Kooky Korky 29,732 Views
Joined: Feb 12, '10;
Posts: 3,796 (53% Liked)
; Likes: 5,220
I did not admonish the nurse, first of all. You're wrong for admonishing me for something I didn't do. I told her the information wasn't necessary for message. I also didn't lecture. I just said that *I* didn't want a violation. I didn't say it was a violation, or "Section A, article 2 of the HIPAA laws says....." Don't twist it. Don't assume the messaging system isn't HIPAA compliant....I'm not going to assume it IS either. The phone number doesn't go to some landline phone at the brick and mortar lab. It's a cell phone. It's not just that I'm accessing it by cell phone, the number, phone and messaging system IS a cell phone. We don't get to use "company property phones." We are to use our own cell phones. The boss keeps the cell phone to which the number and messaging system is attached. I have an ear piece, when it's too loud where I am, I can't hear, the speaker function isn't facing out towards the general public AND as I CLEARLY stated, I don't use the car blue tooth for that exact reason, AND, as I am not an employee of these facilities, I am NOT allowed in areas that would be considered "Private" unless they are patient rooms and I'm attending the patient. In some, we're not even allowed to move anywhere in the building without a staff escort, except to walk to and from the entrance to and from the office. We are also not allowed to use staff or resident bathrooms, only the public bathrooms, which are by no means private. Pull over.... Um, if I'm supposed to call every 20 mins and I've been in one facility for 45 mins, how do I pull over? I'm not even in a car. I'm inside a facility. Talk about lecturing.....
No we don't have anything like that in place. I'm dealing with the situation now until I find a new job but I still wouldn't feel "ok" with that bc like someone else said, could a family member sue bc I "abandoned" my clients bc I took a break without another nurse being on duty if something tragic happened? Would my facility have my back since they only want me to clock out for legal reasons on their part? Or what if something happens on opposite ends of the hall? I can't be two places at one time. I just wondered if that was something that would hold up in court or in front of the board if i presented it to them.
I know this will probably be too much information.. I have been a web designer since I was 14, I am 34 now. I was home schooled and finished school early. Computers were always my passion but my mom and dad never had money to take me to college and schools where I was from were filled with bad kids, drugs, sex, gangs etc...
I graduated what would be 12th grade at a normal school by the time I was about to be 17. By 17 I had a job with a company I won't mention working from home. I was making good money and loved what I did.
Fast forward to about 2005 I was making so much money. Believe it or not I was making over $7k profit a week and it got to a point that I couldn't handle all the jobs. At around 2010 I was still making good money and loved what I did. 0 stress and I enjoyed my work.
I realized I had been working from home since I was very young and my social skills were not very good.
In about 2010 I took a break and started traveling all over the world. Dubai, Egypt, China, etc... just so many places. I traveled without working for a long time and it was not just any travel but sort of luxury traveling for example $1800 a night at the burj al Arab in Dubai etc...
Fast forward to about 2011 I noticed I didn't really have friends just my dog. I thought I should get a job where I can help people and be more social.
I thought nursing would be an excellent choice so I went to lvn school without working the whole year.
Fast forward I am now an LVN and work as a web designer on the side.
My parents had several problems and I had to help them economically. I won't go into too much detail but now I have a home but am filled with so much debt.
I cant quit my nursing job that I know is destroying me because web designing is not as stable as it once was. Starting in 2018 I plan to quit nursing completely and build up my web design business and other online stores Inplan to open.
I will be working on my passion and hope for the best. As long as I have enough to pay even the minimum in all the debt I now have I will be happy.
I have several plans that can really help me and pay well. One thing I can say is nursing did help my social skills so I do thank nursing for that.
Wish me luck I plan to pay of all debt and start saving a lot after I pay it all. I will be working with what I love computers and it makes me happy that I will finally be able to quit nursing. I was also self taught so I have no degree only a large portfolio of work I have done. I plan to get a bachelors in computer programming so one day I can get a job at an actual firm or even further my own business.
I skipped a lot and sorry for any misspelled words. I just wanted to give a good view of my situation.
The morals of our society have been worn down since about the 1960's, replaced with "tolerance" and political correctness in regard to anything and everything.
