Big issues at work

Published

Specializes in LTAC, Skilled Nursing, Psych, Hospice.

I am a RN at a LTC facility, I work night shift and am having issues with the new DON and her friends she brought with her from her prior facility. (She made them "managers" they are all LPNs except the DON). It starts with a resident who had a Foley replaced by myself and another nurse due to leaking,  residents is a quad, and very contracted into almost a pretzel,  anyways, me and other nurse inserted 1st attempt,  urine return was good, and bag was full of yellow urine when I left at 630am. That day around 5pm, day nurse noted blood in bag (maybe aide repositioned, and tugged?) And he was sent to ER where he was admitted with UTI and hyperkalemia. Resident blamed myself, and long story short, hates my guts now. Literally left a scathing Google review speaking terribly of the staff, and openly voices his disdain for me to everyone.  Well fast forward,  new DON brought 2 managers and 5 charge nurses from her prior facility, the 1 LPN works days and started about a month ago, ever since she started, she has been vocal of her dislike and frustration having to give resident that hates me his daily enema (order was in place since his admit in January for day shift, now suddenly, he wants it nights and to be given by the nurse (myself) he hates according to DONs buddy) and the new UM (also Don friend) changed time to nights. Well, this resident does not want me around him more than giving him his medication which is fine, but now they're insisting I give him a nightly enema because nurse on days doesn't want to. Well, I voiced my concern having to do anything invasive to him following the Foley incident and fear he can say anything to get me in trouble and they pretty much told me too bad, first night I give it and he didn't go at change of shift so I told nurse in report and documented she was notified,  next night he screams at me for "leaving him" for 2 hours and that the day nurse denied me telling her, well I apologize to him, and next day inform the manager he was upset. I receive a call later in the day from DON stating I "have" to meet with her (she's really mean and unapproachable) the manager and the RESIDENT regarding my "false documentation " my jaw dropped, I've worked here for 18 months, never been disciplined for anything,  and now because this new group want to die on this hill I am at jeopardy?!? Remind you, I'm a RN with my BSN, the manager and other nurse re LPNs, which technically can't delegate to me. My thing is why not just put it backnto it's original time, that was in place for months until this new nurse started and didn't like it. I refused to meet with them, I asked for corporate HRs contact info and was denied by DON and HR. I got it from another nurse. Everytime I had to document a refusal on ANYONE I take a witness to see the refusal so this exact issue doesn't arise.  I've filed a complaint with corporate compliance,  my question is (finally) am I wrong here? I can't lose my job, I have 2 kids to raise and am a single mom! Please help if you can!

Specializes in Psych, Addictions, SOL (Student of Life).

I am sorry you are going through thibf. I did LTC for a year and I never worked harder in my life. There are some suggestins I will give you but I am getting ready for work. Please pardon any errrors in the post as I broke my glasses yesterday.

Hppy

Specializes in Nephrology, Cardiology, ER, ICU.

I don't work LTC but it seems weird to do bowel routine on night shift. Is that really in the pt's best interest? Won't it disturb his sleep?

Specializes in Psych, Addictions, SOL (Student of Life).
hppygr8ful said:

I am sorry you are going through thibf. I did LTC for a year and I never worked harder in my life. There are some suggestins I will give you but I am getting ready for work. Please pardon any errrors in the post as I broke my glasses yesterday.

Hppy

When I worked LTC I had a patient's wife fire me. The situation with the patient was unsafe in every possible so I corrected it and had to deal with an extremely family member. The next day I went to the patients room when I knew his wife was there and kind of fell on my sword. I said "It seems we got off tyo a rocky start and would like to start over." I assured her that I would never do anything that was dangerous or not in her husband's best interest. " She was still weary of me for several shift put as I got to know her and her husband and their story I was able to work with her husband."

I do agree with @traumaRUs would not be in the best interest of the patient.

Again please pardon any mistake as I am working without my specticals. 

Hppy

I live in fear of this type of scenario. Okay, I don't truly (and I've never had it happen to me) but what I mean is when I hear of stories like this my first thought is get away from these people. There is little way to defend oneself when there is a group willing to substantiate each other's lies or pile on with complaints and concerns. 
 

Not wrong to report these people but the idea that Corporate might do something  is little consolation. Whatever it is (if anything) it is not highly likely to be effective or without backlash
 

Hate to be Debbie Downer but if it were me I would have a backup plan. 

Specializes in ER.

I recently did four LTC shifts after being out of nursing for a little bit, for an agency. All I can say is, you LTC nurses are amazing. I can't handle it. The workload is crushing, especially with the increased burden of making the computer happy. 

Now the agency has set me up with a really sweet occupational nursing gig at an agricultural plant. I'll be able to combine it with fishing and my semi retirement activities in the area. I don't think I'm a strong enough person to do LTC. And when you have a terrible management like you describe, catering to out of control personalities who are leaving negative reviews online, that is a recipe for disaster. Get out of that place now!

+ Join the Discussion