[quote=pagandeva2000;2373999]Sometimes, it is easier said than done to be the hero unless you have another job immediately waiting in the wings for yourself. These same horrible nurses have the ability to ruin your career even though you try your hardest to dot your 'I's and cross your 'T's.
Sadly, I have to agree 150%. I'm going through the exact same thing right now...... I've been an LPN for 21 years, ALL of it in LTC. UNfortunately, I haven't yet learned to keep my mouth shut when I see something that needs to be addressed for the benefit of a patient, and it has cost me more than one job.
Iin some of these places you simply cannot be they kind of nurse that you want to be, that you *should* be, if you want to keep your job. I've learned, a bit too late, the best thing to do is CONFORM, keep your head down, your mouth shut, do your own job and don't say anything about anyone else's blatant lack of responsibility for their residents. Do the best you can for them, and have a good cry on the way home at least 3 times a week.
I know, I just *lost* my job for this very reason, after only being there for about a month! How can you get fired after only a month?? Be a responsible, caring nurse and report things the correct way; follow the chain of command; and keep the resident's best interest top of your priority list. And this isn't the first time this has happened, it's actually about the 3rd time in the last few years, and I keep thinking "this place will be different; they actually care about their residents, and they want to follow the rules, etc...."...... NOT!!!
I was fine until I documented a med error, then all hell broke loose. I worked at an inner-city LTC facility where the DON, ADON, Unit Manager, Staffing Coordinator, etc. are all good friends.....and have all been there at least 3 years..... And not that this should matter but I think it might have: I was the only Caucasian nurse there, (including all Administration) with the exception of an RN who works 3 eves a week. This is out of 12-15 nurses on all 3 shifts.
I was cool til I wrote up a med error: I had actually found it right before I left at 3:30, and turned it over to the unit manager, just to see what she would do about it... I had already had a feeling that things were being swept under the rug, and they were all covering each other's butts, but was curious to see how she would handle this.
It was an order for a Medrol dose pack, (ordered to be titrated, obviously) and an order for Ibuprofen, and an order to REASSESS in 1 week by the doc. Order had been written 3 days prior, noted off by 3-11 nurse, but not faxed to pharmacy for med, and not on MAR. So, I didn't find it until another order was written on same chart, and I happened to see the order above it, and knew I had not been giving this person any Medrol..... so I turned it over to UM.
I come back the next morning, the order for Medrol and Ibuprofen is now on the MAR, and has been faxed to Pharmacy. That's it. No paperwork, no report, nothing. Now, my dilemma: I know the doc is coming in 3 days, on MY shift, and is going to want to know how effective the meds have been..... how can I assess someone and give what I perceive to be a false report, since the doc is assuming this person has been receiving medrol and ibuprofen for the past week and will in reality only have been getting it for a couple of days??? I conferred with the other day shift nurse on the unit, (she's new too, and I've worked with her in the past) and we both agreed it should be reported. So, I wrote it up, called the doc, called the family, documented everything, etc. crossed all my T's and dotted all my I's, put the copy in the DON's box, and let it go at that.
The very NEXT day, I get called in the DON's office and written up, because I *supposedly* had not been doing my 9 a.m. G-tube flushes....
2 days after that, I get called in for not giving an ATB at 9:00 am as scheduled..... even though the person REFUSED her meds, (not uncommon for her; refusals had been documented twice the previous week) it was documented on the back of the MAR, also in the NN, AND the doc had already been called for an order to extend the length of the ATB order for one day to account for the refused dose!
I didn't write the med error up to get anyone in trouble; I did it because it was the right thing to do, considering the follow-up that was to be done, and the fact that it was a medrol dose pack, not a docusate!!!
And that's just a couple of things; there are a few more instances of basically the same thing..... I didn't do this, I forgot to do that; I should have reported this to a different person, etc. etc. Then after I left work on Tuesday, I get a call from the staff dev., saying the DON wanted to see me in her office at 10:00 am the next morning; do NOT go to my work station..... I knew the axe was falling, so I just politely told her I didn't feel the facility was the right place for me, so I was hereby rendering my verbal resignation.......
So now, I'm looking for a fresh start, planning on moving to TN in a few months, and keeping in mind my own advice: This time, keep my head down, my mouth shut, do my own job and stay blind to whatever else is going on........ and wishing I could make a decent living being a WalMart door greeter.