I finally fell prey to the LTC politicos after a year and a half.....

Specialties Geriatric

Published

And am currently looking for a new job. Just a little background I work in a 75 bed LTC as an RN (it was the only job I could find right out of school) worked there for about a year and a half. Haven't had any issues other than once last August which I got a "verbal warning" (but had to sign the paper?) fast forward to Saturday, my aide was going to give a shower to one of our residents and when she pulled off the ted hose there was fluid leaking from his heel.

Since I have been told time and time again not to ever put "pressure" area I wrote up the incident as a popped blister until my supervisors could look at it. I did ALL of the required paperwork, had my aides sign that we discussed this case and how to prevent it and put it into the "DON" mail slot in my station. I also had a resident fall that same night which I turned in the paperwork in the same spot (this will be important to the story later.)

I spoke with my manager on Sunday about it and told him what I thought needed to change and he told me to write an order for one of the things, so I did. I go into work on Tuesday and the day nurse on my station says our DON is hot because nothing was done about this incident for 3 days and kind of hints that I am going to be in trouble.

Well his weekly skin assessment hasn't been done in over 10 days and I am not the nurse responsible for his weekly skin assessment. Well I was kind of confused and not understanding why I would be in trouble for this, I did my required work.

So my manager comes into my station and I confront him, just plain out ask him if I am in trouble for this and he says well yeah kind of nothing has been done for 3 days and you never turned in an incident report to let us know this was an issue, ummmmmmmmmmmmmmmm excuse me??????

I said first of all I did turn in an incident report, I put the res on 72 hour charting, I charted on him and so did the next 8 shifts after me, I notified the family and doctor and I said I talked to you about it on Sunday and you told me to write the order for something and I did. HE HAD THE GAUL TO SAY "HM I DON'T REMEMBER THAT CONVERSATION." tears started flowing. So he later pulls me into his office to sign my write up so I ask him out of curiosity, I had another resident that fell do you have that incident report" which he answers yes, I said oh convenient. I know what the story is, he didn't do his job so instead of holding him responsible he probably pitched the paperwork so it looks as though I didn't do my work so I can take the hit.

Its a facility acquired pressure ulcer so that looks bad on him if he didn't do his work on Sunday immediately. I was such a wreck emotionally yesterday crying on and off all day and wishing and praying that something else will come my way soon as far as another job. I cannot believe what a bold faced liar my manager is, just goes to show you, you can trust no one. Sorry this was so long but had to get it out. Do you think I should have signed the write up or argued it more, like I said I was an emotional wreck and just didn't want to even look at my manager.

that really sucks, I am so sorry. This happens all the time in LTC which is why I got out. Its great skill to do things to cover your butt but its another to have to be paranoid all the time that someone might sabotage you. ugh LTC needs a serious over haul.

AMEN!!!

Forget about worrying about HIPPA! My mantra has been for years, make copies of ALL incident reports, and keep a home file for them. You DO not have to tell anyone what you did- just keep it as your little secret, until, or when, you need to to cover your but.

JMHO and my NY $0.02.

Somewhere in the PACNW

Specializes in ICU.

when you see that the ethics (ethos) of your employer conflicts with your own, it's time to get out gracefully. Always be rehirable. stay on per diem even if you have no intention of setting foot in their dangerous sentinel event a month understaffed medicare defrauding facility ever again.

show the aide and the next shift nurse and posibly another nurse that is on your shift that you worte the reports have them walk with you to turn them in so then you can have people to back you up if you cant make a copy... or hand them in personally... or even write your self a note saying you turned it in and have your manager sign it if you can so then they cant say they dont remember.

It amazes me that this even happens at all and all these "mission Statements" at these places I say REALLY!!! They preach integrity and honesty and the management are the biggest liars cheats and down right pathetic losers of all!!! They would throw their own mothers under the bus to save their own hide! I have seen them fire CNAs for say its not my pt or write a nurse up because she said I am busy right now....This does not surprise me I am sorry it happened to you! One would think the DOCUMENTATION would back the nurse IF you did NOTHING about this then WHY were the interventions in place and the charting done and everyone who needed notified done and no report! I say BS the DON knows there is NO way possible that you followed protocol to the letter and then "forgot" to write a report! REALLY!!! Your DON and Unit Mang are both in the class of MORON!!!! I was a Unit Mang I resigned because I seem first hand how they are and the Unjust they did to employees!! For all the DON and UM out their you need to remember without your NURSES you will be back on the med cart yourself!! if in fact you have EVER done it at all! Praying for you girl and yes get out of their God forbide something big happen!

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