SoCalRN1976

Why are people arguing and insulting over this? We all agree, this is weird. Don't do it. Your intuition is raging... for a reason.

Dept of licensing and health, The joint Commission and I will be in contact with the BRn.. only after I am gone.

Giving staff all of us.. 90 day and annual clinical reviews of our performance. I was called in the office and met with my entire clinical management staff to discuss a concern of mine regarding response time and clinical concerns.. which turned out to be null once we discussed everything.. but this would be considered "supervision" and performance coaching.. I was a RN manager and supervisor prior I know what they are doing.. OUR MSWS are supervised by them too.

Oh but they are supervising me clinically.. I am getting directives and reviews, and feedback on my clinical performance... NO supervising RN in the office.

Hello all, I won't give too much detail but I have been working this this organization for about a year. I am a clinical RN,BSN and work with numerous other RN's and other licensed staff including MSWS, LVN's. When I was hired, I just assumed my immediate supervisor was an RN. It's a given that the Nurse Practice Act of the state of California clearly states an RN can only be clinically supervised by the same which hold the same scope of practice and privileges held by the RN licensure. I have been an RN 30 years. I have never been supervised by an entire management staff of LVN's. I found out shortly after starting when I obtained business cards from our management ... 100% LVN. in fact the administrator is smart, his card doesn't have his LVN title.. but this was confirmed by searching active licensure at the BRN. We have two immediate managers confirmed hold LVN licensure, and our Director is also the same. This is a home based agency which requires the standard supervision, 90 and annual evals. These managers not only give us directives, but also CRITIQUE our performance on these evals and I have even been "coached" on their clinical opinion of mine. There is another service his care agency provides with a facility which is small. 6 beds. This facility is manned with licensed staff, RN, and is being managed by a non licensed individual who is a family member of our owner...... What do I do with this? I have seen multiple posts, read the law. Its illegal, yet it still is occurring. I am resigning based on this but haven't given this full explanation to the owner who is also hands on, and does not hold any licensure and is of a business background. Where do I bring this information too? BRN advised me to quit.. but other than that the advice or what regulatory entity who needs this information ?? We have a large census... our staff, and our patients deserve better than this.

Not really a hack but something I learned long ago. Make sure you have your tools at hand. I never worked the floor without my silly little pocket organizer.. it held a penlight, kelly clamps and a handful of saline flushes. a few bandages, and a roll of tape on my stethoscope.

I will let you know. I have been an RN 27 years. Before my nursing degree, our country in the 1980's and early 90's was in an nursing shortage... bad. There was a huge influx of international nurses from all over the world who was brought here, to work under a work visa. It was that bad! it was called being SPONDSORED. I graduated in 92. Jobs were not that plentiful. I applied everywhere. I got a job at a teaching hospital. I was the ONLY American working at times. My nurses were from Ireland, England, the Philipines. It was like a little UN convention at times. None the less that was back then. Shortages have never been that way since. There has been an influx of nursing students and colleges are saturated with nursing students often waiting years to get in! NOT what I had to deal with. Jobs are not that easy and hospitals often want staff who can hit the floor running.. meaning no intensive 8-12 week mentorship. Hospitals have alot to invest in a new grad type of RN position. If you don't land an acute job out of school and you settle into home health, or a SNF you will be labeled and unfortunately seen as non acute experience. I have had this happen to me when applying for outside jobs an they see 13years of a prior specialty on my resume. Its unfortunate but it is how it is. Your area where you live has alot to do with nursing need, hospital need. Having clinical training at school is not often enough. My one piece of advice.. don't give up I would be resistant to sign a 2 year contract with unmanageable distance. You will burn out and it's not worth the health issues that come with that. Keep you day job. keep applying, but try TEACHING hospitals. They seem to be a bit less eager to higher an old nurse like myself that will cost them nearly 100K in annual salary. Also smaller hospitals.. are less eager to pay an old nurse like me that salary. Also make sure you are looking at new grad positions. Hospitals sometimes offer "new grad" openings. I'd flood those as well. You already have more experience then they do, but not acute! You could be seen as a viable candidate still. Flood the smaller community hospitals and teaching hospitals. They don't have the big financial baking of the larger hospital franchise....

