Just FYI - the staffing statistics for DOH are being skewed by the inflated number of LPNs who really are performing in non-licensed capacities, yet are their hours are being 'counted' as licensed numbers on paper? Is this an attempt to defraud or try to 'pull a fast one' on the DOH??? I mean, you count an LPN as an LPN and a CNA as a CNA when you "do the numbers/staffing report' for survey.
Also, it would seem that the actual number of licensed nurses who are covering the floor as licensed nurses is sufficient. Does the facility then have an over-abundance of LPNs and needs to layoff a few??? Are they plumping up their LPN staffing with new staff in anticipation of a future termination action?
Another issue - who covers the floor when the regular nurses go off ??? Is it the CNA/nurse? So therefore that LPN is really wearing 2 hats for the 2 job functions that she's covering. I guess this is all being predicated by the fact how she is being compensated. If her cost-center/payroll designation pays her as an LPN, that's one thing; but if she's costed and being paid as a CNA and she's doing LPN functions, it's a dubious issue.
And that brings up a thorny issue about an employee being hired in 1 capacity but being forced to freq work in another capacity. Is this a Dept of Labor violation, esp since we're dealing with official licensure/certification and government agencies, state and federal? (Go back to my first query.)
Is this facility union? If they choose NOT to hire CNAs, can they be slowly, but deliberately depleting the # of union employees in an effort to weaken/decert the union? (NOTE: I don't know enough about unions if this is a real possibillity - I just ask). I always think about unions as I know healthcare mgt to be traditionally anti-union.
This has been on-going for a year or so, so this is not a temporary occurence. This facility is on a real slippery slope. Maybe I'm overly suspicious, but I have my doubts about this administration. Something is just NOT right to me. Maybe an anonymous phonecall to the survey agency with a heads-up maight be in order???