Old-fashioned discipline, pride in and respect for family, self, community, and country, not to mention the positive role of religion, and self-control are merely words now.
"rights" are in, along with having abortions or being single parents and exploring sexuality/gender. "Compassion" rules, not good sense. There is a time for just about everything, but we have gone off the deep end.
Time to shut down the US Dept of Education. Local control of schools is necessary.
News media need to stop splaying terrible incidents all over the TV, internet, etc., beyond a few stories reporting what happens. but keeping it up for days on end just encourages fear and copycats. Social media need to be greatly lessened.
FBI apparent errors, failures by those to whom Cruz was reported helped this happen, it seems. Not being an insider, I don't really know the details.
Where are his birth parents? What about this large estate Cruz is said to have?
I hope we can remain calm and courteous and just have a civil exchange of ideas.
I work in a similar situation. I clock out for my break and I do leave the unit, but I can't leave the "campus". I do have CNAs on the floor and I carry a radio with me everywhere I go in case I'm needed. We also have a pager system so if a call bell goes off for longer than a set amount of time, I get a page. If I get called to an emergency while on my break, I respond and later I write up a form stating that I only took a 5 minute break or however long it actually was and I get paid for that time.
Do you have anything like this in place? If not perhaps you could recommend it so you feel better about actually taking your break.
This same thing was standard in my previous workplace (not nursing), and I hated it too. I didn't mind if I was *requesting* personal time off, but there was one time I had to call off because of a serious family emergency (child rushed to ER, very serious situation, ended up in hospital for 10 days), and they expected me to call around finding a replacement. I was livid - I wanted (and needed) to be with my kiddo - not sitting in the waiting room trying to locate a replacement; at that moment in time, I didn't give a flying **** about work.
Oh where to begin. Anybody else running to save their sanity and nursing license or is it just me? I have been an RN since 2007 so I'm a very seasoned nurse. For the first 9 years of my career I worked strictly in hospitals. I worked on just about every unit imaginable with the exception of OB, peds, and NICU. Over the last 3 years I transitioned to LTC facilities thinking that having a routine and the same patients every shift would be less stressful. And initially it was. The first LTC I worked at I liked until a CNA who had no business becoming a CMA (she was a meth addict) was put through CMA school by this facility and became a CMA on my hall. Over a period of months myself and other nurses noticed that she was getting done with a med pass that took a seasoned nurse 2 hours to complete in 30 minutes. Especially as a brand new CMA, something was amiss.
Then residents who were alert and oriented were saying they weren't getting their pain medications. The CMA would always insist that the pain meds were given. Well one weekend when a nuse was working the med cart and was swapping out the sharps containers and noticed that it wasn't full of used needles, it was chock full of pills. We figured out how she was getting through the med pass so quickly, she was popping them and putting them in the sharps container, and she would pocket the narcotics. We notified the DON, but not a single thing was done. And she actually got smart and would give the very few residents who were alert and oriented all of their meds, but she continued to pop the meds of the residents with dementia but instead of putting them in the sharps container, she would throw them in the trash and then empty the trash well before shift change thinking nobody would notice, but we did notice and reported her to the DON, once again nothing was done.
One day one of my residents with a history of epilepsy had a grand Mal seizure in the dining hall. I notified the doctor, the doctor asked how much Dilantin he was on, so I told him, and the doctor stated "wow he is on the max dose of dilantin. Get a Stat dilantin level." Guess what his dilantin level was? Zero. He wasn't getting his dilantin (real shocker, nobody was getting their meds). I felt like my license was at risk and the DON refused to take action against the CMA so I resigned.
