What if?

I'd wonder if I was back in junior high school.

Very professional huh?

I personally wouldn't worry about the 'spy' if I wasn't doing anything wrong. This 'reporter' will be wasting his or her time if they are sitting around trying to get you in trouble for not giving meds that are not available. Couldn't you call and talk to a pharmacy manager or something if you have an issue with not getting meds on time? Even so, the 'spy' should have nothing to do with that and personally I would stop worrying about it. They probably just want to start drama.

For the pt: "Med not available." If this person truly is reporting, do not do anything that can get your license in trouble.

In the long run, I'd be looking for another job. If the "What if" were really happening, I mean.

Oh yes it really is hapening. I was given this info from a nurse who has worked at this facility for 13 years, she says she is in a panic over this situation. I was ignoring it until I was called to the DNS office and spoken to re holes in the MAR. I told the DNS to check my med sards (we have to initial them) she did and that was the end of that for now..............we have one nurse who is fighting for her license (not sure what happened there, it was before I was hired) and another who will be fired if she makes one more mistake. She turned away from her cart and there was a cup of meds on top, the DNS caought that one herself.

I HATE drama, but I really like this facility...........the residents and my co-workers.

You worked in a small facility. 2 nurses 4 aides per shift, and were told to watch your back, that there were "spies" on the floor? What if you found out who this person is by being direct and asking her? What if this person made the same errors as everyone else but instead of knowing she was human and not faultess, she was a "reporter"? How would you handle a situation like this?

What if you facility was in one town and your pharmacy was 80 miles away, med orders are faxed and often late in arriving or don't arrive at all. What if you had 2 patients on psych meds (not in the e-kit) who were out of that particular med and the pharmacy when called said they would taxi them up and didn't? Would you borrow or circle and state "not available"? Considering that the "spy" is in the house.

What if? What would you do?

What if the DNS approved of having and even encouraged the "reporter" calling it a med audit?

You know what, Brooklyn born, I have worked at a horrible LTC facility such as the one you're describing. I used to chart on the MAR by circling the med that wasn't available and putting on the back of the MAR, "med not available". I would always be accosted by the nurse supervisor and she would say, "we can't chart that" but I don't care. I don't care if the State comes in and sees that type of charting. I actually hope they do. Then that way, we wouldn't have problems with getting our meds when we need them.

I know how it is. I'm no longer in LTC, even though I LOVE working with the elderly. There are indeed some "spies" amongst us. And when I quit, I told the DON just that. I told her that I can no longer work there. She wanted me to work ALONE with 48 patients on 2nd shift. I told her, "____ no!" I wasn't about the GIVE my license up that easily. I loved my residents, but I had to go. I told her that it was too many people up in there trying to deliberately find mistakes to report someone on. And when you do make a mistake, they don't give you a chance, they just hang you out to dry. So, I left and I'm now VERY happy at this wonderful rural hospital on a medical floor. I was even considering leaving nursing all together. But the Lord felt that it wasn't quite time for me to leave and found me this wonderful place to work.

My suggestion to you is to leave this place you are referring to and go somewhere where you are needed and not used. If your license get's revoked, how are you going to explain that on a job application? It's not worth it.

I am heartbroken at the idea that I may have to leave this place. I think I will stand my ground and just be careful...............who know's princess perfect may fall from her throne some day and I would hate to miss that.................. Just like I told the DNS I have been a nurse for many years, have never had a problem, have never been forced out of a job and have very braod shoulders. My patients are my first priority, I did not come there to make friends but to care for people. She knows she can not intimidate me..........(I think that is what she DOESN'T like). I expect I will miss some things I am not perfect, but I am careful, VERY careful..........

oh yes it really is hapening.

sorry, i didn't mean it the way it sounded. when anyone says "what if", it generally means that the speaker does not yet want to state that it's actual. i was playing along with that.

I'd wonder if I was back in junior high school.