Your comment means so much, unfortunately. Some of the things are so out of this world crazy, I start to think it’s me that’s crazy. Venting to my husband, I’ll realize how insane it is that our standing orders haven’t been reviewed since ‘92 and that our policies and procedures are nothing more than a general summary of the facility and it’s hours. I tactfully brought things up through the correct chain months ago with the best intentions. When I began the job, I was told changes were needed and they were glad to have a fresh set of eyes on everything to step in. They just didn’t mean it in this way, but that’s exactly what I’ve done. Now I feel I’m viewed as a troublemaker for daring to shake things up. I certainly don’t feel comfortable. I love what the job could and is supposed to be so I hate to leave on this kind of note, but this is beyond me. Again, I hate it’s a similar scenario, but I felt so much relief reading your comment. I had no idea things could really be this way for nurses, not like this. I’ve dealt with understaffed jobs where everyone hates everything and jobs where admin and managers run the entire clinical ship which can surely cheapen care at the end of the day, but I never imagined a setup so poor, you had to scour laws and your scope of practice to do a single thing and be okay. It’s really hurt my nursing heart, but I’m preparing myself to move on before they make me.
I mentioned earlier than my ‘Director’ was an LPN and until I came in and made everyone aware of the scope, she was supervising, in charge of policies and essentially everything. I no doubt believe an LPN is capable of those things and that the right one could do it and do it well, but in our state, it’s a no. And obviously it hasn’t been done well with all of the issues. She’s relished in the title and not done a thing, appropriate or not. A few supervisory duties have been taken away after going over everything, but the latest news is she is in the running for a position over our dept (not clinical) and many other depts. in the University. Due to other accolades, she could be eligible for the job, but I can’t imagine someone who lacks documents of a health facility even they should follow, being responsible for that department and then some. Is this real life?