Kooky Korky 16,919 Views
Joined Feb 12, '10.
Posts: 2,848 (52% Liked)
Since the patient brought it to your attention I would write an incident report and give it to management as well as providing the appropriate care and documenting truthfully.
I'm wondering what your plans are for after school? Most jobs involve working on holidays. And, even the more orthodox sects and denominations make exceptions for necessary work.
I had jury duty and informed the instructor. He said for me to refuse the jury duty and take his final instead. My father died. My mother needed my presence immediately. I went home. My nursing instructors were accommodating except for the one who was the department head. He told me school was more important and that he should fail me in the course because I missed his midterm. You should have seen the looks on the faces of the office personnel as I left his office. He relented eventually, but not before I experienced the trauma of believing my nursing education was over. People are like that. They all think their priorities are the only priorities. The best you can do is to contact her again to find out the answer and then deal with that answer.
Yes, do check with the Labor Board (federal). Try getting the right contacts via your Federal Senators' offices
and House of Representatives' offices (federal).
Your post is confusing, in that you say the agency can pay you overtime but then state they can't or won't pay you OT.
In your state, what is the definition of overtime? Over 40 hours per week? more than 8 hours per day?
Congrats on your achievements, OP.
One important piece of advice is to never try to get patients or their families to become Christians. If they approach you with spiritual concerns, I guess it's OK to share your beliefs and tell what you do when faced with life's happenings. Otherwise, keep it to yourself if you want to avoid complaints, which could come even from other Christians.
Best wishes in your new work and in your spiritual walk with God.
So it's better to leave vulnerable patients alone while you merrily clock out? That is abandonment and will get you (justifiably) terminated from your job and possibly an investigation by a licensing board and sanctions on your license.
If a unit is so chronically understaffed that this is happening constantly, the smart and ethical thing is give notice and quit. But if it's a temporary thing because two night nurses have the flu (or on maternity leave) or a carful of carpooling nurses skidded off the freeway on the way to work, give the inch. Or even a danged mile. Leaving your patients safe is a part of your ethical responsibility.
And if that hat supervisor has already taken report for another unit, what then? If the supervisor refuses report and refuses the assignment, what then? In my LTC our supervisor do a lot. I don't k ow where you work that they sit around, but our supervisors do most admits, as well as help across all 4 units in the building. If a nurse calls off and coverage can't be found, they do take over a patient assignment. On occasion, more then one nurse will call off. Should a single nurse be responsible for 64 residents on 2 separate floors in the building?
And again, the nurse practice act is what matters on if you have to report to a nurse on the unit or can just write report and leave. In my state we can't just write report to a supervisor and hope they get it. I honestly am scared for the patients of nurses who find it ok to leave them because the clock says 7:30 and they can't wait.
If the corporate office does not mind paying them for the hours they are claiming, then it is not going anywhere in the legal system. the "victim" is the corporation, not you. And if "the victim" doesn't mind what's going on, then it's not going anywhere. If they do something that is illegal and YOU are the victim, then you proceed with filing a complaint against them and the corporation with whatever government agency is appropriate.
If the corporate office supports them, then the best thing for you to do is find a new job (unless you can prove they broke a law.)
Do not do this, for the reasons others have already stated. Follow your instinct on this and do not do this - unless your attorneys advise that it's not a professional risk for you to care for this child as a day care worker and specifically not as an RN. But I doubt there's a time when we stop being RN's just because we are working in a daycare. You know that the parents would likely say, "She's an RN, she should have _________" if anything were to go wrong.
You can either tell them the truth or tell them your schedule has changed or you are ill or something. Probably the truth is best. Help them in some other ways.
Best wishes to all concerned.
I'm a California nurse so my experience is much more minor but since email wasn't mentioned I will share my experience.
I just went through a bit of an ordeal with the renewal process, much of it my fault for not paying attention after hitting submit and then trying to resolve during the holidays (not recommended!)
I wasn't able to get through by phone and while I wanted instant answers and resolution, which I did not get, I did get a response to my emails each time within 48 hrs. Getting through by phone seems to be an impossibility but email was reasonable.
My renewal was completely processed 2 weeks from realizing there was a problem to resolution and email was the only successful way to communicate.
Welcome to California and best to you!
My pet peeve is apostrophe love.
One doctor = doctor.
More than one doctor = doctors.
More than one doctor does NOT = doctor's.
More than one patient does NOT = patient's.
Are they just not teaching this anymore, or is this an auto correct thing?
Don't even get me started on people with advanced degrees who don't understand when to use the words your versus you're, and there, their, and they're.
If you haven't taken report, you're not responsible for the patients. The nurse who didn't come in hasn't taken report.
There are a lot of reasons that a nurse might not show up for work: overslept, forgot, copied the schedule down wrong, resigned but wasn't taken off the schedule, called in sick but the supervisor who took the call forgot to notify the floor, got into an accident on the way to work, was arrested on the way to work or died unexpectedly at home, on the way to work or in the employee bathroom before signing in to work. I've had the police do welfare checks on the nurse who was supposed to relieve me but didn't, and I've worked a 20 hour shift, but I have never left the patients in my care without handing them off to someone who was physically present.
I always found this odd. None of the facilities I've ever worked in has made staff stay. You can choose to stay for a while for ot, but if you're working 12s you can only stay for 4 hours anyway because it's against the law to work more than 16 at a time here. And most people will only extend if it's their last shift in a row.
The incoming nurses are expected to cover the patients, never the nurse from the last shift. When you're short staffed on a shift, people take a bigger patient load or educators and charge help on the floor. We do extra things to help them, but when our shift is done, we go home without a second thought.
Is there a family member or someone the patient knows who can sit with him and try to help him be calm? He might be afraid in the unfamiliar environment. Throwing stuff around? I'd have called Security for that.
Honestly, I hope no one gets hurt. But doctors today are afraid to order adequate pain meds and maybe they have to learn the hard way. If you get hurt in the process, I'd bet you have a good lawsuit against all of the people who did not help you - especially the doctor.
Oh and mind you, the nursing supervisors and managers wont allow for an extra nurse. They said it would never happen. I guess this is upper management's doing. They are sipping on their champagne sleeping like a baby while me and my coworkers put our blood sweat and tears in our job and dont even get acknowledged during the holidays or anything with a nice meal or holiday party or just little things of appreciation. Makes me feel useless and like I bust my butt for nothing. I feel like we are just maintaining the patient care on the shift making sure everyone makes it alive and give meds, thats it. No quality time, performing treatments, doing what you want to do but not having the means to do it given the circumstance
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