Terminated 15 mins after state left

Specialties MDS

Published

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Hello to all. I'm still a bit bruised and still up, not able to sleep after what just took place two days ago. I have been working as MDS coordinator for a swing bed LTAC facility and 15 minutes after state left out the door and the announcement was made that we met 100% compliance and all was good, I was called into admin office and termed effective immediately. I am absolutely blindsided by this. When I was hired in, the facility was in such a clinical and charting situational mess. All was cleared up and care plans and MDS were now right and proper. The calculated timing of having me there full time and especially having me there during state survey to be in compliance and then literally walking me to the time clock within minutes after state left, handing over my badge and keys was a deplorable act beyond the beyonds in their handling of me. I couldn't even save the section C I was on and shut the computer down. They didn't even allow me to show them the care plan I had printed off sitting there, that they stated I had not even done or completed on due date (which they stated is the reason for immediate dismisal) It was sitting right there in the office. Due date post admit on the care plan was the very day I was terminated. I'm speachless and really distraught over this. Now I realize why they hired me full time and had it in mind the whole time that when state inspec passed and they were through, that they had no intention of keeping me past that point. I was completely duped.

Has anyone ever been hired in, payed an excellent pay rate, allowed to sign up for all your benefits etc and then escorted out to parking lot after inspection? I am going to say that this is probably a very rare occurance with MDS coordinators. Were these administrative dept heads not even looking at the calendar and ARD dates to see that the care plan in question was actually done and sitting on my "to sign" shelf? Brutal, just cut throat brutal. Their care plans and MDS were a disaster before I came in, and now that all areas were fixed they terminated me. I honestly don't know what to do now. How do I go for another position when I don't trust that I can even state them as my last employer/reference as dirty as they do business?

Specializes in med surg ltc psych.

Actually she should have been given more than a 1 hr notice and in writing, and in advance that they were dismissing her for not approving her to reducing her work hours to 32 per her OB doctors order.

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She wasn't able to work full time because she was pregnant. If that were me, I'd be calling a good lawyer. (:eek: if I were pregnant, I'd be jumping off the Bourne Bridge but that's another story!)

lol.... I have been to the Cape once.....slept on the way, is the bourne high enough?

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Specializes in Gerontology, Med surg, Home Health.
lol.... I have been to the Cape once.....slept on the way, is the bourne high enough?

LOL...since the new suicide fences are 12 feet high, and the drop to the water (at mean high tide) is 135feet, I'm thinking it's high enough.

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LOL...since the new suicide fences are 12 feet high, and the drop to the water (at mean high tide) is 135feet, I'm thinking it's high enough.

yeah, that should outa do it.....lol

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Specializes in Gerontology, Med surg, Home Health.

Some days, I wish they'd terminate me! DPH twice in two weeks for ridiculous things...corporate without a clue and an admissions person trying to fill the beds with anyone.

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Specializes in med surg ltc psych.

It's going to sound very derogatory of me to say, that a lot of the corporate entities we may have to work with in the healthcare industry have simply lost all their human traits. I mean, they don't see the act of caring or providing care the way so many of us do. Over the weekend I had a thought and a vision come to me. It was the corporate nursing facilitator administrator's face (the one who termed me) and frail body and poor health (significant emphysema) that made me think that some time this person will be incapacitated in a bad way. And will be cared for by a nurse like myself. And while _____ is declining, there is a nursing facility administrator not wanting to send her out when it becomes medical emergent because the facility will loose those Medicare days. No, even they don't deserve to be looked upon as a bed number with a per day $ amount entered in the business office. I think it is then, that their human traits may resurface.

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Specializes in LTC/SNF, MDS.

I feel your pain. I have had similar experiences twice in my career. It is best to put it behind you and begin again. TRUST NO ONE! And there are many job opportunities for Nurses now. So dust yourself off - When one door closes another opens... Usually a much better one.

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Specializes in med surg ltc psych.

Follow up on this rodeo.. One week later, after seeing the job posting for the MDS coordinator position to replace me I then see another posting for the sister facility. This time they have 5 positions posted in the same ad. One for ADON MDS coordinator, treatment nurse, LPNs and CNA's. The very same regional administrator that axed me, made the marketing director and social worker quit is also the administrative DON over this other facility also. I think after she got done with her collateral damage where I was, she went over there and blew them all out also. The regional MDS that I was working with one day a week, did nothing but complain about having to oversee some of their MDS work, and I think she complained up to Little Napolean and while they were in there, cut them down like weedwhackers and some got fired, and some quit under her ADD hyperkinetic frenzied requests. Two facilities back to back? Timing was impecable. Corporate sociopaths.

