RN overseeing not sharing care plan. Any advice?

If you r part of an agency bring it to ur supervisors attention in writing. Like said, an RN follows Dr. orders. Also, your patient is in her own home and as such cannot be made to do anything she doesn't want to. This would be abuse.

Have you asked the RN to share the care plan with you? You can do this under the guise that it is your job description to be a part of the CP in your scope of practice and you want clarity on your duties.
200 hours a month is not unreasonable if she works weekends as overtime 2x/month.

Cwillie, I interpreted "CNA at a home" as at a nursing home. But pehaps not.

Rocketjcat, I believe the family in question are not in a facility but are living in the community so the opportunity for abuse is much greater.

Another thought, in Moms NH the CNAs are responsible for walking the resident if called for on the plan. Seems like it would be a reasonable question if you ask the PT department for "guidance" on walking the resident. They will tell you the straight scoop on whether she is supposed to be walked or not, since they are the ones responsible for that portion of the care plan.

RNs are not infallible, this whole situation sounds very off to me. Yes, report and keep reporting until someone reviews what is happening, it is a sad fact that often often something goes wrong people will confess that they knew something was wrong but didn't act or weren't believed.

I commend you for caring for your resident! I’m sure facilities differ, but in Moms NH her CNAs have no idea what medications she’s on, since they doesn’t pass meds, the LPNs do. They watch for changes of behaviors, vitals etc and document those. So there may be med changes that you aren’t aware of however. RNs cannot remove or add medications without doctor approval. In Moms facility her Nurse Practitioner is the one I would go to if I had questions on her care plan and the LPNs or RN couldn’t give me the answers. Since you're an employee, not a relative, it might be a touchy situation. When I feel I need to tippytoe around something (not often) I contact her social worker for advice. Maybe that would be an alternate path for you.

Aren't you a mandated reporter?

Not sharing the care plan, tinkering with the px, being lavish with her time (is she actually doing the work?)... if you have concerns about these things, you must report them. You can report them to your employer, to her employer, or in confidence to APS. But there are questions to be answered and you really don't have a choice - tell *somebody*.

You should definitely report this to her supervisor, or authority.
Someone with more information should chime in.