nmzimm28

Soooo I'm a float pool/travel CMA in Oregon (SNF & LTC) and recently I've picked up shifts at a facility that has some questionable practices. At this particular place I have two halls with about 16 residents each to pass meds to (two different med carts and two sets of keys). There is also another hall in which I have 5/6 additional residents; also a separate med cart with another set of keys. The last cart I described has me sharing another CMA. When I get to the floor I expect to count @ every cart that I am expected to pass medications from. This facility will only count me in @ the "shared" cart if I make a big deal about it. So sharing a cart seems wrong as hell but fine if that's how they run things buuuuut not making sure to have all staff touching that cart count in & out----is starting to make concerned. The second thing that has me worried is that with each hall- there is a LN stationed--I have had different nurses demand the keys to the cart with no explanation as to what or why they need them. Soooo in my mind---I'm a travel CMA, not trying to make waves when I show up to places but I also have no idea who I just handed the keys off to.......all I know is I will be the one who will be held responsible if anything is off or missing. Side note-- LNs have separate carts for treatments. All other facilities I have floated to the LNs don't ever ask me for the keys.......even if they need scissors--they have me grab them. Can anyone in LTC/SNF please tell me if I should be worried? Do I need to report the facility and continue floating there or should I request to be unassigned to future shifts?