Have any of you come across working in a place that seems to have no clear boundaries among multiple disciplines? Sometimes I feel my role as the RN is as clear as mud. Of course I do the meds, admissions and discharges...but after that it seems it is up for grabs. During my orientation I have seen this power struggle between the team. 2 of the job descriptions state they are under the supervision of the RN and yet, they pretty much do what they want. They don't have credentials. There are days when I feel like I have to kinda make myself known...then of course they get upset. There is one person who has no problem doing what they want and pretty much won't involve the RN and if an RN tries to get involved they become upset. I find it odd personally. These positions are equivalent to a CNA or Psych Tech and yet this behavior would never pass on a medical floor.
I understand that they want some autonomy and for the most part I am OK with that, provided I know what they are doing. Am I wrong for wanting to know or at least be updated on what is going on? I have no problem being a co-facilitator or even being the supportive person and letting them take the active role: provided it is safe and therapeutic.
I have yet to find a happy medium for this. If I try to play it cool and just keep an eye on it... they get upset. Or if I try to assert the role of the RN... they get upset. I know what they want... they want to basically practice nursing without a license, which of course is not acceptable. They would be quite happy for the RN to be seen and not heard... until crap hits the fan.