So I'm working at the LTC and I only had 2 days of training. And yesterday is my 1st day working as a CNA, on-call. I work from 3-11pm caring for 19 pts. I supposed to work morning-shift but yesterday it happened to be afternoon- shift, ratio is 1:19, 3 cna at each station. Morning shift ratio is 1:8, 5 cna at each station. Again yesterday is my 1st day working and and patient fell
when she tried to get out of bed to get her slipper. I didnt even know this event happened til later the nurse informed me about it and said that the pt is ok, no injury. Then the nurse did the incident report about this fall and asked me to wrote down my name and signature. When my pt fell I was busy caring for my other pts. I felt so guilty
when I heard that my pt fell even though the pt dont get hurt or anything. By the way this pt can do some walking w/ the assistance of the walker but she mainly sit in her w/c to get around.
My question is, am I gonna get fire or in trouble about this? What happen to that incident report now, are they gonna send it to the state or the higher up to go against me
? I'm so worry and upset all night about this thing, plz let me know am I gonna get in trouble about this...
May 3, '10
Let's say if my pt doesnt ask for my assistance and they get up and fall and get hurt badly so in this case am I responsible for this fall, am I get in trouble for this or not? In my original post my pt doesn't get hurt but what happen if next time the pt get hurt for not asking for my assistance. So this time am I still dont get in trouble, b/c the pt doesnt wanna ask for help.
I'm wondering all about this b/c I had another pt that refuse to let me help them change brief, ect b/c I guess they're embarrassing and they think they can do by themselves. This pt can moving around w/ a walker but a little weak. This pt is the spouse of the pt that fell which I mentioned in my original post, they're roommate.
Last edit by tavia_yeung on May 3, '10
May 3, '10
Thank you very much cloudstrife1ph and coffeemateCNA for the great advices.
Quote from cloudstrife1ph
just don't forget to inform your supervisor about the refusal asap to protect you if something bad happen about the patient's refusal...
Thank you for reminding me about this b/c I forgot to inform the higher-up or nurse about the pt refusal, but next time I would remember to do so to protect myself from getting blame on for the fall.
Quote from CoffeemateCNA
Make sure you read any paperwork that you sign.
Thank you for reminding me about this b/c when the nurse gave it to me I just signed it and forgot to read it before sign any paper.
Last edit by tavia_yeung on May 3, '10
So I'm sitting here watching Trustpoint Hospital in Murfreesboro TN go through some excellent chang not all that Glitters Is Gold here. It's being taken over by a Acadia. That's the golden side. It's going to be an awesome place when it's done
Today I feel sorry for poor nurse who's got excellent rating reviews except for the last 3 weeks. This particular nurse has had three jumpers. People who get out of bed and fall. The first one managed to use a phone cord to undo the restraining tent. The second one had an NG tube and managed to walk across the room when the nurse went to escort them back they jerked away from her and fell to the floor. The third one was one that was not to have the alarm turned off but she managed to talk the CNA and the turning it off. The patient immediately left the bed and fell to the floor period even though the CNA had the patient explain to the nurse and own up to the patient asking to have it turned off and the CNA admitting to it the CNA was not reprimanded or given a day off now the nurse is on administrative leave facing termination period She is a newer nurse that I believe has been here approximately a year This nurse is held responsible for all three occurrences and is facing termination today. So Acadia is using this hospital as to be quote their Flagship Hospital unquote.
So all-in-all to make this Hospital look gold you're going about it the wrong way and not handling things correctly this nurse is an excellent nurse who still need some more grooming but they're throwing her to the wolves and kicking her out the door only to start over and repeat the cycle again. It's true I'm feeling some animosity towards the hospital and their policies over proper training of a Night Nurse to Acadia yes it's more about the share holders paper to compete with Saint Thomas Hospital across the road. Yes it's true the pay here and the differentials for night and weekend are excellent in contrast to the other hospitals around. But if you're willing to take higher pay here, you may be at greater risk to jeopardize your accreditation and your license so take a lesser paying job with more training . I wish this nurse good luck and prayers are with her and her family. The Nurses Union is about to come full play in Tennessee , but not soon enough. Fire at will as abused here in Tennessee all too often.
Last edit by Menders Heart on Mar 7