Monday, July 5, 2010

So little to do

So far, doing very little is going well. Then again, Doomsday supervisor has not been on duty.

I am tense and rushed at the beginning of the shift. Once I get the evening shift out, I may or may not update the CNAs. Then I do chart check and the treatment records, when I am fresh and have the most energy. Then I hit the floors for the 12 a.m. meds and the vitals. I document around 2 a.m. (not after 7 a.m.). If nothing is wrong, such as a fall or an illness, I have about two hours to myself. I can't believe it. Around 4 a.m., I fill out the med books, set up my carts, and start the 6 a.m. meds. Done by 7 a.m. with time to spare.

It's difficult to not do "extra" work, but I am succeeding. When I wonder whether or not to do something, I consider whether or not it could result in the loss of my license. Thinning charts: nope. Cleaning the kitchen: nope. So I don't do those things.

Friday, July 2, 2010

Alarms that few can hear

I worked a long-term floor last night, which is so much easier than the subacute. I easily finished and punched out "on time." I skipped a lot of paperwork, but nothing that can't be done by somebody else at some other time. But will not be.

Doomsday Supervisor barely spoke to me. I can't trust her anymore, so I spoke to her only when necessary. She told me that the "alarm situation" was taken "very seriously" and that if a bed alarm is found turned off or otherwise sabotaged, there will be "swift action." That's a load of crap. Nothing will happen. She said that the aide was suspended for admitting to disengaging the bed alarm. No she wasn't. She was sitting in a chair, knitting, talking into her cell phone on speaker, glaring at me when I arrived and began the shift endorsement.

The other issue, important to me only, is that certain aides feel very comfortable ordering me around and screaming at me if I contest. Doomsday didn't mention that part of my complaint and I didn't ask because I'm not conversing with her.

Thursday, July 1, 2010

Fallout continues

I made it through the night and punched out on time. That's quite a feat, especially because I was floated to the subacute floor and it was the change of the month paperwork. The evening shift stayed over, holding me up, telling me I had to wait for them to finish with the books. I did whatever I could until they left. I saw several errors associated with the new month's records, but I had to leave them, as I did not have the time and they can't be associated with me. Under this new "stay out of it" rule, I don't do anything but pass meds and document on my patients.

Doomsday mostly stayed away. She did come to me and tell me that not all of the end of month paperwork had been done on another floor. She said that I did some of the work for the day shift, and she wanted to know why. I attempted to remind her that she told me that when I finished the night shift's papers, I was to help the other shifts. She denied it and said, "This is why you should mind your own business. Because you did some of the work, they assumed that you were going to do all of it, so they overlooked certain charts." I didn't respond. That's her determination- the day shift had not yet returned to explain why they didn't do all of their work. "Certain charts" were overlooked because they are complex and targets for state surveyors. Doomsday has emphasized that the unit manager is responsible for ensuring that all charts are done for the month; I have nothing to do with it. So why is she telling me this?

I don't know what she has in store for me. I just know that I have to move on.