if you are not a compassionate person, then why do you want to work as a nurse? Is there no compassion in nursing anymore? Is this where this profession is heading?

The corporation I work for owns dozens of snf's on the west coast. They do not tolerate us working overtime. I, and my coworkers, routinely work off the clock out of fear of getting fired. I almost never take a lunch break but I must clock out for one every time I work. I've been written up for things that other nurses, the filipinos, routinely get away with. Recently, they introduced more paperwork protocols for events, etc. I find it increasingly impossible to get everything done on time. The standards expect perfection and do not tolerate anything less. I find myself not passing meds to some residents on some nights b/c there simply isn't enough time. I work my ass of but it's never enough and I always feel incompetent. Many of my peers feel similarly but we are all powerless.

What do the rest of you have to say? Have you had problems with fellow nurses of Filipino decent? What should I do?

Specializes in Oncology, Med-Surg.

I would just move on if I were you. If you pursue this with the facility, they may decide to report you for abuse.

Indeed I will admit that my conduct was inexcusable. I should not have called the resident that word and I will have to learn and do better from now on. Regarding the lunch issue, it really is hard to take a break when you have to do admits, discharges, treatments, etc and its just you, no supervisor to help out, etc. to me, this is more about justice given the fact that many of the ltc nurses are exploited and overworked. Many of my fellow nurses don't take breaks and feel they must work off the clock to avoid getting written up. The companies that own these snfs stretch everything so thin and maximize their profits at the expense of their staff and its not fair and it isn't right. I was miserable working there and this is not how healthcare should be. They work us like slaves and expect us to just bow down and accept it.

By the way, the guy I called an "offensive" word is a former inmate, a troublemaker. He is someone that exploits the system and his behavior that day was also inexcusable. It's not like there was any permanent damage from what I said to him. It's not like he was depressed from me calling him this word that described his behavior. If I see a patient misbehaving or causing problems or almost injuring other residents or staff I'm going let them know how displeased I am. Yes I went over the line, but I do not feel as if I did any harm in this situation. The night this incident occurred, the cna's and my nursing peers were on my side.

Specializes in Psych, Case Management, Care Coordination.
You said you were verbally abusive to a resident. You have NO excuse for that...stress or not....busy or not. You frankly, were lucky you weren't reported to the BON for that behavior.[/quote']

Agreed! It is YOUR responsibility to maintain a professional manner, in spite of any stressful situation you might be facing. Especially when it comes to resident interaction. I've had a consumer twice my size chase me around the house, and throw a chair through a window, and still maintained a sense of professionalism and calmness. Not once did I even consider calling the consumer names or anything else! I simply called my HM, the SSA and the guardian.

I think that the duress the facility put him under, caused his outburst which is a perfectly normal reaction.

Good luck to you OP. I'm all about "weeding" out bad facilities. And, a lot needs weeding.

Specializes in LTC, Hospice, Case Management.

1. It does not matter one little bit what the guy's history is - you are the professional and you are wrong. Good for you for at least owning this one.

2. I've worked in LTC a lot of years. I am here to tell you that the LTC world is a very small world. Everybody knows everybody. By seeking legal action, you very well may win the battle but you will surely lose the war. You can almost count on all the other local managers being informed that you sued your former company and as a result will probably not hire you. You would be better off to quietly cut your losses and move along to finding a company that is a better fit for you (and I promise you, there are good LTC's out there).

Yes I believe Nascar Nurse is correct and has a very valid point. I am afraid that it is possible that if you go through with this law suit that you will be having a hard time finding another CNA job anywhere. Even hospitals and Home Care will see you as a possible trouble maker. Wheather we like it or no I am afraid that your experiance at this place is not that different then a lot of other facilities. Tons of nurses and CNAs have complained that they are so busy that they do not take a break, or that they can not even take a bathroom break because they are so busy. How rich would one of us be if we got a dollar everytime we have heard this. As unfair as it is it happens all the time. I hope you know I am not trying to criticize you, but trying to give you some things to think about. I'd hate for you to wish you never did it because you can't get a CNA job and you ruined you career without thinking about everything this will intale. Good luck with everything

I have to agree. You verbally abused a resident by your own admission. Most states requiring no warning, you would get fired and the state would get called with an investigation required. Everything they did to you was wrong, but unfortunatly you got fired for a legitimate reason.

