i am a pca who was in charge at an aged care facility on night shifts. i suffered from stress and anxiety as a result, this main reason was because i simply didn't have the knowledge to assess as situation properly. if someone is screaming from abdomen paid (and i mean can hear it across the facility) has something burst? is she constipated? i have no idea how serious it is, so i call an ambulance to come and i get critised by in charge morning staff who is a div 2. i don't pretend to have the knowledge that is required and when i was offered the incharge morning position i turned it down because i thought i was under qualified, although i know pca's who take it on and do exactly what was quoted above. i'm actually quite concerned its not only happening at my old facility! it definatly shouldn't be legal to have a pca incharge of residents lives, its just too dangerous. i was working in a srs, and i think there needs to be tighter legislation in place to protect the residents who are paying a fortune for care that isn't there.