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Ratched, Nurse

Ratched, Nurse

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  1. Ratched, Nurse

    LPN Help

    You’re right. Initially when I brought this up, they quickly redid our appraisals and all things that would affect them. They completely skipped over what we as nurses in a health facility need so now we’re still without policies, legit orders and everything else. I definitely haven’t forgot about the backup. Working on it and just cringing in the meantime. Thanks you two!
  2. Ratched, Nurse

    LPN Help

    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?
  3. Ratched, Nurse

    LPN Help

    Exactly, thank you. Deep down I know I should probably just go and honestly I've wanted to walk right out several days, but because I actually like what the job could be, I was hoping it would be respected and made appropriate. I'm unable to help students as I should be able to and won't do just anything with the mess that we're in. I'm getting more frustrated and it makes me feel stunted as a nurse. I was just curious as to others' experiences. So thank you!
  4. Ratched, Nurse

    LPN Help

    I'm an LPN and have been for quite a few years now. Understaffed, hectic jobs led me to my most recent job of less than 1 year -nurse at a university's health center. I love the schedule and work, but recently have ran into many issues. Over time as I oriented, I realized our 'Director' is an LPN herself and in the place to 'supervise, complete our appraisals, etc' which took me back. I've learned the job was given to her years ago after her just being in an LPN position for a while. MANY things of that position she actually does and listed on her job description go outside the scope of practice and I'm not sure the University is completely aware. Before her taking it, an RN has always been in that job. I slowly realized this the more I oriented and I realized that there is virtually no policies and procedures to follow or fall back on and Standing Orders haven't been updated in YEARS and are not in the appropriate format. The center does work with providers that are here only a couple of hours a day, so there is a lot of independent work we need these things in place for. I have brought all of this up to the appropriate departments and even the VP and have gotten absolutely nowhere. I don't feel safe as a nurse and feel I'll be run out of my job if these things aren't remedied. The general vibe is very old school where positions are taken due to seniority and competency and work isn't checked on. I feel this is a huge disadvantage for something that should be run appropriately and nothing less. I've emailed and had meetings and done everything I can for weeks now. I've ceased generally all independent work because there is truly nothing in place covering us. The providers know this is all lacking and being contracted, expect this stuff to be in place. Has ANYONE ever experienced anything similar? It's driving me insane.
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