I recently graduated and got my first job in a ltc facility. I have for the most part enjoyed the job. Except.....
the last few weeks I have had this CNA working on my wing who makes me nervous as heck. I have this gut feeling that
my license is on the line when I work with her. She has done things like adjusting the O2 on a resident when I was trying to titrate it according
to the doctors order, then she freaks out that I had to turn it up. I was following the Dr. orders to titrate the 02 to keep resident sats above 90% after he breathed in
Some vomit and desated. She also has gotten hysterical that I wouldn't give a resident ativan, when she felt they needed it. My professional judgment was that the resident was temporarily ****** off for good reason and I felt the ativan would have been more of a chemical restraint, then a relief of anxiety, if used for that reason. So the latest fiasco was her giving a resident who is a major risk for aspiration who is on dr. ordered pudding thick liquids a glass of tap water and telling him and me that its ok that he drinks it as long as I am standing there to watch. I told her no and she put the glass up to his lips and gave him a drink anyway. I took the glass from her. I looked up the policy and proceedure of the facility because I seriously felt uncomfortable. Turns out rns are not allowed to determine pts swallowing ability at my facility. I am new to this place and this girl is making me nervous, I seriously don't want to work with her anymore. I have only been working at this place two months and its my first RN job. I am not even through my probationary period yet. The facility is short staffed enough as it is.. I don't know that I can get out of working with her. She doesn't listen to me though and I am really stressed about this. Anyone have any suggestions of what I can do?
