After searching for many months, I finally got a job in a clinic. The hours are great, the pay is what I need, but the conditions I work in are awful.
This clinic serves a very poor community. I'm trying to be as generic and anonymous as possible, so the best example of the type of nursing I do is a school nurse to adolescents and some young adults - some of which live on campus. The clinic is either state or government funded (I'm not sure which). I've only been an employee for a week now, and I've seen so many things that are so wrong. Because of the efforts to cut costs, medications that are prescribed for patients that live on campus that are not finished by the patient are kept in drawers in the office (like scattered in different drawers - no organization at all). If a patient comes in needing to see the staff doctor and is prescribed medication, rather than getting the new script filled, first the medication drawer is searched. If the drug is on hand, enough pills for the prescribed time is taken out of the original container (the container from the pharmacy when it was originally filled with the original patient's name on the outside of the container) and placed in an envelope for the patient to take. Controlled substances (ex: adderall, lortab, ritalin, strattera) are, for the most part, kept in a cabinet that does have a lock on it, but the medications are never counted, and I witnessed another nurse drop an ADD medication and not even bother to try and find it. I imagine it's still on the floor somewhere. The other day, I walked into the office, and sitting on the desk was a patient's prescription of adderall. Anyone could have walked by and taken it.
There are other things too, such as the cleanliness of the office and the giant mess of papers and charts everywhere, but I worry more about the medication issues.
I'm not sure what to do. I could quit, but I don't see that as solving the problem, and I really do like my job despite the lack of medication administration protocol. Where, or to whom, can I report the clinic to? What would you do?