Unethical?

Specialties Geriatric

Published

There is a situation at work and I just don't know how to handle it. I work in LTC as a CNA, and I've found that the majority of nurses in my facility refuse to participate in a lot of care because it is for "CNAs", not nurses. Usually I can just laugh it off, because it is something silly like putting socks on a resident, but this situation is different.

I am nurse delegated, and my only job is to pass the medications to residents in assisted living. The evening med assist shift is only 4 hours (4-8pm). After the med assistant leaves, it is the nurses' job to give any PRN medications. Almost none of the residents want their PRN sleeping pills before 2000, so I let the nurse know that so-and-so wants their sleeping pills at ___ time. This nurse says that is completely unacceptable and that I am not doing my job. She got the sleeping pills and said, "Follow me". She then went to each resident and forced them to take the pills against their will. She said, "see? you can give them pills you just have to be forceful." I reported this situation to the head nurse.

The next night before I was done with my shift, I called this nurse to do count. I was surprised when TWO nurses came to count. It was an ambush. The eve nurse called the noc nurse to come in 2 hours early just so they could gang up on me. Both started lecturing me on how they shouldn't have to pass any medications because if there was a fall, they would be too busy. Everything I said to defend myself was shut down because it was 2 vs 1.

I am just wondering what you more experienced nurses would do in this situation. I have worked at this facility for a few years, but this nurse has worked there longer than I have been alive. I don't want to lose my job, I really depend on it for income, but I also don't want to be unethical and force people to take pills.

By not reporting it, she could turn it around on you. Just be careful. Please report it to someone.

By not reporting it, she could turn it around on you. Just be careful. Please report it to someone.

I worry about this too. Luckily this was over the last 3 days so I hope the delay isn't too long to cause an issue. Also I did report it to the nurse supervisor after the first night but I think that made things worse.

Specializes in Urgent Care, Oncology.

Am I wrong to suggest reporting this to agencies outside of your company?

Specializes in Psych, Corrections, Med-Surg, Ambulatory.

Request a meeting with someone above your immediate supervisor. Remind that person that you are a mandated reporter and that you wouldn't want to see such a nice facility get stuck with heavy fines and lawsuits. You really are doing them a favour by giving them a heads up. If they're smart they'll straighten out the errant nurse before she creates a huge problem. If they're dumb they'll just fire you and you have nothing to lose by blowing the whistle on them. Let's hope they think about that. Good luck to you.

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