I need some advice. I have been an MDS coordinator for the past 21 years. Due to some restructuring in management, it looks like I might be put on the "on call" rotation. For my building, the on call person usually has to go in and work at least one shift per weekend on call.
Now, I have not worked the floor in 21 years. I am not up to date on the current meds, equipment, etc. As it is, I do my MDSes with a drug book nearby since nearly every med is now in generic form. I haven't done trach care, IV meds, tube feesdings, etc in 21 years. I am truly afraid that I might hurt someone...or worse! I'm also not familiar with much of the paperwork that needs to be completed such as incident reports, SBAR, Interact to name a few.
I am so against this I can't even tell you. I have at least another 40 years to work and I truly feel that I would be risking my livelihood and my residents' lives by trying to give meds, tube feedings, treatments, etc after not working the floor for so long.
When this first came up we were told that "we are all NURSES" so we can all work the floor. I disagree. Yes I am a nurse and my license is the same as every other nurse, but I certainly wouldn't want my mother to get dialysis from a nurse who's area of expertise was not dialysis! But hey, we're both nurses, right, so why not????!!
I'm really just wondering what my legal obligation is to my company. Can they legally force me to do something that I am so uncomfortable with and that I truly feel puts my residents at risk? Can they fire me for not agreeing? I thought the nursing standards of practice made it MY responsibilty to NOT do something that I do not feel qualified to do. I would rather lose my job than make a mistake that hurts or kills someone.
I'd be interested in hearing what others think or about any experiences like this. Thanks so much!
Tell them that you will need 4 weeks full-time orientation so that you will be safe to take call. And that you will not be able to do your MDS role while you are orienting. And did they want a proctocologist doing eye exams? After all, a doc is a doc is a doc.....
Not seated in reality, are they?
So sorry thay they have put you in this position.
Last edit by merlee on Feb 16, '12
: Reason: spelling