New Nurse New Problems

[ca.as.lvn]

So I finally started my first nursing job as a LVN. I currently work in a Memory Care facility. Before starting my new career as a LVN, I worked in Memory Care as a CNA. My problem/fear is that I am not working at a reputable facility and that my license may come into jeopardy. The facility I work at is very micro-managed by the administrator/owner of the facility. His right-hand person the "Director of Operations" is also scheduled on the floor as a CNA. She this CNA has been with the facility for 8 years she was recently promoted. However, while she is at work she wears both hats. My concern is that between the two of them, they do not have much medical knowledge. Neither listen to the nurses or care too much about their opinion and hinder us from doing what we actually need to do as nurses. For example: I had a fall with my Huntington's resident 2 days ago. Her bed alarm did not go off and she was found unresponsive on the floor. I immediately called 911 and had a CNA get the paperwork that was needed for the resident to go out with and started to do my assessment on her and get her responsive. However, the admin was constantly in my way and would not leave the resident's side. When the paramedics showed up and were asking me questions about the resident such as how old, is she on blood thinners, ect the administrator stepped out of the room and sent the CNA(Director of Operations) in the room to inform me to leave and go check rooms. The rationale behind that was the longer I stayed the more questions that the paramedics would ask and they had the paperwork that they needed. I refused because she was my resident and I told the CNA that the paramedics were asking pertinent questions in order to properly assess the resident and be able to treat her. The administrator told the paramedics that they could not leave right away that we had to wait for the husband to arrive and he was about 8 minutes away. The resident came back the next day with a brain bleed and I was not aloud in the room by management when she came back only the CNA and the administrator. I did assess her later in the shift and the follow day while I was on shift. Yesterday she had s/s of a concussion and the CNA stopped me from calling the doctor or the husband because in her words" She is fine" I have only been at the facility for a week and I am unsure how much longer I feel that I will be there. I find it hard being an LVN and having to inform my CNA of everything I am doing and being questioned on what I am doing by a CNA. the other CNAs call this person in for body checks or emergencies with the residents and do not inform me of anything. There have been several other things that have happened since I have been there in my short period of time. My question to all of you is How do I handle this situation? As a new nurse and a new employee of this facility I feel as if I am stuck between a rock and a hard place

[Lev, MSN, RN, NP]

I agree. Contact the state board of nursing about that CNA and contact the appropriate authorities about that director who should be jailed in my opinion. Make sure to write down everything now including direct quotes so nothing slips your mind.

[caliotter3]

I agree. Contact the state board of nursing about that CNA and contact the appropriate authorities about that director who should be jailed in my opinion. Make sure to write down everything now including direct quotes so nothing slips your mind.

Yes, do a total writeup and mail it to yourself. Do not open the envelope when you get it. Keep for future reference should this situation turn into a volcano for you. And can not emphasize enough, if you do not have malpractice insurance, get it NOW.