Not sure what to do in ltc

[litbitblack, ASN, RN]

I work in a private pay cert alz center who has recently decided due to the low census to make 1 of the 4 suites a healthcare suite. Each suite hold 15 residents and the staffing is 1 nurse 2 aids. These will basically be nursing home pts, not nessacarily dememtia pts and it is the last suite in the alz staging so basically end of life care. I mostly work on the first suite where the residents are more active, do activities can have some kind of conservation with you. It seems just like assisted living and i really like that. In the past the don tried to get me to switch to go the last hall and i flat out said no. I refuse to do that. Its not where i see my career going. Im already bored because im an rn that is doing a job that other lvns are doing. Nothing wrong with lvns just saying. the don started telling me about the plans and stated that it makes sense to place an rn over there all the time. And that some staff are going to be moved (cna's) becasue they will probably do better as they don't really have to socialize as much with the residents. its more task oriented. I asked her what rn she thought she was gonna put over there and she looked at me. a run down of staffing....each suite has 1 charge and 2 cna's max 15 res. there are 4 suites. one full time rn on floor (me) anther full time rn that works 3 days in the office and 2 days on the floor (all thats budgeted at this time) a full time adon and don. I work everyother weeked so they have a parttime rn for that. I really don't want to jump up and say noooooo this is not what i want but i kinda feel she was testing the waters. any advice. She already knows i dont want over there because of teh issue before. thanks

[marthyellen]

If you say no, be ready to look for another job. She is not asking you to anything beyond your license. I am sure that like most long term facilities that your employee handbook states that refusal of a reasonable assignment is grounds for immediate termination. I know I sound harsh but the reality is she has a building to run and she may want to replace your current position with an LVN and use an RN in the skilled unit.