Before you quit a bad place.......

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I've read various threads where people have quit or were advised to quit bad facilities; ones with "problem child" CNAs running things and charge nurses getting no back-up, or incompetent/impaired nurses keeping their jobs and complaints about them seem to get ignored. This can't be good for the pts./residents since they are affected by these caregivers.

What some of the posts didn't mention was whether things got reported up the chain of command, to the state agencies, etc. If so, what happened?

Before you quit, it's a very good idea to document everything. CYA with a journal listing dates, times, incidents, and report things to the appropriate agencies--BON, state surveyors, medicare, etc.

Sometimes, it seems like society pays more attention to saving endangered species while the elderly are being neglected.

Specializes in EC, IMU, LTAC.

Sometimes, it seems like society pays more attention to saving endangered species while the elderly are being neglected.

Of course they do, becuase endangered species aren't their problem! All they can do is whine all day, whereas elder care is something that the family with stick to them if they try to whine and moan.

If a CNA is lazy, then something didn't get done for a resident and that's neglect. One of the things that made me wonder is----are people quitting without reporting anything, or did they report it but didn't mention it in their posts.

I read posts where a resident had a huge decube on their back with magggots, and another post where someone had multiple stage 4 decubes, a foley and a PEG that wasn't changed in a LONG time. I know those got reported by the posters, but there were a lot of people in those facilities who should have said something long before and they didn't.

There ought to be a special place in h#!! for the nursing home owners, administrators that allow this.

Specializes in Case mgmt., rehab, (CRRN), LTC & psych.

Of course these things are reported to management.

I wonder if you have ever heard of the "Warm Body" syndrome, when facilities with atrociously high employee turnover rates will bend over backwards to retain employees (even the lowest-quality workers). Some facilities feel it is cheaper and more cost-effective to keep incompetent nurses and problematic CNAs on their payrolls rather than hire staff who are idealistic and have the true desire to do the right thing for their patients. When a good worker complains to management about problems, this person receives the indelible label of the company 'complainer' and their work environment suddenly becomes hostile.

Healthcare is totally screwed-up in this nation.

Of course these things are reported to management.

I wonder if you have ever heard of the "Warm Body" syndrome, when facilities with atrociously high employee turnover rates will bend over backwards to retain employees (even the lowest-quality workers). Some facilities feel it is cheaper and more cost-effective to keep incompetent nurses and problematic CNAs on their payrolls rather than hire staff who are idealistic and have the true desire to do the right thing for their patients. When a good worker complains to management about problems, this person receives the indelible label of the company 'complainer' and their work environment suddenly becomes hostile.

Healthcare is totally screwed-up in this nation.

You'd think management/owners would wise up to the idea that hiring and keeping good workers and getting rid of the bad ones is cheaper than fines and whopping huge lawsuits.

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