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Nurse3389

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  1. I've just been a nurse for a loonnngggg time so the DNS' behavior is completely out of line and unprofessional imho, so I guess I wondered if this is the norm for supervisors now? Again no response desired...so please don't bother. Thanks
  2. Yes, that is what I meant. Thank you for assisting with the clarification. Here in Oregon (Portland Metro) the standard is to d/c sliding scales in the SNF setting, still a standard in hospitals.
  3. Yes, that is what I meant. Thank you for assisting with the clarification. Here in Oregon (Portland Metro) the standard is to d/c sliding scales in the SNF setting, still a standard in hosptials.
  4. Most sliding scale in SNF's are being d/c'd but if they are ordered it usually states "0-150 1 unit, 151-200 2 units, 201-250 3 units" for example.
  5. I have a related problem. I've been a Nurse Manager in a SNF, at this facility for 6 months, but a nurse for 33 years. From the beginning the Director of Nursing wouldn't talk to me and provided zero training for me. I went above her and was able to recevie 2 days training at a sister facility which was nice but not adequate. The DNS is THE bully. She goes out on smoke breaks with our subordinates and backstabs and gossips about the Nurse Managers. She has surrounded herself with nurses who don't follow the rules and work outside their scope, and others that have been wholly negligent, the later being her pet make nurse. He would leave the floor without notifying anyone for extended periods of time. He did other things, but 2 I had dates, times, witnesses which I reported to the DNS and she lied, defended and excused the inexcusable. I called the company complaint line and received a call back within the hour from one of the co-owners. He told me this was not the first time this male nurse's name had come up in a complaint. I did end up reporting him to the State Board of Nursing and he was soon fired. There is another nurse, the "wound care nurse", that is an LPN. I am distinguishing that to note that she is not allowed to write her own orders. She was writing orders she did not get from a Provider. Provided treatments/dressing orders she didn't even bother to write orders for. One of my patients had a BKA and required 3 surgeries (washouts) because, as I came to find out she was changing the orders (without actually getting orders), even after I told her that the Vascular Surgeon did not want any other provider writing orders or managing that incision. The incision ended up getting infected 3x's before I realized what was happening because she wasn't communicationg with me. When I realized what was happening I took over providing all wound care for the incision. The BKA incision is healing now without infection. I had reported all of this to the DNS and Administrator yet nothing was done and in all my 33 years of nursing I have NEVER reported a nurse once but twice at the same facility...No never! Yet I was left with no choice and ever since I reported the 1st nurse to the DNS she has been retaliating against me. She has never shown or told me details of the job but she waits until our daily management meetings to berate and belittle me in front of everyone. She has also docked my pay when I have flexed my time as I was salaried and work a lot of hours. It came to a head last Thursday and I wrote my resignation giving 2 weeks notice (hoping that would give my BKA patient time to heal up completely and discharge) however, the Administrator told me she would pay me for the rest of my time and Friday would be my last day. I told my BKA patient and his family of my last day. They have appreciated my care and I feel awful and frightened for his incision. I want to tell the family everything but ethically and professionally standards have prevented me from doing so. I have filed a retaliation case with the state labor and industries. I guess I just want to know if there is anything else to be done at this point. I am so discouraged and disappointed that this is going on. Patients deserve so much better. Thanks

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