Specializes in Rehab, LTC, Peds, Hospice.
Really? You couldn't take lunch? I've had nurses tell me that and every time I go to the floor they are sitting around chatting...NOT working. .

While I seriously have issues with the behavior of this poster - this is ANNOYING. There are absolutely places where lunch breaks don't happen because the work load is impossible and the nurses are trying their best (and failing) to give their Residents the care the need and deserve. While I'm absolutely sure this happens Cape Cod - generalizing like this is unhelpful and unfair. I rarely miss my lunch breaks where I work now, but I've worked a lot of places and it happens. A good reason why I no longer work at those places.

OP - never is it ok to verbally abuse anyone. You are the professional - period. As you were in the wrong, it would've been best to walk away quietly, and not seek revenge by going the legal route. You'll be lucky to work in nursing again. Don't get me wrong - anyone whose read my posts know how I feel about unpaid breaks and working off the clock - its illegal and I won't do it.

Specializes in Adult Health.

A few things...

1) The company is legally obligated to pay for all hours worked. This includes all untaken lunches.

2) Telling you to skip meds in the med pass is illegal unless there are valid reasons for skipping meds. Example of valid reasons: not giving dig if heart rate is less than 60; 2) patient refuses; 3) BP too low to give an anti hypertensive. But all of those need to be properly documented on the MAR. Not giving meds because its inconvenient is illegal and unethical.

3) You have a right to state that an assignment is unsafe but if you accept it, it is your responsibility. You become legally responsible and can face abandonment issues. You inadvertently ended up with extra patients but you took on the med pass for two groups. I agree the facility handled the staffing issue poorly but you were equally unprofessional by your own admission.

4) You were verbally abusive to a resident. Regardless of his history, or what was going on at the time, you abused someone under your care. This is illegal. You can fight the other issues, but if you do, the facility will likely counter with this. It will follow you for your entire working life. I'll be honest: you were wrong and I would never hire you if I found this on a background check.

Specializes in critical care, ER,ICU, CVSURG, CCU.

ok, if you work off the clock, regardless of circumstances, that is on you, and if you clocked in and out it is mute. my facility will not tollerate working off the clock. i would of terminated you for patient abuse, by the description of what you said to the demanding resident. in my state that is grounds for immediate removal, DADS actually requires us to remove the alledged offending employee, until investigation is complete.

you have received some good advice, I would cut my losses, and attempt to obtain a better job.

best of luck to you

Specializes in critical care, ER,ICU, CVSURG, CCU.
1. It does not matter one little bit what the guy's history is - you are the professional and you are wrong. Good for you for at least owning this one.

2. I've worked in ltc a lot of years. I am here to tell you that the ltc world is a very small world. Everybody knows everybody. By seeking legal action, you very well may win the battle but you will surely lose the war. You can almost count on all the other local managers being informed that you sued your former company and as a result will probably not hire you. You would be better off to quietly cut your losses and move along to finding a company that is a better fit for you (and i promise you, there are good ltc's out there).

he does not see the big picture

Specializes in critical care, ER,ICU, CVSURG, CCU.
Yes I believe Nascar Nurse is correct and has a very valid point. I am afraid that it is possible that if you go through with this law suit that you will be having a hard time finding another CNA job anywhere. Even hospitals and Home Care will see you as a possible trouble maker. Wheather we like it or no I am afraid that your experiance at this place is not that different then a lot of other facilities. Tons of nurses and CNAs have complained that they are so busy that they do not take a break, or that they can not even take a bathroom break because they are so busy. How rich would one of us be if we got a dollar everytime we have heard this. As unfair as it is it happens all the time. I hope you know I am not trying to criticize you, but trying to give you some things to think about. I'd hate for you to wish you never did it because you can't get a CNA job and you ruined you career without thinking about everything this will intale. Good luck with everything

he was THE NURSE

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