I got a job at another 172 bed LTC/SNF. They told me that the SNF portion is 20 beds, so they have 2 nurses on that hall, each nurse gets 10 skilled residents and then in addition you split a LTC hall and took 10 LTC residents. So essentially you have 20 residents which is not too bad for the 3-11 shift. In July this independently owned LTC/SNF was bought out by a large corporation who like all corporations are focused on the profits, we were told that we would be getting a lot more skilled residents and that they were actually turning one of the LTC halls into another SNF hall. They also told us we would be getting higher acuity residents with TPN, wound vacs, pressure ulcers, bipaps, etc. What they didn't tell us was that they were taking one of the nurses away. So now you have 1 nurse for 20 high acuity skilled patients and you also have 20 LTC residents. The nurse that was working day shift when they made the change said "this is not safe" and quit. They brought a nurse from one of the other LTC halls to work and she made it about 2 months and then quit. They asked me if I would go to 7-3 for a $5 an hour pay raise and like an idiot I agreed in September. And in came the higher acuity patients which 90% of them I can tell you belong at an LTACH not a SNF.
Here comes the good part. We work 8 hour shifts. On Monday the NP comes and you have to round with her on EVERY skilled resident and give her a rundown. That alone knocks an hour off your shift. If she gives you 75 orders, you have to put the orders in the computer and fax them to pharmacy, etc. Kiss another hour off your shift. Then you have to go to standup, and seeing as there are 172 residents in the building and every resident has to be reported on, that knocks another hour off your shift.
So you get to start off the work week trying to do the job of 2 nurses and 12 hours worth of work in 5 hours.
20 skilled residents means 20 complete sets of vital signs, 20 had to toe assessments which you have to document in the computer, 10 residents with fsbs who get ss insulin, we have a wound care nurse but she doesn't do any of the wound care she just rounds with the wound care doctors once a week on Wednesdays and they rip off everybody's dressing and take measurements (but don't replace the dressing). In fact you don't even know that the dressing is off until PT or OT says "Hey we just came to get Ms.Jones for therapy but her dressing was removed and she's lying on her side." You walk into the room and sure enough there the resident is with their a** in the air but because PT has a schedule too, you have to drop what you'really doing and do wound care. You have patients crashing left and right, one day I sent 3 skilled residents out and all were admitted to ICU. Wound vacs galore, TPN galore.
The day I told myself "enough is enough" I had 20 SNF residents and 20 LTC residents. Of the 20 skilled residents, 6 of them were hoyer lifts, 8 of them were 2 person transfers, 2 were getting TPN via PICC line and they needed lab work drawn and the results faxed to pharmacy, both of their PICC line dressings were due to be changed. One residents lab work came back and his creatinine was 4.62 (no history of kidney problems so he got sent out), I had 2 wound vacs dressings that needed to be changed, 3 people with stage 3 or higher decubs that needed their wet to dry dressings replaced, 10 on fsbs with ss insulin, 3 peg tube 2 of which were continuous, the other one was bolu feeding, 6 people on duonebs and it is corporate policy that you cannot leave the resident unattended while the duoneb is going, 3 of my LTC residents had fallen and were on neuro checks 2 of my LTC residents had MD appointments, my TPN arrived and I had nowhere to put it because our refrigerator was full of antibiotics. As I'm talking to the ADON about where to put the TPN, 2 admits roll through the door at the same time and my CMA shouted to me "Hey their rooms aren't even ready yet!" I yelled back "WTF do you want me to do about it?" And to top it all off neither our printer nor our fax machine worked at all that week so you had to go clear across the building every single time you needed to print or fax anything which you know is pretty frequently. For the last month my 8 hour days have become 11 hour days. I had a nervous breakdown and self terminated that weekend. Right now I'm on a mental health vacation. WTF is Healthcare coming to?
Okay I will try to stop worrying. I know it's not healthy for me to continue to ruminate this situation. I guess it hurts because I did my absolute best. I picked up and stayed when no one else wanted to. I did so many things to help them up only for them to kick me to the curb for an honest mistake.
Not a lawyer here but I believe requiring you to clock out but remain present and requiring you to work in any way during your unpaid break is illegal. They have to pay you if you are working or if they require you to remain available.
Check with your state Department of Labor and also the federal Department of Labor.
You are being used/abused, IMHO.
Realize that you might be put on someone bad list if you object, might lose your job.
Another consideration: if you work while clocked out, you might not be covered by Workers' Comp if you get hurt, or by malpractice insurance if anything goes wrong.
check with a couple of attorneys.
I don't know if there are limits to the number of patients you can be required to be responsible for.
Best wishes to you.
Advertise With Us