I work in assisted living and it is my first job. The nursing supervisor is asking us to sign off on treatments we didn't do because we are understaffed and can't get to them in a shift. Most of the nurses do this. I won't do it. Not only is it illegal, but making it seem like everything is being done means there is no evidence for the need for more staff. In one case, an order for hourly rounding on a resident was written in the MAR. No way I can see this person more than once in a shift. I signed for one hour. But every other nurse signs off on all eight during their shift. I'm not neglecting this person, I'm prioritizing the one who fell, the one who is having trouble breathing and the one with chest pain. I can't take care of these emergencies and hourly round for something non-emergent. The supervisor puts a lot of pressure on because the "state requires that we're doing all the treatments." Not sure how to proceed to get what I want: better staffing. I've begun documenting with HR that I don't get lunches. Other nurses don't bother. It's additional paperwork to ask for your lunch time in pay. In the end I leave feeling like I wasn't able to do a good job for all the residents. Census is FULL and yet no additional staffing has been added to take care of the increase. Good caregivers are quitting due to the strain. Is there a solution? Or should I just quit before something bad happens?
Jul 7, '14
by OCNRN63, RN Pro
I had a job like this, but it was working for a physician. I quit although I should add that my supervisor fired me the day I quit. There was a lot of wrongdoing going on, and I felt compelled to report it to the appropriate authorities. It was one of the most stressful times in my life. I also worked for a facility where the stuff going on there would make your skin crawl. I kept a journal and eventually called the state. I was asked to come to the state capitol to review my journal with representatives from the Dept. of Health. That facility closed not long afterward. (I remember getting a phone call from an aide saying "The State's here! Did you talk to someone?" I never gave any indication that I had done so...talk about having to do some fast talking to distract her.)
Get out now with your license intact.
Last edit by OCNRN63 on Jul 7, '14