freddiebear

WOW. It sounds like they did you a favor. The management team sounds like they are inexperienced, intolerant, unreasonable, etc. The part about hiring someone younger sounds like age discrimination to me. I dont understand why they had you passing me...

First for the sake of your sanity and confidence make 100% sure that you are mentally fit to work again. And do not return until you are. If you feel that you can not trust yourself to be mentally competent than maybe now is not the time to return t...

With HIPPA I dont see how anyone can access someones medical file without either you signing permission for them to do so or a court order. You need to talk to your psychiatrist and ask him/her if they think that your illness could interfere with you...

your question could be best answered by your BRN. Is there a position in nursing that you could hold that did not require direct patient care?

As far as meds are concerned in LTC a med can be given one hour before until one hour after the time ordered unless it is insulin, or a med that must be given before meals, after meals or with meals. What someone can do is change the time of meds to...

cotjockey- Most facilities I have worked for had set schedules. Anything from 4 on 2 off to m-f with every week end off and a seperate weekend staff to every other week end off. 12 hour, 8 hour shifts. Yes I did work for a hospital that had a put the...

Barefoot lady- I hear ya. But, the nursing act states that every nurse must perform the acceptable standard of care less one be accused of unprofessional conduct. Charting is basic. For example if one of your residents were found deceased, with a br...

First you need to review her job description, what duties she is expected to perform. Then you need to review the employee manual. This is not a personal issue. So no need to make it one. Just write down the facts in regards to the times she takes h...

You need to call your nursing board ask them the question. They can give you the best response you do not need to tell them who you are or where you work. Sounds like your facility had grounds for termination. I think that clocking in and taking rep...

When it comes to abuse I think the law is very clear. Even though someone is working in a prison cant an inmate complain to the RN board in regards to allegations of abuse? Sounds like there needs to be a definate medical evaluation done as to the m...

What specialty a nurse chooses is a personal choice.

I was wondering what is your facilities policy regarding this issue and how do they ID residents?

The bottom line is outcome. The resident was observed and brought back to safety. If you want to defend yourself please look at the facility policy. If the facility policy states you were supposed to do something and failed to do it then it is appro...

First of all you might want to consultant some references. The first one is your state regulations the second one your federal regulations (OBRA). In regard to what you must inservice staff on and when. Then you can make a calendar for the year with ...

Rosie- By Regs the DON and Administrator are accountable for maintaining adquate staffing. But, if you clock in and accept an assignment even though the staffing per regulations is inadequate you are responsible for the safety and adequate care of a...

Hmm. This is an excellent question. The best place to get an answer is through the labor board. If your were working as nurse, finding your own clients, setting your own fees and getting paid directly by the clients then you would clearly be an indep...

As far as notifying an MD we must notify an MD if a resident has a change of condition or if we receive abnormal/critical lab values. Where I come from the Lab will call in critical lab values in addition to faxing them in and record the persons name...

I have no idea what editing is but it sounds unreasonable to have such a large number of them done in such a short period of time. One would know that a licensed nurses priority would be carrying out the MD orders (meds, treatments, weekly summaries,...

When it comes to carrying out an MD order related to pain meds i believe that it is time sensitive as in you only have so many hours to admin. The meds. I see two problems here. The first one is the fact that if a med was ordered and not given in a ...

To clarify this issue. There is a regulation that states a DON cannot be counted as a staff nurse in a SNF if the facility is licensed for so many beds but it does not prevent a DON from assisting one resident in an emergency situation or assisting a...

cant do it. The 24 hour demand, long hours, sick kids, calls from school make it impossible.

Mercy- First you need to consult the State Operations Manual with the OBRA guidelines and the state guidlines for staffing a LTC facility. Depending on the size of the facility a DON may not be allowed to staff or if they are for only so many hours. ...

You say that you are new in a place where things were let go before you got there. Could be that in the past when nurses made med errors they were not disciplined. The EEOC may subpoena MAR's, etc. If they find that there were errors and the nurses w...

Its classified as a chemical restraint. We need to be sure that we dont use them for staff convienance. They can have toxic effects on some people and cause a decline in function. If someone is nonambulatory I dont think they can cause much damage to...

Unfortunatly this is not an uncommon thing to hear. Its not your fault. The situation doesnt sound good. I think you can tell that you cant work under this kind of pressure.