I have had to report many situations like this to family over the years regarding patients. The ONE thing you need to be aware of is your license. If this situation had you finding the situation and claims you should call the family to protect your license. But your long post seems a bit overwhelming to read. My take away is this incident was found not by you and you were directed to call the family at an ungodly hour because of a claim that happened off your shift? If this is how I am reading it. Its not fair to be put in a place where you really had not obligation to report anything to the family as this should of been done so by the reporting staff. DON etc. My response to the DON or whoever is, I will call the family but its almost midnight.. is this something that you feel is urgent enough to make this call at this time? If so I will call, but I am concerned about the time of night, and the fact while we feel its important, is it urgent enough to call at midnight if it is I will call... and call the family and report that you are calling them under the direction of your your superior and no, you don't know what happened specifically, but you are alerting them at the request of your superior. Offer your superior contact information and let it go. You should of been done at with that.

I am reading my own post and I see it seems rambling. I would like to know specifically what regulatory organization should receive this information? Its illegal.

I have worked ALOT in home care and hospice. over 20 years. I have had alot of per diem work ( they seem to offer and hire alot PD) I have always listened to my gut. If your intuition is off then there is something wrong. You should never sign an agreement to work x amount of time without being fined.. etc. Its illegal considering most of our states are at will employers. You can quit with no reason or even the spot as this law here in Ca anyway allows such acts. Same the employer can fire you with no reason or cause... I would NEVER sign anything like this. I advise you not to. 30 day notice is not customary, and honestly if you have a new job wait for you, they may not hold it 30 days!

I am reading my own post and I see it seems rambling. I would like to know specifically what regulatory organization should receive this information? Its illegal.

I read this this last week. It's heartbreaking in this great country.. we have substandard care for everyone. I read another forum asking shouldn't they be Medicare? I have been an RN Case manager for years.. hospital side. I can assure you Medicare does NOT cover everything. There are so many medications, treatments and care our Medicare doesn't cover. This is why so many seniors are picking up supplement plans. Our own Medicare sucks. Substandard coverage.. if you are hospitalized, or have an expensive medication you are screwed.... there is minimal coverage and medicare often doesn't cover medications... All we can do is advocate for change.. Something is incredibly wrong with our healthcare system. Starting with the private insurance vector who entirely often dictates coverage for care... these standards are OFTEN set by non medical people on the business side of the insurance. this has to stop..

Totally agree. You owe this job no more than that. A 30 day notice and whether or not your manager is there shouldn't influence the days. Just date it and give 30 days from the email, letter. That's all the ie required. Keep the email/ letter short and don't put why you are leaving. A good resignation letter should never had the reason why. State you will be resigning such and such date, thank you for the opportunity work and such and such place, etc. and sign it.

Hello all, I won't give too much detail but I have been working this this organization for about a year. I am a clinical RN,BSN and work with numerous other RN's and other licensed staff including MSWS, LVN's. When I was hired, I just assumed my immediate supervisor was an RN. It's a given that the Nurse Practice Act of the state of California clearly states an RN can only be clinically supervised by the same which hold the same scope of practice and privileges held by the RN licensure. I have been an RN 30 years. I have never been supervised by an entire management staff of LVN's. I found out shortly after starting when I obtained business cards from our management ... 100% LVN. in fact the administrator is smart, his card doesn't have his LVN title.. but this was confirmed by searching active licensure at the BRN. We have two immediate managers confirmed hold LVN licensure, and our Director is also the same. This is a home based agency which requires the standard supervision, 90 and annual evals. These managers not only give us directives, but also CRITIQUE our performance on these evals and I have even been "coached" on their clinical opinion of mine. There is another service his care agency provides with a facility which is small. 6 beds. This facility is manned with licensed staff, RN, and is being managed by a non licensed individual who is a family member of our owner...... What do I do with this? I have seen multiple posts, read the law. Its illegal, yet it still is occurring. I am resigning based on this but haven't given this full explanation to the owner who is also hands on, and does not hold any licensure and is of a business background. Where do I bring this information too? BRN advised me to quit.. but other than that the advice or what regulatory entity who needs this information ?? We have a large census... our staff, and our patients deserve better than this.