So scared - Turning me into the BON for "failure to report the act"?

Been there,done that, ASN, RN · Mar 19

Paranoia strikes deep. What is APS?

RnAmy2000 · Mar 19

Adult protective services- he's not very nice at all

RnAmy2000 · Mar 19

amyrechel said:

Adult protective services- he's not very nice at all

Well, I know it's not his job to be nice, but he is just completely an *** to everyone pretty much

delrionurse · Mar 20

Was the patient harmed? I don't see what you should have reported if there was no patient harm. It just sounds like coworkers and the family were being vindictive, or making a big deal out of nothing. You maybe should have done it, but you didn't ask him to do it either.

RnAmy2000 · Mar 21

No patient harm- and honestly I was in the wrong for not stopping it , he's trained in phlebotomy, I think since he was not contracted as the phlebotomist is why they are making a big deal! Which I'll never ever do again, Def lesson learned for sure!

ponderingDNP · Mar 21

I'm not sure I'm understanding. He's not contracted but he is an employee, correct?? Does his resume reflect phlebotomy as a skill?

My personal opinion on this (as a former surveyor) is that nothing will come of this if he is an employee and holds a nursing license or certification in blood collection. Most job descriptions have a clause of 'all other duties as assigned', based on skill set.

With all my years of nursing, certification in blood collection has never been required, yet it is the expectation that we collect it and start IVs proficiently after being 'shown' how it's done. I'm going to assume that even you have not been certified in blood collection. For what it's worth, every nursing home that I've worked in had a staffing coordinator that was pulled out of that role everyday that a nurse called in and the skills were required on the unit IF said coordinator had a valid nursing license.

As a previous poster stated, the vindictiveness of the coworkers and family is probably guiding this. Moving forward, go ahead a think about developing your plan of correction highlighting a training/skills check-off for blood collection in the absence of a phlebotomist. I would have this ready to present before they ask for it. Be proactive and show ownership of this overkill situation.

Also, I can appreciate your willingness to help because that's what you are more familiar with and experienced in. You may want to think about weaning yourself away from hands-on tasks and embrace the demands of the new role in leadership since there is so much to learn as a new RN and ADON. There is a different critical thinking process that will take precedence in some seemingly-simple situations.😉

offlabel · Mar 21

Let him report you. Frivolous crap goes to the BON every day. Sleep well.

nursej22, MSN, RN · Mar 21

This kind of bull pucky is why facilities lose staff.

Original poster, if that is your real name, I suggest you change it.

delrionurse · Mar 21

amyrechel said:

No patient harm- and honestly I was in the wrong for not stopping it , he's trained in phlebotomy, I think since he was not contracted as the phlebotomist is why they are making a big deal! Which I'll never ever do again, Def lesson learned for sure!

Honestly you didn't do anything so horribly wrong. This was a staff member. Staff members do patient care everyday. It may not have been their job duty, but SNF's should take staff where they come, some can draw blood, some can transfer patients, some can feed the patients. It's not like they gave meds. Every place I've worked they had to rely on someone to draw blood if there was no lab service coming in to do it. This person was certified, not someone off the street who came in and drew blood.