Please help me with this new job overseeing group homes

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I've had no orientation. I'm the only nurse. 

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.

General info and advice appreciated in advance. 

Specializes in NICU/Mother-Baby/Peds/Mgmt.
On 9/24/2020 at 7:21 AM, FolksBtrippin said:

Thank you! I looked at the last internal nursing audit, which is quarterly, and it seems like the previous RN just checked off everything as passed. I know that not ALL of these problems happened since June! 

 

You need to get a copy of that internal audit.  You might need it...

Specializes in NICU/Mother-Baby/Peds/Mgmt.
On 9/28/2020 at 7:07 AM, 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 totally agree.  Do not do ANYTHING on your own time.  Nurses do this way too often and they get abused for it.  And if you can't get to that meeting ask for the meeting notes, if you don't get those then you'll really have to decide if you want to continue in the job.

Specializes in Psychiatry, Community, Nurse Manager, hospice.

So, I've still been dealing with a lot with this job.

I've wanted to update, but also not give away info that would reveal my identity.

I am very grateful for the responses I've gotten. 

I talked to my boss about how I did not want to miss the meeting and it was rescheduled. I've challenged my boss on several safety issues and have gotten a mixed response.  

He has responded in an  appropriate way to certain safety issues and an inappropriate way to others.

So, I'm giving it a little more time. 

It's a rocky ride. 

Specializes in retired LTC.

Hang in there! You may have to give a little to get a little. You're working for the betterment of the clients, so that's something positive to come about.

Good luck to you and keep us in the loop.

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