I don't want to rant and I also don't want to quit because I like the job and I think eventually I will be good at it.
There are 10 group homes each with 1 to 4 developmentally disabled residents.
Unlicensed staff passes meds. This is a bit stressful for me.
Even insulin and opiates. ?
Will I get used to that?
Right now I am fixing problems arising from having no nurse for a few weeks and also just problems.
This means I am upsetting the apple cart. I'm walking a fine line here between trying to fix whats wrong (unsecured meds, orders not matching meds, no labs for 3 years, no PCP, no psychiatrist) and developing rapport with staff.
Director asking me to do things that don't really make sense. Like schedule an appt for a specialist based on a referral that's over a year old. ?
I worked in the community before but I had a team that met every single day and we provided most of the services ourselves. This is really different.
Specializes in Psychiatry, Community, Nurse Manager, hospice.
11 minutes ago, caliotter3 said:
If you can change being out of town, go to that meeting. Based on intricate communications and interactions with the bosses in very near future, you will decide if resigning seems to be the only solution for you.
I wull be out of town because I scheduled a shadow day with an RN who works my job in a different region. Very important for me to see how she does this job.
Specializes in Psychiatry, Community, Nurse Manager, hospice.
4 minutes ago, Jedrnurse said:
Sorry, I have to disagree. The situation that the OP describes can't possibly be rectified by one person during a regular work week. Being a martyr now just sets the "I'm a doormat, hand me more stuff to do" tone from the get-go. And you just KNOW that this position is:
1. underpaid
2. not bonus eligible
3. only going to get pathetic pay raises.
I've worked human services group homes before. They often talk a good game about human "rights" and "dignity", but that talk stops when it comes to their staff.
I'm salaried and on call 24/7. I feel like they would be happy for me to actually work 24/7.
Whether you put in the extra effort or not, you will be judged on those upcoming outcomes. I can see doing it if I wanted to keep a job, however, if you survive the survey(s) coming up, not one minute extra once they have left the building after the out briefing. If the bosses push you too far after you have removed their rears from a bear trap, move on. Of course you don’t need me to tell you that.
Specializes in Psychiatry, Community, Nurse Manager, hospice.
Also, for whatever reason, execs have hidden very important info from me. I try to wrap my mind around why. Do they not know how vital this info is? If there was another nurse there, she would have told me this stuff on the first hour of the first day.
Why did you have to call 911 and not the staff member on duty? If the staff is that incompetent or unreliable, perhaps this ship has sunk. After all, it is the staff, on a day to day basis, that makes the wheels turn for those poor residents, not a stack of perfect looking documents in a binder.
Distinctly remember group homes in my state being the subject of criminal investigations a few years back. In general, I told myself that I would not seek work there. Hiding info from you? No. You should expeditiously leave. It is one thing to be overwhelmed with work that needs to be done, quite another to be left out in left field to be blindsided.
Specializes in Psychiatry, Community, Nurse Manager, hospice.
24 minutes ago, caliotter3 said:
Why did you have to call 911 and not the staff member on duty? If the staff is that incompetent or unreliable, perhaps this ship has sunk. After all, it is the staff, on a day to day basis, that makes the wheels turn for those poor residents, not a stack of perfect looking documents in a binder.
This particular home had previously been run by nurses. There is one very sick person there who needs to be in a skilled nursing facility. I was not told about that person's very serious medical comorbidities. Fortunately this person is now in the hospital and safe.
But yeah. That's something I should have known about before I just walked into it.
My priority goal today is to start the process of getting this person transfered to an appropriate facility upon discharge from the hospital.
It is extremely unlikely that the state will get to us on time. They were backed up before covid. Now they are severely backed up.
Specializes in Psych, Addictions, SOL (Student of Life).
2 hours ago, FolksBtrippin said:
What kind of fraud did you see?
Well their was diversion of medi-care and medicaid funds, Folks supplies being given to o ther residents. I was being told at one point not to report certain types of injuries and incidents as it would bring down a state inspection that's just a few things.
Well their was diversion of medi-care and medicaid funds, Folks supplies being given to o ther residents. I was being told at one point not to report certain types of injuries and incidents as it would bring down a state inspection that's just a few things.
Hppy
Serious stuff! ^^^^^
caliotter - spot-on comments.
FolksBtrippin - be careful that you're not going WAAAY overboard! You are not their redeemer/savior! Altho they would prob like to use you as such for their own shortcomings. The private DDD industry has its issues, as does the Civil Service sector.
But nobody likes to have their dirty laundry aired out in the public. Maybe some 'fluff' quick fixes might be OK, but if you've come on strong as someone knowledgeable, you can become a threat to their status quo. Kind of think of it like those-for-profit hospitals. They rule their roosts. They CAN because NO ONE can challenge them. And now you come along with questions. And you're rocking their boat!
Try fixing the manageable issues. You're being overwhelmed. Think macro-level, not individual micro (unless absol nec). There's a lot on your plate, maybe too much.
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FolksBtrippin, BSN, RN
2,322 Posts
I wull be out of town because I scheduled a shadow day with an RN who works my job in a different region. Very important for me to see how she does this job.