At our facility in VA, we are told we have to sign all the charts and orders for the LPNs, we are doing team nursing on days so that it is automatically done. The RN assess's and does all the charting. But from 3pm to 7 am we are told we have to sign.
Get this, they have also said that it is fraud if you sign the nursing diagnosis collum if you haven't done an assessment. I agree ~ we hadrly have time to do a decent assessment on our own, much less someone else's. I was wondering if any other facilities are doing this.
We use to have a charge nurse on first and second shift. But ever since they sold and went for profit. That position as well as several hundred others has been eliminated.