[QUOTE=FarrellGirl,RN;6402836]Thank you for the responses. I AM currently looking into other employment (besides the fact that I feel like my license is in jeopardy every day I spend there, I also want to get out of LTC--I am open to LOTS of possibilities). I have also made up my mind to REFUSE to endanger a patient by "following orders", and put my own career and future on the line for her absurd rules. I really would prefer she fire me. I'll just get unemployment until I have my next job since I WILL have grounds for wrongful termination. So I will have plenty of free time to find a GOOD position.
I must admit that I felt TERRIBLE about following her orders! I felt extreme guilt. The patient later needed clysis because we couldn't access her fragile veins and she became dehydrated. In the hospital, she could have had a PICC placed. Actually, the night that happened, the DON asked me what her code status was and when I said, "DNR-CC", she said we should think about getting a HOSPICE CONSULT! The patient is NOT terminal. She had two acute illnesses (the UTI and later, after the CXR, we found out she had some small infiltrates). There's a male patient I take care of too, and he had a stroke and has not been able to eat or drink due to dysphagia, she ordered MARINOL, and the man is already miserable because he's hungry and CAN'T eat, and she just ordered something that would make him MORE hungry. The doc ordered an EGD and the hospital refused to do it because he couldn't swallow something for the test. They won't okay a G-tube without EGD results. So the "answer"? hospice. To me, speaking as someone who has seen him 40 hours a week for a long time and knowing his condition and family's/POA's wishes, it's inappropriate.
The aspect that really bothers me is that I have been working that unit for a year and a half. I KNOW these patients! This woman hasn't even SPOKEN to most of them, she hasn't been there long enough. AND, she wasn't there! I was there! I know this patient (the female patient with the UTI)! I have known her the entire time I have worked at this facility, and I have performed enough head-to-toe assessments on her that I almost immediately know when something is wrong. I feel like the DON is the nurse equivalent of Dr Kavorkian! Her answer to everything is hospice. As a caring nurse (one who cares not only about the patient, but their families as well), I feel like I am doing wrong by them, and I guess that is why I have stayed so long. I felt like I needed to protect them.[/QUOTE
Wait a minute?
How can she order Marinol? she is an RN correct? What does the medical director say?
If your concerns are as bad as they sound, I would call the Ombudsman if there is no one to go to over her head....good luck!!!