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Nurses General Nursing

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Specializes in Dialysis, Long-term care, Med-Surg.

I work as a prn nurse for a rehab facility......I have this Med Aid who first of all does not listen to anyone, because she has "been a med aid for 10 years"........I was given an ear full by another nurse who stated this girl had changed a prn order to a routine order all on her own, and this nurse DID NOT report her! I knew the next week I was going to be working with her, So, when the Dr comes in on Monday, she bee lines to the doc and says this pt med needs to be changed because she has IBS (first of all you cant diagnose a pt) and I dont think she needs the Lomotil.....I make my way to the Doc and tell him to give me a min to talk to this chick.....I told her, she is not to go to the doc and ask for chages she is to go to her nurse if there is a potential problem.....

She stated to me that she can go to the doc if she wanted to and that she had the right to refuse this pt her med for diarrhea bc she didn't think she needed it!!!!OMG:eek:.....I went to take a look at the MAR to see what she had not been giving and on what pt....and when I grabbed the MAR, she told me to move if I wanted her to pass meds; :eek: I told her to step back these are MY PATIENTS! :angryfireShe had been denying her the med for the last 6 days and I am the only nurse that caught it or that said something! I wrote her butt up real quick and told her that she will not make changes to the MAR at all and she will give all meds as ordered!!!! I kept a copy to cover my butt....She got a good dose of a reality check with me!

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Whoa that girl had some major guts. Kind of scary to work with a 'no it all' especially under your license. :smackingf

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WOW! she has some nerve-she is clearly outside her scope of practice.....

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I know we have medication aides in Pa but I am not really comfortable with the practice. Not comfortable because I feel it puts the nurse that works with them in a bad position. As you can pretty much guess who will get the blame if they do something wrong.

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Specializes in med-surg, psych, ER, school nurse-CRNP.

Golly Pete, can you not get them to let her go? She's dangerous!

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Wow. I work with a RN that does the same things....changes orders to appear as if the doc wrote them, writes orders to suit what she thinks is going on... and on and on.....

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Specializes in Dialysis, Long-term care, Med-Surg.
Golly Pete, can you not get them to let her go? She's dangerous!

I just spoke with one of the managers and he states that all he can tell me is that the situation has been taken care of, so I'm not sure if they fired her or what....;)

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Specializes in LTC since 1972, team leader, supervisor,.

In Illinois we do not have med aides, but that is totally wrong. I hope that something will be done with her. Does your facility have progressive discipline or is it union. I ask because my facility is union and at times that presents a problem when trying to discipline the CNAs. Nurses and management are not in the union. We do not always have a union rep working on PMs and NOCs so giving disciplines on that shift can be tricky at times, because if the staff member wants a rep, we have to supply one.

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Specializes in Med/Surg, ICU, educator.
Wow. I work with a RN that does the same things....changes orders to appear as if the doc wrote them, writes orders to suit what she thinks is going on... and on and on.....

At least she's only going to get her own hiney in trouble, not others who work with her. I think that eventually, this will catch up with her....

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Specializes in PICU, NICU, L&D, Public Health, Hospice.

goodness! The really important thing to remember when (yes I said when) we encounter people who have a penchant for exceeding the parameters of their education and/or licenses, is to document everything. You MUST cover your own assets in these situations.

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Specializes in Dialysis, Long-term care, Med-Surg.
goodness! The really important thing to remember when (yes I said when) we encounter people who have a penchant for exceeding the parameters of their education and/or licenses, is to document everything. You MUST cover your own assets in these situations.

Oh you better believe I did....I gave a copy to all necessary management and kept a copy for myself.....Yes she was fired!!!!:yeah:

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Specializes in Med-Surg.

Med aide is such a STRANGE concept to me. I get all territorial and panicky just thinking of someone else pouring and passing my patients their meds. What type of training do these aides have? Do they know how to do the proper assessments and understand the pharmacology behind just giving pills? I personally feel an aide would be better utilized within a PSW role (toileting, turning, ADLs, transfers, boosts). Sounds dangerous overall to have too many cooks in the kitchen and I would refuse to work within that care model.

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