Entire Management is LVN's.. supervising RN's..

Published

Specializes in RN.

Hello all,

I won't give too much detail but I have been working this this organization for about a year. I am a clinical RN,BSN and work with numerous other RN's and other licensed staff including MSWS, LVN's.

When I was hired, I just assumed my immediate supervisor was an RN. It's a given that the Nurse Practice Act of the state of California clearly states an RN can only be clinically supervised by the same which hold the same scope of practice and privileges held by the RN licensure. I have been an RN 30 years. I have never been supervised by an entire management staff of LVN's. I found out shortly after starting when I obtained business cards from our management ... 100% LVN. in fact the administrator is smart, his card doesn't have his LVN title.. but this was confirmed by searching active licensure at the BRN.

We have two immediate managers confirmed hold LVN licensure, and our Director is also the same. This is a home based agency which requires the standard supervision, 90 and annual evals. These managers not only give us directives, but also CRITIQUE our performance on these evals and I have even been "coached" on their clinical opinion of mine. There is another service his care agency provides with a facility which is small. 6 beds. This facility is manned with licensed staff, RN, and is being managed by a non licensed individual who is a family member of our owner......

What do I do with this? I have seen multiple posts, read the law. Its illegal, yet it still is occurring. I am resigning based on this but haven't given this full explanation to the owner who is also hands on, and does not hold any licensure and is of a business background. Where do I bring this information too? BRN advised me to quit.. but other than that the advice or what regulatory entity who needs this information ?? We have a large census... our staff, and our patients deserve better than this.

Up Vote Up Vote ×
Specializes in RN.

I am reading my own post and I see it seems rambling. I would like to know specifically what regulatory organization should receive this information? Its illegal.

Up Vote Up Vote ×
Specializes in RN.

I am reading my own post and I see it seems rambling. I would like to know specifically what regulatory organization should receive this information? Its illegal.

Up Vote Up Vote ×
Specializes in Adult Primary Care.

? Department of Health?

Up Vote Up Vote ×
Specializes in Medsurg.

Simple. They cannot supervise you clinically but they can supervise you for other roles such as productivity, coming into work on time, that type of stuff.

5
Up Vote Up Vote ×
Specializes in RN.
1 minute ago, Snatchedwig said:

Simple. They cannot supervise you clinically but they can supervise you for other roles such as productivity, coming into work on time, that type of stuff.

Oh but they are supervising me clinically.. I am getting directives and reviews, and feedback on my clinical performance... NO supervising RN in the office.

Up Vote Up Vote ×
Specializes in Medsurg.
1 minute ago, SoCalRN1976 said:

Oh but they are supervising me clinically.. I am getting directives and reviews, and feedback on my clinical performance... NO supervising RN in the office.

Can you give us an example of clinical performance? But ya that part not legal per Se.

Up Vote Up Vote ×
Specializes in RN.
6 minutes ago, Snatchedwig said:

Can you give us an example of clinical performance? But ya that part not legal per Se.

Giving staff all of us.. 90 day and annual clinical reviews of our performance. I was called in the office and met with my entire clinical management staff to discuss a concern of mine regarding response time and clinical concerns.. which turned out to be null once we discussed everything.. but this would be considered "supervision" and performance coaching.. I was a RN manager and supervisor prior I know what they are doing.. OUR MSWS are supervised by them too.

Up Vote Up Vote ×
Specializes in Medsurg.
17 minutes ago, SoCalRN1976 said:

Giving staff all of us.. 90 day and annual clinical reviews of our performance. I was called in the office and met with my entire clinical management staff to discuss a concern of mine regarding response time and clinical concerns.. which turned out to be null once we discussed everything.. but this would be considered "supervision" and performance coaching.. I was a RN manager and supervisor prior I know what they are doing.. OUR MSWS are supervised by them too.

Lord Jesus. Well your leaving soon.

1
Up Vote Up Vote ×

Which regulatory agency does your facility answer to? I'd start there and copy your BON on everything.

2
Up Vote Up Vote ×
Specializes in RN.
2 minutes ago, Horseshoe said:

Which regulatory agency does your facility answer to? I'd start there and copy your BON on everything.

Dept of licensing and health, The joint Commission and I will be in contact with the BRn.. only after I am gone.

2
Up Vote Up Vote ×
+ Join the Discussion