Assisted living turned nightmare

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RK694

50 Posts

Specializes in Medical Writer, Licensed Teacher & Nurse, BA Psych.

Quit, Quit, Quit.

RK694

50 Posts

Specializes in Medical Writer, Licensed Teacher & Nurse, BA Psych.

No, what FIRST matters is that she take care of herself. The patients come AFTER that. Without her physical and mental health being PRIMARY, nothing else can be managed. Leave. The owners know exactly what they are doing by operating with minimal staff. They are making more profits. They don't care if you work yourself to death. Nor do they give any thought to the residents' well-being - no matter their lip service to the contrary. Did you know that nursing home/assisted living facility owners hire lobbyists who lobby Congress to KEEP STAFFING NUMBERS AT THE BARE MINIMUM? And so far, they continue to win because Congressmen and women are so easily bribed. SCREW punching out and working for free! What is going on with you that you would even CONSIDER that? Leave immediately while at the same time, telling them in no uncertain terms what they can do with their administrative duties.

RK694

50 Posts

Specializes in Medical Writer, Licensed Teacher & Nurse, BA Psych.

Excuse me, but this doesn't sound like an AL. AL's don't take "total care" patients. After reading your post a couple times, some of the things you say just don't make sense. 4-5 falls every night? 6 diabetics? What do you mean by the latter? Do you mean 6 residents who are insulin-dependent? I am guessing you are an LPN because if it is an AL, they don't use RNs.

Specializes in Nurse Consultation.

Is there an area of specialization in nursing for regulatory compliance in Assisted Living setting in each state? yes, Health Facility Nurse Surveyors, common title across state lines

What is the focus of these RNs during surveys ( pre-licensure, re-licensure. complaint investigation)? Healthcare and Life Safety of population served inclusive of licensed professional compliance with their Board's generally accepted standards of care / practice (MD, pharmacy, RN/CRNP/LPN and certified staff (GNA/CNA/CMT), Social Work, PT/OT...)

Critical mass question::

Has the process to initiate regulatory follow through specific to the healthcare, life safety, and client advocacy been done, inclusive of filing complaints with local Ombudsman and Dept of Aging (client advocate focus), and state licensing agency and if you believe it should happen now as opposed to after licensing body conducts its investigation . then the state governor's office who will also request investigation and a report of findings.

There is a lot of encouragement to quit...

There has been at least one encouragement to whether you stay or go report the identified/firsthand knowledge problem(s) in a manner that will yield advocacy results for current and future residents and staff .

As nurses we use the nursing process to identify problems, develop plans of care which include individualized, realistic, and measurable long and short term goals to address those problems.

Through our use of the nursing process we implement , evaluate,and re-evaluate our plans of care. We incorporate assessment and collaboration skills to develop goals and measure outcomes of those goals.

We use prudent judgement to determine if tje plan is working and if additional resources ( interdisciplinary, equipment, supplies,...)are needed to support client achieving those goals related to improving health, maintaining

individualized, realistic baseline of function /health or support during aging in place process or palliative care.

In this case you have used data to make a professional assessment about general conditions and impact on healthcare and life safety in your capacity as a professional nurse.

What is the identifed plan and how do you propose to implement that plan to achieve the goal of resident /staff advocacy?

Do you need additional and external agency support/resources to accomplish the goal of patient / staff advocacy?

First plan of action was posting here.

What is your next step in your action/care plan.?

report the no lunch to the labor biard, if you don't get one they have to pay you. Facilities need to be held accountable for these impossible work situations and the only way that will happen is if some speaks out. When people just tolerate it, it only encourages the facilities to tack mord and more onto your duties. Patient care has gone out the window.

Excuse me, but this doesn't sound like an AL. AL's don't take "total care" patients. After reading your post a couple times, some of the things you say just don't make sense. 4-5 falls every night? 6 diabetics? What do you mean by the latter? Do you mean 6 residents who are insulin-dependent? I am guessing you are an LPN because if it is an AL, they don't use RNs.

in my state we do have RN's in assisted living, and some do take total care patients, rules and patient acuity are changing, at least where I live.

kbrn2002, ADN, RN

3,822 Posts

Specializes in Geriatrics, Dialysis.
in my state we do have RN's in assisted living, and some do take total care patients, rules and patient acuity are changing, at least where I live.

Exactly what I was going to say. I work in a SNF and we get some admits from local AL's that clearly had no business being in that setting. They should have been moved to a higher level of care much sooner than they were

Qing

104 Posts

You posted in a lot of detail and the environment you are in is putting your license and life at risk. You are working for free and there is a big labor issue here, so take a big step and quit. No need for notice and the last thing you want is for you to lose your license. It is better you walk away now then face a nightmare of something happening and being seen at the one at fault by the state boards. Please do not feel guilty and take care of yourself physically and mentally. This job is not worth losing your license over at all. You will find another position elsewhere and research the facility before you accept the offer.

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