Quote from delphinuscat
Hello! I am a three year nurse. Worked in LTC And was recently fired from an ICU (working nights)for wrongful delegation. I left the unit for a break, had an aid sit and watch the call lights. This is a very small unit(5beds) and the medsurg nurses were 10 feet away watching the monitors. They have terminated me and said they are going to contact the ohio board of nursing. What should I expect? I have returned to the LTC but don't know if OBN will contact them about my case. Please help. I've never EVER been in trouble
I am a bit confused about the staffing situation in this case - I am assuming that some of those "ICU" beds were empty, right? What was the plan for licensed coverage for your breaks? I am very familiar with small/rural hospital standards, and it is not unusual to have only 1 RN in an area, but there must always be some sort of process to provide 'coverage' by a qualified individual. If so, THAT is the person you should have notified of your break in order to make sure your patients were covered.
FYI - every state is different but in my state (According the most literal interpretation of my our NPA) if you do not arrange qualified coverage & asked the CNA to 'hold down the fort' while you are off the floor, it would constitute 2 violations: improper delegation & patient abandonment. The employer would (at minimum) have to take this through Peer Review (employer process). If they decided to terminate, the employer is mandated to report it to the BON.
I do agree with PPs - hard to believe that you were terminated if nothing actually happened to the patient(s) and this was a first-time issue. Seems like counseling would have been more appropriate. BUT I urge you to take the time to recall everything that happened & make your own record of it... in case you have to face a BON hearing at some point in the future. If you have malpractice insurance
, and it provides legal services, you should give them a call for expert advice.