every single day. I am not only a nurse at a icf facility i am also one of the house managers. Been only about a month in the HM position. Needless to say part of my nursing has suffered which i brought to our area supervisors attention yesterday. As of today I have logged 97 hours at 130 p.m. with 3 days left to go in the work period. I am overtime exempt. I was told I could take the rest of the week off since I felt overworked, tired, and my nursing judgement was obviously suffering because of this. We have a camp that is OPTIONAL for our clients, the ones that can talk anyway...lol, and I was told today that I HAD TO GO TO PASS MEDS. I am not the only HM that can give meds. Also, our QMRP doesn't want to go because she doesn't like outdoors. The way i see it, if she doesn't have to go, and i didn't volunteer to go, they shouldn't be able to make me. the thing with the staff happens all of the time. I am currently treating someone at another home with staph because the DSA's will not do as we keep telling them too when cleaning him. It's totally mindblowing. Wondering if I can claim safe harbor since i am mentally and physically drained. I have worked over 100 hours a pay period since taking this job and that is with me comping my time. I think I'm going back to LTC. I really love the clients though. In the end, management in ICF facilities (some of them)_ are not medically knowledgeable and our client suffer when staff leave because they have become attached. Sorry to keep rambling on, just frustrated about the whole thing I guess. Pt. care and management