I've never started a thread before but I'm so angry after work today & need to vent (also want to hear some opinions). Warning - it's a long one!!
I work in a LTC facility, recently was switched to new unit because previous nurse had conflicts with the charge nurse & CNA's. The unit is divided into 2 sides, 24 residents on the north (mine) 23 on the south (another LPN, went to school together & are friends outside of work). Our residents are primarily sub acute care with some very active & ambulating Alzheimer's patients thrown in. So as you know, it's pretty busy. My problem is our charge nurse. This man pretty much does nothing all day besides care plans (excuse me, that's 1 care plan per day - a 8 hour day). He does not pick up any MD orders. He does not assist with treatments (& we have QUITE a few because he also does not follow up that the CNA's do afternoon rounds). He conveniently assumes that we will do admissions (& as LPN's we are only supposed to assess their vitals & skin integrity) and then LIES by telling our unit manager that we either said we did the whole assessment or "never let him know that the admission came in" (pulled 2x this week). If you show him, for example, a skin tear (when you can find him or get him to come down to the resident's room) he'll say that it's not really open (as if you're BLIND) & "we'll watch it". Most of the MD's do not want to deal with him so we also get stuck doing rounds, calling the MD, etc. I cannot go into enough detail so everyone understands just how useless he is. My friend & I do not mind working hard but where does it end???? When I do charge (on weekends & when he's off during the week) I do all the treatments, MD rounds & orders, answer the misc. call bells, a gizzillion questions from families & just about everything else so the med nurses can give their meds & do their charting, follow up on the CNA's (who are a whole other story, from same country as charge nurse & they worship him, they've had 3 nurses removed from the unit & one unit manager who was there for 15 years fired - don't know where they get their power from) oh, & manage to do that day's care plan & go over the others that (SURPRISE) he never got to. If we complain that a CNA has not completed rounds, left dirty linen in the room, etc. - I don't know what he says to them (because it's NEVER in English) but holy crap, you cannot beleive the attitude you get!!
We were called into the DON's office today because he complained that I was "hyper" with him (which I was & so was my co-worker but for her own reasons). I had to send a resident out at 7:30AM - SOB, temp 103.9, resp. 28, pulse 110, B/P 88/38, c/o crushing chest pain, n & v. I called the MD before even telling charge nurse (naturally not even around the unit, down in cafeteria getting his breakfast). When he came back onto the unit I told him what was going on, went to start paperwork because secretary was not in yet. He came to me & said resident has temp of 101 & vitals are normal. I said NO, the temp is 103.9, B/P 88/38, etc. & I'VE ALREADY CALLED THE MD. MD was already en route to the facility, arrived within 5 minutes so when he checked the resident he gave an order to call the ambulance & directly admit the resident. By the way, during this I'm suppossedly doing my med pass. Charge nurse accompanies MD to desk to start paperwork, I con't/start my meds. 20 minutes later one of the EMT's comes back - they don't have all the paperwork, they're missing a copy of the medications. But naturally she tells ME this because again, there's no charge nurse around to tell. So I stop my meds, get the paperwork & make copies. So I mention this to him & he tells me "I cannot be everywhere. I'm VERY busy. And you should've copied this, not this." Excuse me, I can't be everywhere either, I'm also very busy & I should've copied NOTHING, that's your responsibility, I should be doing the 8 million other things I'm responsible for. He did not like this so he cried to the DON. We were both (me & my co-worker)called in with the unit manager who knows all our complaints, knows he does not do his job & will admit to us that she feels he is incompetant also & wants us to "write down everything we tell him to follow up on so she can make sure it's done" (like I need more writing to do - how about he just does his @#*@%* job?!). Anyhow, the DON didn't want to hear about anything other then today's events. The she basically said that his job is to assess the residents & do what he feels is warranted. His almighty RN license allows him the ability to thoroughly assess & prioritize & he's quite capable of handling all concerns we bring to him. Futhermore, we (as LPNs) do not totally understand what consistutes an emergency, he'll decide what needs to be handled & in what order. Lastly, perhaps my co-worker & I are "a little hormonal" & everyone on the unit needs to sit down & resolve this as the team players we are. Did not care when we said he was off the unit (said we should call the supervisior or page him) "from an administration point of view you must understand how this sounds, this sounds like neglect, and it's your job because you both also hold a nursing license to make sure that your resident's needs are met." Our unit manager totally faded into the background, we did at least get her to admit that we have been complaining of his lack of responsibility but that was it. I'm so upset from management's lack of support & working like a DOG that I'm ready to just throw in the towel & quit. I feel like I'm putting my license on the line because he accepts no responsibilities & denies everything. I only sit down at about 2PM to start my paperwork (yes, my med passes & treatments are that heavy) & we were recently told NO MORE OVERTIME, off the unit by 3:15PM (you could easily stay until 4:30PM everyday with all the work). Where's the teamwork? What's my liability? Well, thanks for listening & any advice to offer would be great! Thank God he is off tomorrow & I'm off this weekend...won't have to deal with him until Monday... :)
so we also get stuck doing rounds, calling the MD, etc. I cannot go into enough detail so everyone understands just how useless he is. My friend & I do not mind working hard but where does it end???? When I do charge (on weekends & when he's off 
during the week) I do all the treatments, MD rounds & orders, answer the misc. call bells, a gizzillion questions from families & just about everything else so the med nurses can give their meds & do their charting, follow up on the CNA's (who are a whole other story, from same country as charge nurse & they worship him, they've had 3 nurses removed from the unit & one unit manager who was there for 15 years fired - don't know where they get their power from) oh, & manage to do that day's care plan & go over the others that (SURPRISE) he never got to. If we complain that a CNA has not completed rounds, left dirty linen in the room, etc. - I don't know what he says to them (because it's NEVER in English) but holy crap, you cannot beleive the attitude you get!!