Unsure if this is the correct subforum to post this in, but wasn't sure where else to go. If there's a more appropriate forum, I'll repost it there if mods tell me to.
I work at a small, rural, "critical access" hospital in California. The acuity of patients is relatively low, there are many LVNs employed here doing direct patient care as well as support roles like wound care. This is technically a Med-Surg floor (says so on the door and management refers to it as such) but we have many "swing" patients which are basically rehab patients similar to what you'd see in the "post acute" or rehab wing of a nursing home (PICC lines, long term abx, PT/OT, wound care).
The issue is that the boss has formerly insisted we have at least 1 RN for every LVN, and not allowed us to do schedule swaps before do to this, but recently I got scheduled where I was the only RN on the floor for all the LVNs (4 of them). It's not that the LVNs are bad nurses or incompetent, its that I don't think this is legal, and its a real chore to hang everyone's antibiotics for them while I have 5 patients of my own. I confonted the manager and she cited title 22, which she claimed enables her to have only one RN on the floor. The section she highlighted on page 42 of Title 22 California Code of Regulations Division 5 reads:
However, it also says on page 46 that
Does this mean section (i) and (j) of the same document? That refers to administrators not being counted as charges or something, or is there some whole other document or part of the document I need to look up?
It reads to me like a pretty clear cut mandate on a maximum of 50% LVNs on the floor. Am I wrong?
The manager got frustrated and scheduled a meeting with me and the DON on Monday 01/20/2020 at 14:00.
Thanks for reading this thread! I'll be checking back when I can!