LPNkm

Thanks to all for the advice. We have all written him up, including the RN floor supervisor, and nothing seems to be getting done about him. As for the RN's and medication administration, they have nothing to do with it unless it is IV meds. They are pretty much in their offices working on paper work. Don't get me wrong they assist when asked for it but other than that they have their own things to do. We are told that if it is anything to do with patient care (including meds and treatments), orientation, and physicians then it is up to the LPN's to take care of it. The DON will not place him with an RN for orientation. We have been keeping journals on him and all the mistakes/neglect/etc but feel that its not gonna do any good. He is still under probation and feel there are many reasons to let him go but while under suspension, the DON said many were "hounding" her for letting him go but not sure who the "many" are....its definitely not the staff. Please don't take this wrong but I have a feeling that he is holding the fact that he is a male and from a different country and saying that he is being discriminated against for it....But that is far from the truth. With the amount of knowledge he is displaying in nursing, I am wondering how he got his nursing lisence to begin with. We weren't even sure he had one until we looked it up on the nursing board website. I guess I am gonna have no choice but to contact the BON and omsbudman. Again, thanks for the help...I will keep you updated on the outcome.

Hello all.. I am an LPN who has worked in a LTC facility for the last 4 years. I have rencently encountered a problem that I don't know what to do or who to go to with it. My facility hired another LPN about 2 months ago. He is a foreign nurse and there is a language barrier...we have all orientated him and tried to explain things to him. His charting is awful (everyone is "ok"), doesn't sign his name properly (first initial, last name and title) instead he uses his middle name and title, he has tried giving NPO/G-tube residents medication PO, accu checks with insulin coverage to wrong pts, and recently had a res with a low grade temp..he didn't know what to do so he gave him 2 Tylenol 3's without checking for med allergies (luckily he wasn't allergic to it) nor did he check the MAR for PRN meds or standing order sheets. The same night he aslo gave a serax to a resident or someone because the count was off by one..it had to be him cause the other LPN working with him that night has been there for 19 years and very professional. My concern is we brought this to the attention of our DON and she did suspend him for a few days but put him back on orientation. He has his state nursing lisence...just like me and the rest...this is all basic stuff you learn in nursing school. The DON said we need to give him a fair chance...I feel he had one when we were orientating him..I don't give second fair chances when my residents are in danger with this man working the floor as a nurse. None of us want to retrain him because he does not listen...he sleeps at the nurses station, will fall asleep while giving report and when not sleeping he sits on the phone talking with whomever. As for the missing serax, I'm also concerned because there was no investigation to find out where it went or who gave it. The facility is short staffed but not that short. Any advice on the next step I could take? I am really concerned over the well being of the residents. Thank you