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Fresenius medical care...taking over dialysis unit HELP!
Hi there-I just sent in a resume to a RCG unit not knowing that FMC has purchased the company..do you know any more about FMC and benefits, etc?
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Sending residents to the ER without a doctor's order.
It is a sad state of affairs when you can get fired for performing a duty that if you didn't do it you could get sued... I quit working for a large nursing home corporation because they sent out a memo stating that no resident would be allowed to be sent to the ER without first getting the approval of the regional consultant nurse! I could not believe it-and I told them so in my resignation letter. I used to do some consultation on the side for an attorney and in my parousal of court records for the county one day found that one of the facility admininstrators and the DON were named in a law suit for negligent care...I wonder why! I tried to warn them
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Sending residents to the ER without a doctor's order.
A few that I no longer work in-we have come a long way in 30 years in long term care. I swear to you that I took a DON job in a facility where the administrator told me after I took the job that "everyone here is a DNR" and he meant it. The policy and procedure manual had about 15 pages and one was a policy on who watered the plants. Of course, no one had written " no code" or advanced directive orders. I have been the only nurse with one aide in a building with 60 residents on the night shift. I could have quit, but then there would be the person who thought that was OK to put residents and staff in that position and the poor aide, which I thought was not the best deal for the residents. It got better, eventually.. We have laws that govern staffing but they were no enforced as well as they are now. :roll Bottom line-just because there are rules doesnt mean they are being enforced.
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Sending residents to the ER without a doctor's order.
You bet I do...I believe that it also matters whether or not you have the numbers of trained staff to do CPR, etc as well.. I would think you would be neglegent in your duties if you found a resident in distress and did not seek medical attention for him..not your fault you could not reach the doc, but I surely would document well on the entire event, especially not being able to reach the doc on call.