lpnbhw

when it comes to residential schools i would believe a nurse should be passing meds. My question is, do they know(the childcare workers), the effects of the meds they are passing or the side effects to look for incase a child has a reaction?? whos responsible if something goes wrong??? I agree with chartleypj. Good luck

twinmom2k, THANK YOU!!!! for understanding how fustrating being a supervisor is and you cant split yourself a hundred ways come sunday. I am in charge of over seeing 2 nurses ( if im lucky) and 8 cnas. im also responsible for the kitchen staff and maint dept AAGGHH did i also mention 76 residents who should i say ALL have behavioral alzimers. 20 of them are on safety checks d/t unsteady gait, ph of falls, etc. we always had team work until this nurse started . and huq, when it comes to the state walking in, first of all, you have a time frame of when they are expected, second if your meds exceed your one hour time frame, as long as you doc the res recieved the meds late, and passed it along to next shift for example a bid med that was due at 8 and given at 10 so they can give the next dose accurately. this info i can assure you is accurate since my mom is a surveyour. and no, RNs are not in line for blame if aLPN is not doing his/her job correctly. the nurse them selves get the blame supervisor or not. lpns are not looked down upon by rns, infact, i have rns who are floor nurses who respect me for the position i am in . and in return respect them. team work does make a shift go perfectly but, all it takes is that one staff member to break the team work chain.

Huq, In respose to your inquiry, first of all, im not stateing anyone belongs to me, what im stateing isthis nurse and others works under MY supervision . I am in charge of over seeing this nurse and his aides that the res are provided with good , compasionate care. This nurse im talking about was asked IN REPORT to gather vitals and stats on this res since the md was expecting a call from me within the hour to update him since, all the other interventions earlier that day was not working, includeing the iv that was running that morning that the res removed himself. why i did not gather the vitals and stats myself was because he told me he was going to take care of it immediately since i was "PICKING UP THE SLACK" and takeing care of a new admission for this nurse so he can assess this res, report back to me and finish his meds. with this nurse this is a ongoing battle. like the old saying goes, take 5 and save 20

Im a lpn and 3-11 supervisor. I know exactly how you feel. I myself experienced a similiar occurance when I had a pt doing very poorly, decreased po intake , increased temp, tachycardia, and increase lethargy. I asked the nurse in charge of that resident to monitor the vitals , including to give apap pr to help with the temp. in return, i called the md, while waiting for the call back, i asked the nurse if he obtained the pts vitals? considering i asked almost an hour ago, his reply was no , i havent got them yet, ive been busy passing my meds and im so behind. Ok, whats more important, meds or a pt whos very poor? hmmm .. What a idiot. Needless to say i got the vitals myself, sent him to the er and finished with a res who i was admitting who just happen to be this nurses. dont get me wrong, i dont mind helping out my nurses, but if you are in charge of a critical pt, as this pts nurse, you need to know where he/she is at in the begining of your shift. but, heres the best yet, one of my other nurses reports to me a res who was on cmo has just passed, as i was on the phone with the md the other nurse was telling me i needed to do his treatments for him since he was so behind. i asked why he was so behind?? well you know i did have a new admit and we had to send the other res out. Ok, who sent the resident out and admitted the other resident. poor excuses for lazyness. what a jerk, he didnt help with anything!!!!!