Thank you for your replies.
Yes they have been operating in this fuzzy area for many years. They have all worked together for many, many years. I think over time the RNs where originally OK with it. The thought being, hey sure you can do it...frees up the nurses time. But being newer to the group is adding stress to me. For example I had one person who was becoming violent in his room, he admited he was having thoughts of killing himself. Also having thoughts of harming others, he was also unable to contract for safety. I got the attention of the Psych Tech and said I think this person should be placed in a refocus room. (seclusion room but door is not locked or closed but by the nurses station...) Well a CNA heard me and said, "well let me go in there and see if he needs to go in" I was really floored. I already performed the nursing assessment
. I had already attempted to talk him down. I tried getting the patient to think of his coping skills that we have been working on in group...but he went completely silent and refused to make eye contact.
I was and quite frankly still am shocked by this over step on my co-workers part.
I don't know how to nicely say something without hurting her feelings or causing an uproar. But I feel it will come to a head soon.