BubbleRN

Hello, I am new to this forum but am 'under the gun' in a facility that has a new director who was recently promoted into their position. She makes frequent reference to the fact that I came into PHNing at a higher grade than the other staff (as well as herself). I think she feels threatened by me and wants to be rid of me. The position has really gone to her head. I feel she has failed me with the orientation I was given and want to know what a good orientation consists of. A lot of information is given to me piece-meal and when I learn of this additional information she jumps on me saying that I have been told that - but I wasn't! We are a small clinic and I don't want to be run off until I can find another position. I am sick and tired of being belittled, spoken down to and having my charting scrutenized at a level no one else is (including the director's charting). She has written up a plan of correction and if she succeeds on making me look bad to the DON then I will be out the door. Can anyone please help me? I am so hurt and frustrated, I really do a good job with what I know to do. I have several years of nursing experience and am angry that one person can be devious enough to attempt to cast a shadow over my career.

I'm wondering who takes referrals in your offices. Two other agencies I worked for had RN's taking referrals. Now, the secretaries do! Needless to say the information is often incomplete and we fear something coming back to haunt us. Is this legal? Are there requirements in the referral chain? I would love to know where to find rules that agencies should operate under and abide by, I just don't feel that things are kosher here.

:angryfireI would like to know what rights I have to refuse visits. Our office covers 2 counties and we have been short staffed practically all year. There is only 1 full time nurse and 1 part time (works half days 5xwk) making visits in our office. The 2 of us have rotated call every other week since March in seven day stretches. The part time nurse doesn't get full benefits, so that is REALLY piling a lot on her. We are stressed out and burned out and management keeps taking referrals. I had 37 hours overtime in one week! We are behind on paperwork and the part time nurse may need surgery for a breast biopsy and she is pressured as to when to schedule it to accomodate our work schedules. (To heck with the employees! Our managers are all nurses too. I wonder where the compassion went). There are several nurses who have desk jobs but they refrain from helping out--yet they are the ones who keep taking the referrals! I worked my rear off to get some time off and my manager called me at home and tried to revoke my scheduled time off so that I would come in and cover 1 lousy visit. I did not go in, had I gone I would have turned in a resignation along with it! I attribute the woes to poor management. What are my rights? Must I do all the after hour charting even when I'm not on-call or is it not managements job to decline referrals for lack of staff? Would like to hear back from anyone on this. I enjoy reading this board of sympathetic eyes & ears.