hey spacenurse...thanks for the post. yes, i do keep myself abreast on issues by a number of articles i receive via email and by listenning/learning right here at "home" :)
that is so sad about the situation between you and the traveler. but i say, know yourself - your skill level, weaknesses and strengths before accepting an assignment - or any other job for that matter. no one will be fooled when the moment of truth comes, and you're stuck in the narc room crying because you didn't say "no...i cannot do it"
then again, i can't judge without walking in her shoes...so i'll hope for something better for you and her next time
my views have not always been as rn "fair", i know. probably because i haven't been made to feel that my profession is respected in the industry. a knowledgable lvn is an asset to the team, not a hinderance. i know if there's a slew of iv abx's and other things out of my scope, that person may be better off assigned to an rn, based on accuity. unfortunately, fighting tooth-and-nail with rn's who make patient assignments - who assign based on "hooking up" their buddies who are coming on shift, or by getting back at me for voicing my opinion the night before is a common practice. sigh...i say sigh. acuity and patient safety fall short full circle.
oh...and regarding "if you report to the rn your legal obligation is discharged."...i know you are kidding...right? my license can be snatched and probably even more so. i have heard of rn's saying they where not informed of a patients condition, and the lvn getting flogged for it. or its the lvn's fault for not fillowing up with the rn on any given patient care issue. this is when teamwork, trust and personal dedication to being up on changes and advances in nursing and your own scope comes to light. i've worked with excellent rn's and others who i wouldn't let touch me on the side of the road. same with lvn's. i've witnessed lvn's in the hospital setting get it bad for things that was clearly an rn's responsiblity, but the rn wiggled out of it, and managment pursued the lvn instead. i guess rn's are harder to come by.
...sorry.....i know that's a whole "nutha" arguement