Bohica8286

That seems like a really bad way to do things. If you work at a clinic, and your scheduled patient misses their appointment, for the majority of cases, why they missed that appointment is absolutely none of your business and it certainly isn't the business of the entire crew. And I would think it for sure isn't the business of the HUC. The nurse or physician, maybe you can find a way to justify it in select patient groups. But only just to see that they are in the ER. If the information is meant for you, it will be given to you or the patient will tell you. I would ask for clarification of the rules at your place of employment either with your direct supervisor, or with someone on the Privacy Team or Health Information Department.

I am part of a group of 4 nurses, including the DON who make up the "leadership" team. I am privy to disciplinary action and I know it is not happening. I know when it has happened, and I know myself and others who have written up people for issues, and I know for a fact those things have not been addressed beyond the initial "write up". Oftentimes the employee does not even know they have been written up because nothing moves on to the next step, which the DON is supposed to take. That is what is so frustrating. I am privy to things, and I know what should be done and what isn't getting done. I just want to make sure if anything serious comes from any of this poor nursing practice in the future, that I am not somehow liable because I KNOW that NOTHING is being done to address the issue or prevent it from happening again.

LTC

Coming here because I don't know what to do or where to turn. My DON, has the title of DON but that is where most of her job ends. She avoids conflict at all costs, has had nurses written up on multiple occasions for serious reasons and has never addressed the issues. Some issues are borderline nursing negligence, and she still does not address them. Things that are required as part of her job, she does not do. If it weren't for the nurse managers, I don't know what would happen. They seem to be the ones holding the ship together while the rest of us watch the captain play on her cellphone. Is she ultimately responsible for the nursing staff under her direction? Could her license be at risk if she knowingly ignores potentially serious nursing incompetence? Is my license at risk because I also know about this incompetence, and know that she ignores it? Any advice or guidance is appreciated. Any articles of reference related to similar situations would be helpful also. Thanks in advance!