Please Help

Okay so I need help with this situation. (little background) I am a new grad from an RN program. I was hired into home health and I have one patient that I take care of and I work nights. I thought things were going well (the day nurse was giving me a bit of hassle but I wasn't too worried about it). So the family is constantly telling me how much they like me and the patient was telling me everynight that she loves me. All I hear about the day nurse from the patient is that she "hates ___" I do as I am told and really have just been trying to use this as a learning experience as much as possible. Anyway, I absolutely love what I do but I am finding it increasingly difficult to please this day nurse. She is constantly contradicting herself with her advice...literally one day I mentioned that pt's pulse was racing that night and she told me it was because she wasn't laying far enough on her sides...one week later I mentioned that her sats were low and she told me it was because I had her on her side and she doesn't do that. So then the other day she told me that she doesn't even turn her to her left side (I know this isn't true because she trained me and she turned her on her left). I am really struggling with this because I am new and I want to do everything correctly but she has been going to the owner (my boss) of the HH agency and has been complaining about my charting and I have been called into the office for meetings with her and I have made all necessary changes but I continue to get brought in for this. The problem I find with this is that I was taught to go to the person who is doing wrong first and let them know what is wrong before seeing a supervisor. No one has yet to come to me besides the supervisor and if someone did I would make the quick changes needed and continue on. I know that I am new, I'm not going to pretend like I am not but it is as if I am supposed to be perfect to start off with.

So the day nurse has also been putting Dr. Scholls foot powder on the pt's feet and mandates that we must do so also. #1 there is no Dr's order for this powder and #2 the pt began to experience breakdown under her toes. Along with this powder we put sponges (yes kitchen sponges cut into toe separators) in between her toes to keep them separated. In the morning they are wet, and smooshed so I don't know how well they actually work, so I decided to stop using them and I tried a different technique of cotton ball wrapped gauze in the upper part of the toe to keep them apart and it worked GREAT!! It allowed air flow and the toes began to clear up. Well the day nurse read my charting where I wrote this and went to my supervisor and again I was spoken to about this. I don't understand how what I did was wrong. I am truly looking out for what is best for this pt and it seems that the bacteria that would accumlate (even though we wash and dry the sponges at night) would be worse for open skin than cotton balls and sterile gauze...

Lastly and most recently I have now been scrutinized because the pt has had a headache 5 times in the last 16 days (all on nights that I am working) and they think that I am giving motrin when it isn't really needed because they think she is faking it. I was taught that when a pt says they are in pain that you must believe them, I actually believe her there are visual cues that I have been looking at on her (forehead rubbing and increased pulse). I know when she is trying to stay up later than she should and this has not seemed like one of those circumstances. Her pulse stays up around 100 when she is resting and she can't sleep. She always seems to fall right to sleep after I give it to her too. The nurse also has told the family the reason she has a headache is because I don't run the air conditioner at night so I was left ANOTHER note tonight informing me that I MUST run the AC all night long. Well I do, but when it gets under 70 in the room I feel it is time to turn it off for 1/2 hour and then restart it.

Oh and during my meeting about my charting I was told not to include some of the things that I did, for example "Brief's dry"...that was just "unnecessary". Well I was told that if you don't chart it you didn't do it and I would rather chart too much than not enough. Can they really tell me not to chart everything I do? I said that it seems that I am just writing the same thing over and over and they said..."that's fine."

Things have gotten to a point that they shouldn't have. I have turned in my 2 weeks because I can't take this anymore and to me this has become a toxic environment. But I am afraid that if I don't stick up for myself with the HHA owner and with this day nurse that they will do this to someone else. I really feel like I need to fully explain myself to my boss because she is only getting a onesided view of what is going on...what saddens me is that she hasn't even tried to find out what my side of the story is. The worst part is that I found out from the family today what she has been saying and that she has been trying to get me out of here...It really has me in tears that she has done this to me, especially after I have tried so hard and truly love what I am doing. She is convinced that she has the patient's best interest at heart and complains that the parents don't do anything with the child but then sets rules that don't allow the parent's to be parents. The father talked with me last night and told me that out of all the nurses he feels most comfortable when she is in my care and he is willing to go to the boss to talk with her about this. He said he has been seeing what has been going on and has gotten two different stories and knows the way this woman is. Also the pt has a "memory foam" type pillow that I use to support her back and side as I turn her on her side and the day nurse doesn't like me using it. Generally when I come in I find it in the closet under all her blankets but today it is completely missing. The family all went looking for it and it can't be found anywhere. So now she is hiding stuff on me.

So I really would like to know how to handle this situation because I really can't just sit here and let things go. I need to protect my good name and license. If anyone could please offer suggestions I would welcome any advice.