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Discussion

Help!!!!!!!!!!!!!!!!!!!!

Anyone out there experience problems with supervisors forcing you to work on medical floors without meeting their unit competencies? This practice is being done where I'm at. A supervisor is using Psych. nurses to help staff a medical floor (Rehab)....If you have any suggestions as to how to help....it would be appreciated. I feel like my license is in jeopardy everytime I'm forced to float over to Rehab, and the complaint is falling on deaf ears.....I really question the legality of this practice....

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Floating as an LVN can be very difficult. I can understand how Daytona felt that the op was not interested in any real solutions....from the perspective of an RN the advice seemed reasonable. Whenever I floated I would find it impossible to locate my covering nurse. The charge nurse would directly ignore any questions. She actually pretended to not hear me. When my patient needed a PRN IV for other than pain, I would have to eventually resort to "twisting the arm" of the charge nurse by threatening to call the patient's attending. (I can imagine how difficult it would have been, if I did not know how to assess a rhythm strip.) The policy at that institution required that lvn's have an RN sign-off on any incident reports. Naturally, if the patient suffered any consequence from not receiving a prn lido, the covering nurse would "cya." I have worked, briefly, at an institution which also did not allow lvn's to call an MD. I guess, that similar to supervising, you don't know what it's like unless you've been an LVN. (Being an LVN while you were in nursing school doesn't count.)

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