My friend is an agency RN, who worked as a charge nurse at a nursing home last noc. An 18 yr old CNA asked to leave early. She was not sick, just wanted to leave to go out w/ friends. This would have left the facility short-staffed, so my friend said no. This CNA became very angry and said some inappropriate things. She then called a friend to meet her in the parking lot and disappeared for a half hour. My friend found her and told her to come back in and work. The CNA invited her friend in to "hang out" with her on her rounds. My friend told the CNA's friend that she had to leave- she was not staff, and her presence broke pt confidentiality and distracted the CNA from her work. My friend slipped a note under the DON's door describing what happened. Today, the agency told my friend she is DNR from the facility because of "personality conflict with staff."
The DON is known in the area as very weak in leadership skills and as easily manipulated by staff.
And people wonder why there's a "shortage"! :angryfire