After working as an LPN for approximately a year, within the previous year I finished nursing school and obtained my RN license. I began working at a psych facility approximately seven months ago, which has recently hired two new grad RNs that have had 3 months of training. One of the new RNs has done well and seems like he/she will blossom into a great nurse. However the other RN has not done well thus far. This person requires extensive direction, does not understand role and scope of LPN to RN duties to the point of asking LPNs if they are technically qualified to pass meds. Documentation skills are weak to the point of not documenting or obtaining an assessment on a patient readmitted into the unit after hospitalization and letting orders go un-noted and unfulfilled.
One of our residents was in resp distress last night, I responded initially and obtained V/S and asked him/her to follow me with the crash cart. She/he follows me at a very leisurely pace and simply pulls the cart up next to me. He/She does not open the cart and offer supplies, or even ask "What do you need me to do to help?" She/he continues to watch me as I am snatching the cart open and ripping out supplies to get O2 to the patient in distress as quickly as possible. I finally have to direct him/her to call for help and a medical emergency because he/she is doing nothing. The supervisor comes to help so I complete my documentation to send to the ER before the patient leaves the unit, then I walk outside and she/he is leaning against the wall helping no one. She/He is being moved to my shift and I am deeply concerned about his/her assessment skills and response to a potentially critical situation. I understand everyone must learn and no one is born with nursing knowledge and skills and maybe he/she panicked and did not know exactly what to do during an emergency. However we should all have a basic foundation that says something simple for example "Yes, you need to assess a patient returning from the hospital." She/ He will be placed on a shift and unit where she/he will be solely responsible for providing care as there is only one RN to work at night. I am sure even though I have only been at the facility for 7 months now myself I will be responsible for training him/her on nights. I am apprehensive about being involved in any potential errors made ect while this happens and concerned about the safety of our patients. Also, there is only so much I can teach someone and not do everything for them and complete the work on time that requires such extensive direction. What can I do?