graceyjane

Thanks guys, Yes I followed my chain of command and the chain of command let me down. I was told they were NOT med errors and to drop the subject. There are so many things wrong at this facility. Nurses drop like flies and they get very frustrated with administration. I am there for my residents, not them. I am their voice, their nurse. I had 32 residents most of the time. My loyalty lies with my residents. This RN still works there and still makes errors. I have no faith in her and always watch my back with her. Always double check. This RN also said she called a Dr to get an order for a resident and when I called the Dr back to tell them the med wasnt working, he told me he had never talked to anyone about this resident. That was one big mess and you should have seen them covering their butts on that one. I had to send the patient out for SOB because the breathing treatments that they were giving her werent working. The nurse before me had charted no SOB for the day shift and all my charting showed she had been SOB and had to be sent out to the ER. So yes I followed my chain of command and that chain is part of the problem. The LPN's are allowed to verify and recheck orders. This RN was the one admitting the residents and she was the one verifying the orders, she just wasnt getting ALL the meds onto the MAR for us to give. I learned really quickly what type of facility that I am in. It saddened me greatly. Thanks for listening, to all who answered.

I am an LPN working in a Skilled Nursing Facility. We have an RN that does not get all the meds on the MAR. When a resident is admitted or readmitted or even with med changes she "forget", "misses" them and they do not make it onto the MAR. One resident didn't get dilantin for 3 days another coumadin for almost a week. These are just 2 examples. I sent the one resident out d/t seizure activity. We then learned that they were on dilantin BID. We had found several of these mistakes on the MAR and brought it to the DON's attention. One other RN was told to "just ignore the error, do not bring it to anyones attention, shut up and fix it on the MAR and to get along". I was told they were not med errors and to drop it! The problem still continues and during my med pass I am constantly going to find a chart to check orders. If new residents come in, readmits or any changes on my MAR I go an recheck and I find errors all the time. This takes a lot of time, but it seems the only way to make sure that I am actually passing the right med and the resident is getting what they need. There are also problems with monthly change overs. One resident was on Novolin 70/30 every AM and PM ever since she was admitted and then all of a sudden 3 months in a row it was not brought over to the new month. I worked the first 2 times during change over and the third time I was off for 2 days and this resident missed her AM and PM doses and they couldn't figure out why her blood sugar was sky high???? Does this happen everywhere? Is this a problem any place else? Any input would be greatly appreciated for this frustrated nurse. Thanks.

It is for convenience, because when I asked about the change, she said they were to busy with bariatric residents during the day. We have 2 on the hall of 32. I do not know why they are so busy with them, but that was the excuse I was given.

I am a night nurse myself and we do dressing changes on the night shift. I have one that takes 1 and 1/2 hours. I do not think it is right or fair to wake a resident up for that long in the middle of the night. I have other dressings that dont take as long and can quickly get them done. I have had residents say "why are you waking me up at this time of night to do a dressing?" I have also explained this to the DON and she looks at me like I am crazy and tells me to just explain to them why. Well why is it? Why can this once a day dressing not be done on day shift? Beats me.

I am wondering if it is legal to hold a midnight nurse over to day shift? Another nurse told me it wasn't but then they are being forced over to days? So if anyone knows it would be helpful.