I did my nursing clinicals here, and did note several unusual things as a student.
I've seen nurses who can't speak English not even care about the residents not understanding them. They'd make fun of the residents when they looked confused as they babbled to them in another language.
When I told a nurse about something about a person needing pain medication she ignored the request. I spoke my English slowly so that I'd be understood.
That same shift a person almost bled to death there. One lady had blood all over her gown from her mouth. It was just a few hours after I'd started my afternoon clinicaI. I told the nurse. The nurse saw it and shrugged. She did nothing. I told a respiratory therapist. The therapist came up to the nurse to give her a hug and an invitation to 'their' niece's birthday party. I waited til she left the nurse and followed the therapist asking about the bleeding resident. She said the nurse would take care of it. Nothing was done. My clinical supervisor was no where to be found, and I had about 2 hours left to go in the clinical. A half hour later, a young lady came up to Miss Do-Nothing and chatted about 'the niece's party', hugged the nurse and said that she'd be there but might be late. She waved at me as she went down the hall. the CNA's said she was the Director of Nursing. I asked if everyone here was from the same family. The CNA's laughed and one said 'practically'. The patient's bleeding was still going on. The CNA's there were really concerned but gave me a sideways look when I said people didn't seem to be doing anything about it, the bleeding.
When an oncoming nurse came on in the next hour to take over the hall from this do-nothing nurse I listened to the report, the information nurses give to the next nurse at the end of their shift. In report when it came to giving information about the bleeding resident she told the oncoming nurse that nothing was wrong with this particular lady and tried to leave for the day. The afternoon nurse however stated that she was a per diem, and always did rounds at 'this place' and that she saw the bleeding and wanted to know when this resident was going to be 'sent out' to the hospital. The do-nothing nurse began to stutter and said she knew nothing about any bleeding, that she had to go as she had church in the morning and that since the bleeding had just started it wasn't her job to send this resident to the hospital, that it was the responsibilty of the new oncoming nurse. She also said that if this per diem (on call) nurse didn't do her job she'd report her to the DON (director of nursing, her…relative??)
Next up--the respiratory staff. Many seemed also to be a part of this extended 'family'. But they all seemed to have a too-relaxed work ethic? There are a lot of people here on ventilators. Alarms kept going off while the respiratory therapists were on smart phones at the nursing station. I never saw one alarm being answered in an urgent manor. If a CNA asked for an 'RT',a respiratory therapist, I'd see the RT play on their phone for at least 5 minutes before going to the resident's room. (My clinical instructor told us we were not to use phones in clinicals and definitely not 'on the floor' when we graduated.)
Next up are the wounds I saw here as I helped in turning residents for CNA's (who seemed to be always working short staffed.) HUGE holes in the sacral area of people. Dressings on them that were basically falling off and smelling horribly. The CNA's said that only certain nurses would change the dressings when they asked them to. The 'do-nothing' nurse and her 'cousins' were the 'ones you don't ask' :((
I know I graduate soon. I've done clinicals in hospitals and other nursing homes, but I've never seen a bunch of staff like this place has. I told my clinical instructor about the incidents I witnessed and she said she'd approach the DON and the higher ups in administration about what transpired.