I am currently a CNA and have my nurse delegation with special focus on diabetes. I am also enrolled in a RN program and am half way through the program.
So, I have summers off from school so I have been working through an agency. However, I was head hunted for a small assisted living facility (memory care). I have been working there for about a month now and was hired on as a CNA/Med tech (never did end up being trained on the cart). The nursing director is an LPN, no RN's on duty. There are med techs on duty - some are CNA's, most are HCA's or RA's. The med techs that are HCA's and RA's like try and boss me around - im not having it. I had a pt who desperately needed a shower and had been refusing for who knows how long. When I told the HCA, well this pt is now saying yes to that shower. She said you have to do your scheduled showers and if you have time you can do it. Where is the critical thinking or good judgement in that?!?( I gave her a shower anyway).
Next, a med tech claimed to be a nurse - that pissed me off, she is not a nurse. Guess what, I told the nursing director and we pretty much got into it. I told her I will not be delegated patient care tasks by the med techs especially because one told me she was a nurse and the other has bad judgement, I don't agree with it. She says it's the chain of command and she as an LPN has taught and been the boss of many RN's. I stopped her and said I have read those laws and excuse me - you can never ever delegate a patient care task to an RN. Also, I just don't understand how that make sense.
Back to that pt I gave a shower to - I told her about that situation with the HCA and that the pt smelled. She said that pt's who have IBS usually always have an odor (ridiculous, the pt was dirty). I gave her a weird look like "YEAH OKAY".
So, my question, should I just not go back to this job and turn in my assigned equipment on Monday? I did turn in a note just before this discussion saying I will no longer be working full time as of in a couple weeks because I will be back in school.
