What are your thoughts?

[Roda dendron]

My first Nursing job out of college was at an ALF, which I no longer work at. I was hired as Nurse supervisor over the Med Techs and CNA's. All staff was to wear blue scrubs, have short nails, come in on time etc (basic rules that were in the handbook.) We had this one MedTech/CNA who had long nails (even hurt a patient with them once, but she continued to wear them) she would come in wearing whatever scrubs with a white nurses vest, She even came into work late (1.5hrs late) a few times, She didn't like for anyone to count her narc drawer when she was late, she would take selfies on company time and post them to facebook and it was written in the handbook that being on cell phones while clocked in was a "no no", she even call's herself a "nurse" but where's her credentials? . When these issues were brought up to Management And the Executive director they swept it under the rug, But yet the expect the Nures to follow the rule book and to do our jobs as we were hired to do. Management assigns her the med cart near the Nurses station where she sits at and plays on facebook and takes selfies most of the day. I don't understand how one could get away with such things other than maybe she works long hours (well not really if she's playing on her phone most of the time). Someone said to me "she must know where the bodies are buried, so to speak). Does anyone have any ideas as to why she gets away with this behavior at work? Has anyone ever seen this go on before in their place of employment? if so how was it resolved and how did the end result turn out?

[dawniepoo]

I don't understand how a CNA has access to narcotics. If that's the case then that facility has more problems than what you mentioned.

[NotMyProblem MSN, ASN, BSN, MSN, LPN, RN]

I don't understand how a CNA has access to narcotics. If that's the case then that facility has more problems than what you mentioned.

CNAs in ALCs/ALFs are Certified Medication Aides (CMAs) as well; not all are, but the ones who administer medications are. These types of facilities are not nursing homes, but are considered to be the residents' personal homes away from home (by regulatory standards), where the use of licensed personnel to administer medications is not required.

Most, if not all, of these facilities are private pay...and the residents can/do pay dearly (by my eyes) to live in an environment like this.

[NotMyProblem MSN, ASN, BSN, MSN, LPN, RN]

To answer the OP, in these types of facilities, the dress code (including nail length) is determined by the facility's owner...aka the person who wrote the policies. They don't have to enforce the policy if they don't want to.

However, if a resident was injured and a complaint was filed with the agency that issued their permit, they can be cited for violating their own policies and procedures, which led to resident injury in the end. Once these citations begin to hit them in their pockets, they'll do something about the issues that are causing the citations.

[Libby1987]

Did you go through the disciplinary process as if she wasn't someone's niece and your reports were dismissed or ?

[Roda dendron]

I wrote a report that was "supposedly" sent Up the chain. However, I doubt it ever was. The facility has a high turnover rate. (now I know why). I have come to believe its a Management problem. Being the reason I'm no longer there. When you have CNA's cutting each other up with box cutters and the LPN"s car's getting vandalized and The Executive director not implementing rules, well i guess these types of issues arise. I just hope that all nursing jobs aren't like this. this was a bad experience for my first nursing job. This particular Med tech went into my patient's room and talked bad about me in front of my patients, the higher ups did nothing about it. Please tell me that all ALF's are like this?