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richnurse828's Latest Activity

  1. richnurse828

    Misdemeanor paraphernalia

    I’m a RN in TN who recently had a Class D misdemeanor for paraphernalia in another state. This was reduced by the way from a misdemeanor for possession of marijuana. I was searched on my way back from Colorado and they found 2 containers of high CBD/low THC edibles which I was bringing back for my mom who has advanced parkinsons. My questions are: do I need to notify the Board of Nursing, how severely will this impact my licensure, and what steps should I take to lessen any penalties that might be imposed upon me? Also, should I notify my employer prior to receiving any feedback from the board? I did not have a criminal record prior to this and my license is currently in good standing. Do I need to be concerned that I may lose my hospital job? I do not use marijuana and I’m in good standing with my employer. Thanks for your help!
  2. richnurse828

    Problems at the SNF

    Indeed I will admit that my conduct was inexcusable. I should not have called the resident that word and I will have to learn and do better from now on. Regarding the lunch issue, it really is hard to take a break when you have to do admits, discharges, treatments, etc and its just you, no supervisor to help out, etc. to me, this is more about justice given the fact that many of the ltc nurses are exploited and overworked. Many of my fellow nurses don't take breaks and feel they must work off the clock to avoid getting written up. The companies that own these snfs stretch everything so thin and maximize their profits at the expense of their staff and its not fair and it isn't right. I was miserable working there and this is not how healthcare should be. They work us like slaves and expect us to just bow down and accept it. By the way, the guy I called an "offensive" word is a former inmate, a troublemaker. He is someone that exploits the system and his behavior that day was also inexcusable. It's not like there was any permanent damage from what I said to him. It's not like he was depressed from me calling him this word that described his behavior. If I see a patient misbehaving or causing problems or almost injuring other residents or staff I'm going let them know how displeased I am. Yes I went over the line, but I do not feel as if I did any harm in this situation. The night this incident occurred, the cna's and my nursing peers were on my side.
  3. richnurse828

    Problems at the SNF

    After talking with my lawyer, it turns out I am eligible for a substantial sum due to all of my missed breaks, etc. under state law if it is not possible for a worker to take a lunch break or the 10 min breaks that are mandatory under state labor regulations then the company must pay the employee for a full hour. More often than not, due to many of the reasons that I'm sure you are all aware of in working in a snf and having such a high patient load with little or no support from other nurses (supervisors, tx nurse, Adon, etc) it was simply not possible for me to take lunch breaks or my mandatory 10 min breaks. The corporation I worked for encouraged us to clock out on time at the end of our shift out of fear of getting reprimanded. Therefore, many nurses, myself included, routinely work off the clock. When you are faced with the choice of being disciplined for working overtime or losing your license out of fear of not properly charting you have to work off the clock. That's just the way it is. As for the fees, I won't have to pay any lawyer costs, just a filing fee ($400). All of the lawyer fees come out of my settlement and if I lose the case, then I won't owe the lawyer anything. I am looking for work but I am still very bitter about the way that company treats its nurses and I intend to take action. Thanks for all your comments and suggestions.
  4. richnurse828

    Problems at the SNF

    That doesn't make sense. Did you even read my posts? I was being forced to do the 2000 med pass for two nurses. How can I ethically be responsible for doing that? It's not possible and my DON even acknowledged that when he asked me to just pass the pain meds and forgo the coumadins and digoxins, dilantins, bp meds and whatever other mandatory meds those patients were required. The fact that I threatened to quit so he would get someone else in faster is what caused me to get terminated. He made no mention of what I said to that other resident when he terminated me. At any rate, I'm probably gonna sue for lost wages due to missed meal breaks (clocking out but not taking a lunch), working off the clock (out of fear of reprimanding). I have no sympathy for this awful company and the way they treat and exploit their staff. I just hope that I can find a better place to work
  5. richnurse828

    Problems at the SNF

    Well, as if this situation couldn't get any stranger...the other day I get a call from that sister facility and they want me to come work for them. I'm thinking this is really strange bc there is a policy within the company that states If you are fired at one facility you are forbidden from working at any of the other facilities. Turns out that when they filled out my termination notice I was not properly fired bc they didn't give me any prior warning regarding my "unbecoming conduct" that it states I was fired for. This, in addition to the fact that I was fired for threatening to quit in a situation that was unethical and put me at risk for liability makes me wonder if their just trying to get me to work so they can more legally fire me. At any rate I'm probably gonna end up going to the state, the labor board and eventually have to seek counsel regarding this wrongful termination.
  6. Welcome to the wonderful world of ltc. Try not to beat yourself up too much bc their expectations really are impossible. Basically the number one thing that the mgmt cares about from nurses is documentation. This is the only thing keeping them from getting sued, so whatever you do, make sure your documentation is good. Don't try to be perfect bc your just going to tear yourself up inside. The horrible truth is that there really is no one holding you accountable. You could easily get thru a shift by providing substandard care, not even passing your meds but as long as you can document you did everything you are required and didnt get any overtime you'd be fine. Hell, you'd probably get promoted. But I'm sure your not likely to do that. My point is that's how the systems set up. There's no incentive to provide good care in the for-profit ltc environment. The nurses that care too much are the ones that get reprimanded. So just do what's required as quickly as you can and go home. I suggest you find a facility that's a notforprofit bc there you will be properly trained and develop good habits and its much better for your soul too.
  7. richnurse828

