disgusted and confused

1 I work for a facility that almost anything goes. Management is incompetent and do whatever they want to do. This one particular one of the two has no tact or discretion about herself. She is unfair in some of her decisions. She has allowed incompetent nurses to work our floor after repeated warnings from staff, allowing for this care to lead to death or injury. Most recently we had a nurse who violated HIPPA, and merely got a slap on the back of the hand. I just would like any and all opinions on what can be done about both issues.
I hope no nurse's incompetent care has lead to a patient's death or even harm. If that is the case, they need to be reported to your states nursing board ASAP. If management at your facility truly allows this kind of care, I would start looking for a new job ASAP.

Quote from mvg rnI hope no nurse's incompetent care has lead to a patient's death or even harm. If that is the case, they need to be reported to your states nursing board ASAP. If management at your facility truly allows this kind of care, I would start looking for a new job ASAP.

I don't know what to tell you other than a new place to work would be a blessing for you...As far as the HIPAA violation, if it's not pursued to the higher levels, a slap on the wrist is probably all she'd get. When they have to fork over the ?$50,000? for the offense, the individual miiight be in another type of boat.

I would love to say that bad facilities eventually get caught, but that's not the case. You could report them, but plan on looking for a new job sooner rather than later. They cannot technically fire you for the report, but as we all know there are a million reasons to fire a nurse. The state will investigate, maybe find something wrong, slap a fine or a wrist, and nothing will change. I'll bet this facility is real good at covering their behind.You can just work there, wear your blinders, and do the best you can. You will change nothing if you stay. Or you can quit. You can only take care of yourself.I regret that my post is so negative, but it is accurate.

If an incompetent nurse's actions lead to the death of a patient, that needs to reported immediately to your state BON, JCAHO, and AHCA if necessary. I'd also start looking for a new job. Chart, care for your patients, and cover your butt at all times.

If you can provide documentation and/or proof notify state BON or your certifying agency (JCAHO?). If something bad happens make sure that you look like the competent voice of reason on paper (i.e. provide honest, complete documentation in your charting). If you are privately owned consider notifying the big bosses, after doing a risk-analysis for your job protection. They might love to know they are being put in legal jeopardy every day. Assess whether you have the means and will to effect change from within, or look for a better work environment. If patients are at risk, you are should definitely report it, perhaps timed with your resignation.