I know I placed this under nursing and am aware I'm not a nurse but on NcBon so I hope this ok.
Idk where to start (drained). Long story short. Rn Supervisor is bad management here is why.
Memory Care: I approached a med tech with a oral chief complaint from a resident with chest pain. Bp 180/53. She walked off & took it again, said nothing did nothing. He continued with pain she did nothing. I asked her what she was going to do? She said he has heart burn.
2 days later a cna-med texh known bully comes up to me and says " I heard your a liar, and you dont know how to take a bp"? I was speechless. I said well too much & I know this now. But I said & if this other med - tech felt this why are you in here telling me not her. Drama*
2 days later the SAME resident complains of chest pain. Guess what I got the same BP this time different med tech and off he went with a nitro to Ed.
I find out later this original med-tech NEVER charted what I told her. Nothing, zip! I contacted my supervisor on a Sunday k. That same night one of the main bully's I can't find ..hmm guess where she was..in a residents room laying in her recycler chair, watching tv while the resident was on the couch in our main living room.
Monday comes & I still dont hear from Rn and other girls start giving me dirty looks, making stuff up drama*
Next, I see the Rn. Guess what she does. A big group meeting in the SAME AREA where ALL our memory care residents are walking around ok! Saying..NOTHING TO ME? NOTHING?
At her meeting she says nobody should be texting me on a Sun, no drama, bla, bla. I couldn't believe it!
I ended up telling her I will not work the same shifts with a med tech who puts a life at risk on my clock! I will not work with the other ine who sleeps on job in others room and talks about everyone. She said to bad see you tomorriw basically. I told her I wouldn't be showing and walked out.
Idk if this place is all in this together but now I have the DON involved who has put me on a different floor, and while getting there the bully is witnessed in the hallway by others threatening to take me outside and kick my a** in the facility.
Still nothing day 4 days later???? Investigation? And nobody has been fired, nothing? Not even after threatening me? I KNOW this floor is very, very short staffed atm and that is the only reason I am assuming heads aren't rolling? Even though how about this Rn and how she dealt with this?
What am I missing I feel like a deer in the headlights.
What did I do wrong.
Am I suppose to never SPEAK UP FOR MY PATIENTS-RESIDENTS? THIS is insanity
They moved me to the other unit. Lt. And want me to start using my NA 11 every other weekend to start doing treatments, sucting, wound care, catheters.. But this isn't a he said I've been told she admitted it? But as I said days later he was admitted to ed for same Bp. But I get what you are saying Big Al.
In my own opiniin I did the right thing by reporting a med texh for failure to not chart and putting that resident in danger. And her not reporting and calling the on call Rn.
Specializes in Med nurse in med-surg., float, HH, and PDN.
Heaven knows why, but I actually looked at North Carolina's BON website.
Yikes.
That is a *lot* of stuff being delegated to UAP. Scary.
Curious as to who administers PRN meds (like nitro!) at night when no licensed staff on site to assess need for PRN med.
Don't understand how this all works.
It works poorly.
Memory Care is kind of what used to be referred to as a Rest Home, as opposed to a Nursing Home.
In a Rest Home there is not "supposed to be" the need for the same acuity level as those in a Nursing Home (now LTC).
What you'll find, however, is that there is a certain...fluidity of parameters, and combined with the 'cold-molasses' processes and paperwork and missing (incomplete or lost) paperwork, IMO there are many things that fall through the cracks, including patients.
Med Techs DO take a TWO WEEK course that allows them to pass out meds. There is never a Nursing-presence on the night-shift. The Med-Techs are sort of considered the "Supervisor" of the shift. All others are simply grunts. (Is there a lower rank than Pvt.? They are not allowed to think.)
OP, if it is at all possible, find another job. That place is like so many others here-about, complacent and satisfied with mediocrity. There are petty power-plays happening. It will take a major event to shake them up. I wouldn't want to be there for that.
Memory Care is kind of what used to be referred to as a Rest Home, as opposed to a Nursing Home.
In a Rest Home there is not "supposed to be" the need for the same acuity level as those in a Nursing Home (now LTC).
What you'll find, however, is that there is a certain...fluidity of parameters, and combined with the 'cold-molasses' processes and paperwork and missing (incomplete or lost) paperwork, IMO there are many things that fall through the cracks, including patients.
Med Techs DO take a TWO WEEK course that allows them to pass out meds. There is never a Nursing-presence on the night-shift. The Med-Techs are sort of considered the "Supervisor" of the shift. All others are simply grunts. (Is there a lower rank than Pvt.? They are not allowed to think.)
OP, if it is at all possible, find another job. That place is like so many others here-about, complacent and satisfied with mediocrity. There are petty power-plays happening. It will take a major event to shake them up. I wouldn't want to be there for that.
Very sad that state laws allow such a low standard of care for one of our most vulnerable populations - and those who own these facilities rake in the $$$.
What kind of license do you suppose a med tech has? In my state, none. Just like in my state YOU don't have a license. I think it would be prudent for you to learn inside and out just what the legal ramifications are for what you're slowly describing. I'd also begin looking for a new position. Your facility frightens me.
That is the way it works here at the facility. IF there is a problem the MED TECH is reaponisble its HER licence not mine. Unless I neglect, abuse, extra. MED TECH is who ALL CNA'S report to.
You're pretty quick to play the bully card. You're losing credibility VERY rapidly with me at least OP.
You are rude & not professional at all. . We are all on the same team. Btw, I'm French & I won't engage in this insult regarding my spelling or grammer. This was a question to professionals regarding a resident and his safety. Do you feel better now for putting me down and attacking my spelling? Go find someone else to bully. Grow up!
I also felt nothing wrong with saying research it. I myself am lost with how this facility works or I wouldn't be asking this question!
chicsurfs, LPN
52 Posts
They moved me to the other unit. Lt. And want me to start using my NA 11 every other weekend to start doing treatments, sucting, wound care, catheters.. But this isn't a he said I've been told she admitted it? But as I said days later he was admitted to ed for same Bp. But I get what you are saying Big Al.
In my own opiniin I did the right thing by reporting a med texh for failure to not chart and putting that resident in danger. And her not reporting and calling the on call Rn.