Do things fall apart when you take time off?

I took a one week vacation and planned for an extra day at home to recuperate when i got back. But, since my boss was leavign the next day for two weeks, I decided to call him for an update. Apparently things fell apart when i was gone. Two aides transferred a resident without a transfer belt(part of the uniform) and the resident gatherthered a skin tear. They were suspended for one day.

A nurse (LPN) over the weekend gave thin liquids to a resident who had specific orders for thickened liquids. She had only been admitted les than a week prior with pneumonia and had gotten an additional CXR that showed she now had pneumonia in both lobes. He gave the thin liq d/t the family member asking for them since she was not eating.

Another nurse on her very first day of orientation to the floor went home halfway through the shift in tears d/t the nurse she was with was "just awful, ignored her, and would not answer any of her quastions".

Needless to say that when the NHA called me at hoem at 8PM and was still upset, i told him to go on vacation and I would take care of it.

The next morning, i was waiting for the one nurse to come to work at 6:30 AM and terminated his employment. Reasons why.... he made the decision on his own to give the thin liquids and did not call the In-house charge or the RN on-call to discuss it and he also did not call the MD for an order for the thin liquids... and the number one reason is the woman died.

That same afternoon, I was waiting for the other nurse to come in at 4PM and terminated her employment. If she was that rude to a brand new nurse, how ruse is she to my residents.

So, I think it has all settled down now and am not going on vacation again until Feb.