Charge nurse:how to supervise LNs who lost trust in mangement?

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Hello everyone, I am kind of new to this forum. First time posting. I have been in LTC for 8 years, supervisor of 4 LNs. Few months back, we had a nurse who would not do her job, would not pass all her meds, refused to do treatments, did the 1730 and 2030 med pass during one pass at 1730 so she could sit and watch T.V. for a couple of hours each night before her shift was over. Yes, this sounds strange, but really happened. Yes, she was turned in several times to the DNS, but they refused to fire her for this neglect. The other LNs were upset, angry that she was allowed to continue to work. DNS would not terminate her, just waited it out (3-months) until she quit. Now the other nurses have no respect for management which in turn changed their attitude about getting all their work done. The attitude is, "who cares, the DNS won't fire us if we do not do our work." The DNS is unaware of this attitude, and wants to know why I cannot seem to manage the LNs. Its so complicated, not sure what to do. I have brought up to the DNS about some of the workload not being done, due to the nurses to busy doing their homework on the job, but no response.

LTC facilities seem to have their own agenda, and from my experience in LTC as an LPN with 27 years in the trenches, Id say it is not the care of the patients. Money is the bottom line.Management seems to only sit up and take notice when their own necks are in the noose. This goes for the so called non profit places too. Until all hospitals and nursing homes are unionized the management will not give a rats bottom for the legitamite concerns of its nurses. or patients.Maybe there are a few good LTC facilities out there, but good luck finding them.

I have to agree with you there!! Especially with what I'm seeing in our area - the Corporations!! I had no good understanding until I went to this LTC. My son was a CMA for 5 years in a LTC, but finally left the whole industry within a year after they went 'corporate'. He would tell me stories, but I guess I had to actually experience it.

The LTC I just left is more 'upscale', and it's smaller than some in the area. I originally interviewed there because another son had interviewed there for a DON position a few years ago, and thought it was a nice place. I've smacked him a couple times since.:chuckle

I felt so stupid about a lot of things when I started working there - but I'm starting to learn. For one thing, I don't know how long they're going to be able to hold on to their high status - I know that the only other RN that works there is seriously looking for something else, as are many of the other staff - the ones I consider good, consciencious people. And I noticed that a full-time RN position just opened up at the facility where I'm going to be starting, and I believe that RN is going to apply.

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