    Problems at the SNF

    Well it finally happened. I got fired. Here's what happened: the other night I was working, had an admit to do,etc. it was just me and 2 other nurses in the whole facility, no supervisors, no tx nurse, no Adon, etc. well right before the dinner trays come out I hear this loud thud and screaming. Turns out one of the other nurses had tripped and fallen, hit her head on the way down and had a concussion. So we sent her to er b/c she was in no shape to pass meds. I call the don and tell him we need a replacement ASAP. He's like so and so will be there in an hour. So meanwhile it's just me and this other nurse who's only been there a couple months. The other nurse is pretty much clueless about what's happening- he didn't even realize she had to be sent out. In other words, i now get to manage my patients and the other nurses patients too, so im really stressed out! Fast forward about an hour, I'm trying to pass Her meds and mine which is hard bc she didn't sign half of them out bc she's worked that cart for ages and knows them all by heart. This new resident, who had just gotten out of prison btw starts flipping out, talking about he never got a tray. So the cna's get him one. Well he throws the lid into the hall, almost hits a couple residents. This guys been a problem before btw. At this point I just go off on the guy: tell him that if he's not happy here he's welcome to leave and I call him a word that I shouldn't have. At this point everything just falls apart. He starts getting in my face, threatening me and trying to antagonize me. By this point I've had it, text my don and tell him I quit. But immediately after say I'm not sure but I'm just very frustrated and I really need another nurse to get in here now, which I guess worked bc help finally came in the form of a nurse at the sister facility down the street, which is good bc that "about an hour" the don had said was gonna be more like three by the time the other nurse finally arrived So finally help comes and I make it thru one very unpleasant night. Anyway, that resident told the don what I said and how I went off on him. This guy btw is substance abuser and keeps bringing all these sketchy visitors in to the snf up to no good. So I get called in today and I'm getting canned. I guess my threatening to quit was the last straw and everyone was sad to see me go. I'm really gonna miss working there but I won't miss the horrible bosses I had to tolerate. Turns out the don is probably gonna get fired also. SNFs really are horrible places staffed with wonderful, caring people and managed and owned by money grubbing thieves that should be locked up.
  8. richnurse828

    Problems at the SNF

    I have been working at this snf a little over a year now and I am quickly losing faith in this whole profession. Firstly, I am a white male somewhat new grad with Filipino bosses and coworkers. There have been a lot of changes going on: the administrator was fired, many of the admissions people have been let go of and today the DSD was fired. What really bothers me is the manner in which they did this. The DSD was in the middle of an inservice with CNA's and they pulled her out and told her she was fired. The poor woman then had to go back in the room and get her belongings in front of the cnas, humiliated. This complete lack of compassion really infuriates me. I have noticed that many of the filipino supervisors dont seem to have much compassion for the residents or the staff. Afterwards, they were joking about what had happened. My point is this: if you are not a compassionate person, then why do you want to work as a nurse? Is there no compassion in nursing anymore? Is this where this profession is heading? The corporation I work for owns dozens of snf's on the west coast. They do not tolerate us working overtime. I, and my coworkers, routinely work off the clock out of fear of getting fired. I almost never take a lunch break but I must clock out for one every time I work. I've been written up for things that other nurses, the filipinos, routinely get away with. Recently, they introduced more paperwork protocols for events, etc. I find it increasingly impossible to get everything done on time. The standards expect perfection and do not tolerate anything less. I find myself not passing meds to some residents on some nights b/c there simply isn't enough time. I work my ass of but it's never enough and I always feel incompetent. Many of my peers feel similarly but we are all powerless. What do the rest of you have to say? Have you had problems with fellow nurses of Filipino decent? What should I do?
  9. richnurse828

    ADD and social anxiety need advice

    well said, Chaya. I'm unfortunately in the same boat. It amazes me that no one (it seems) understands that social anxiety is a real disorder. Everyone just expects you to be as warm and outgoing as everybody else. Work can be incredibly miserable at times and I wonder if I could even cope with a 12 hour shift. I guess you just have to keep trying to improve on your problems. I've been listening to this series of therapy sessions from the social anxiety network and it seems to be helpful in terms of enabling me to believe that I can beat this. I'll see if it pays off later on but apparently cognitive behavioral therapy is the most effective treatment.

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