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Specializes in Med surg, LTC, Administration.
It's going to sound very derogatory of me to say, that a lot of the corporate entities we may have to work with in the healthcare industry have simply lost all their human traits. I mean, they don't see the act of caring or providing care the way so many of us do. Over the weekend I had a thought and a vision come to me. It was the corporate nursing facilitator administrator's face (the one who termed me) and frail body and poor health (significant emphysema) that made me think that some time this person will be incapacitated in a bad way. And will be cared for by a nurse like myself. And while _____ is declining, there is a nursing facility administrator not wanting to send her out when it becomes medical emergent because the facility will loose those Medicare days. No, even they don't deserve to be looked upon as a bed number with a per day $ amount entered in the business office. I think it is then, that their human traits may resurface.

OMG, I can't take it anymore. Well, for awhile, but what you wrote here, is so true. They simply don't care. I know life doesn't matter much anymore, but in nursing...come on. But it is true. What happened to our profession? Sure, you can go to another facility and bust your butt....but they may end up doing the same thing. It is pandemic. Everywhere I look, everyone I see, says the same thing, They Don't Care. Before we were judged by our hard work, our loyalty, our dependability, but now, one small person can end a career, without batting an eye. I know our culture has lost many of it's humane ways, for the almighty dollar, but this is getting ridiculous. You are over 50, with emphysema, I say go the age discrimination or disability discrimination route.

I would have never said this 10 years ago, but they are forcing us too. I am MDS, love it, love my hours, no more floor nursing, and the other perks that come with it. I know how I would feel, if they did this to me. I am also over 50. I plan to retire at this position. But you know what, the same thing could and I wouldn't have any power to stop it. This just sickens me, the state of our profession, but more important, lack of humanity. Peace!

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Specializes in med surg ltc psych.

Chin up, my dear, it is not I who has the emphysema; it is the regional Little Napoleon administrator who came and mowed some employees down. I know what I have posted sounded quite awful. And it is. The above reference I made about this person some day perhaps needing care, is a reality in my estimation. You are seeing what I have been seeing. You're right about this once respected, highly regarded profession being dehumanized. Most of my nursing friends and associates don't get to stay in any one position for very long these days. We are either driven out by having to resign, or terminated for not starting a single PO antibiotic (as happened to my buddy when she could not find the med from pharmacy due to sloppy handling from previous shift, and no emerg kit med available) When a good prudent nurse is fired over one late start antibiotic, that's beyond the beyonds to me. I have resigned to the fact that for the remainder of my time to continue working, I will have to accept that I will be starting over, and over and over again. It all seems to be temp work. Facilities hire to fill a panic filled need, and then they decide they can get along without a nurse after all is smoothed out, and bump! there goes another one. Like you, I really liked doing MDS. I was pretty darn good at my assessments, and got to say was highly offended to be told I coded a dx incorrectly when in fact upon admit, this res did indeed have mrsa and I coded multi drug resistant organism and was being treated at the facility with Zyvox. This was one of the MDS that Little Napoleon said needed to be corrected without any followup with me to show the documented proof that the MDS standed correct as is. And the care plan to go with the new admit MDS? Was done and printed and signed sitting in the office, but typed out on my termination paper that I had not done it. What the #@&!

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Specializes in Gerontology, Med surg, Home Health.

So if it's so rotten, why do we keep doing it? I have never been fired but I guess it's just a matter of time. I've never had a bad survey as a DNS, but again, since I am human and make mistakes, it's just a matter of time. Is it just nursing or is every business so much about the bottom line these days that nothing else counts?

In Massachusetts, the average length of stay for a DNS is 15 to 18 months....small wonder given the way some of us are treated.

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So if it's so rotten, why do we keep doing it? I have never been fired but I guess it's just a matter of time. I've never had a bad survey as a DNS, but again, since I am human and make mistakes, it's just a matter of time. Is it just nursing or is every business so much about the bottom line these days that nothing else counts?

In Massachusetts, the average length of stay for a DNS is 15 to 18 months....small wonder given the way some of us are treated.

and since i know of a couple in the worcester area that have been in place for 10-15 years....you know the average is even less for the rest....

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