Green Light for Admissions

[Rnltc]

ANy one heard of a Corp doing a Green light on admissions. This means you say NO to NO admits. DOesn't matter what their payor source or condition is. Let alone what the staff is for the buildings. I have never worked for a LTC before who does not allow the Administator or the DNS have some say about the admissions and types of admits.

Insulin Drip and dopiame when there is only one nurse on for 60-80 residents. NAC ratio 1-20 on opm's and 1-15 on days. NIghts will be 1-30,35. LN have 40 residents no matter what.

What happens to the LC of the administrator and DNS. NOt to mention the poor staff on the floor.

[alintanurse]

I'm wondering how often and what happens when the state comes in to inspect? What kind of rating does this facility recieve? It sounds so unsafe, has anyone reported their practices to the state?

[Rnltc]

This is in all states this company is in not isolated to one state. It is a Corp policy.

[alintanurse]

You stated in an earlier post that "its scary and unethical" re: the green light policy. I think if you notified the state regulators--they might agree with you. Has anyone notified them? I have found that nothing makes LTC facilities as nervous as when the state comes in to inspect. :)

[spaniel]

While I certainly feel sorry for the patients/resident/clients-whatever the term, I would leave. The corporations have big buck attorneys working for them,you don't. When major mishaps occur, the administrators (corporate,that is) know very well how to blame the nurse . Sure the state goes in and gives them a few "deficiencies" but rarely is anything major accomplished to create any major change. Can you really afford to lose your license, and maybe even be brought up on charges. It happens.

[spaniel]

While I certainly feel sorry for the patients/resident/clients-whatever the term, I would leave. The corporations have big buck attorneys working for them,you don't. When major mishaps occur, the administrators (corporate,that is) know very well how to blame the nurse . Sure the state goes in and gives them a few "deficiencies" but rarely is anything major accomplished to create any major change. Can you really afford to lose your license, and maybe even be brought up on charges. It happens.

[Rnltc]

I did leave they fired me. Which was the best thing as I worried 24/7 about the resident and staff as well as lic. It is a sad case when you are forced to take residents who you can not provide the care for as there is not enough staff. Of course you are not going to see any Corp. support from the home office to come out and work as a NAC or a LN. They would just swope in on their brooms and tell you everything you were doing wrong and what you HAD to do to fix it NOW. Nothing you didn't already know. Just takes bodies to fix them. Residetn and family complaints run wild and they have every reason to complain but there are no fixing their concerns or complaints.

[Rnltc]

I did leave they fired me. Which was the best thing as I worried 24/7 about the resident and staff as well as lic. It is a sad case when you are forced to take residents who you can not provide the care for as there is not enough staff. Of course you are not going to see any Corp. support from the home office to come out and work as a NAC or a LN. They would just swope in on their brooms and tell you everything you were doing wrong and what you HAD to do to fix it NOW. Nothing you didn't already know. Just takes bodies to fix them. Residetn and family complaints run wild and they have every reason to complain but there are no fixing their concerns or complaints.

[CapeCodMermaid, RN]

We have a 1..2..3 admit policy which sounds like basically the same thing. However, we sometimes Do say no especially if the person is ambulatory with dementia and we don't have a bed on our secure unit. What good what it do corporate and the census to take someone only to have them elope out of the building into a snow bank? And, we have very few people in the facility who are trained to take admits.

[bucksandra]

:uhoh21: Does this Corp. have Tennessee homes????

I did leave they fired me. Which was the best thing as I worried 24/7 about the resident and staff as well as lic. It is a sad case when you are forced to take residents who you can not provide the care for as there is not enough staff. Of course you are not going to see any Corp. support from the home office to come out and work as a NAC or a LN. They would just swope in on their brooms and tell you everything you were doing wrong and what you HAD to do to fix it NOW. Nothing you didn't already know. Just takes bodies to fix them. Residetn and family complaints run wild and they have every reason to complain but there are no fixing their concerns or complaints.