Salvation Army Clitheroe

... behind closed doors.

  • The Salvation Army blamed the Detox closure on the "national nursing shortage". Actually, the  Salvation Army used  LPNs, not RN's [R.N. = Real Nurse, L.P.N. = Let's Play Nurse]. Most of the time, the only staff on duty were an LPN and a PNA.  [In many states LPNs are not allowed to do a lot of the things that Clitheroe LPNs did, (like give injections and dispense controlled substances)]. 
  • Detox only needed one nurse (i.e. LPN) per shift. That means they needed 4 full time and one part time nurse (i.e. for 24/7 coverage). Both supervisors were nurses. Supervisors alone could have covered 50% of Clitheroe's nursing needs. 
  • Even though Clitheroe had more Directors and assistant Directors than it could count, somebody decided that the staff of two in Detox (LPN and PNA) needed two more supervisors. Sometimes there was one "regular" employee working with two supervisors, and nobody was doing anything for hours. Both supervisors were inexperienced LPNs with church credentials. Neither had experience or education to qualify them as supervisors.  There was only one staff nurse  who had less experience than the supervisors (!)
  • Turnover among nurses was very low, because the work was so easy and benefits were so good. Only a few nurses left Clitheroe voluntarily. 
  • Three or four nurses lost their jobs for giving the wrong kind of love to a client.  





The overtime / straight time ratio for nurses and PNAs was pretty close.
  • Clitheroe could as well have complained about the "nationwide PNA shortage". They would have had a problem explaining how they had difficulty finding people for a position that pays well, has excellent benefits and only requires a HS Diploma or GED.    

  • There are some hard working Clitheroe nurses, but a typical 8 hour nursing shift is
  1/2 hour of charting and other paperwork...            ...3 hours playing on the computer,
  15 minutes of treatment related phone calls...           ...2 hours of reading magazines
  15 minutes talking to a client...                               ...1/2 hour of socializing on the phone
  1 hour+ of giving meds to residential clients...         
  1/2 hour of report...