Reportable?

  1. 0
    I cared for a pt this week who had stage III wound ( it was 4cm deep, MRSA positive, and horribly painful!). This pt was documented as "MR" and lived in a group home. According to my pt, the cause of this wound becoming so bad was that a nurse (LPN) who worked at the home "popped" it like a pimple, spreading the infection to the proximal area. Then they delayed treatment for two days -- a doctor advised them to take her to the hospital, but they waited.

    Is this something that should have been reported as abuse?

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  2. Poll: Is this a reportable incident?

    • YES!

      62.50% 10
    • NO!

      0% 0
    • I DON'T KNOW!

      25.00% 4
    • IT DEPENDS...

      12.50% 2
    16 Votes
  3. 13 Comments...

  4. 1
    Reportable? As in abuse? Maybe he should have been seen to the doc a bit earlier, but we really don't know the entire story.

    What has the treating physician said?

    This is a hard one. Thanks for the post!
    virgo,student nurse likes this.
  5. 2
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    Last edit by JDZ344 on May 14, '14
    juzme and merlee like this.
  6. 0
    If you are staging it as a "stage III" that would indicate a pressure ulcer. A pressure ulcer does not start out as something that can be "popped". So my gut instinct is is that this guy has his stories mixed up as to what happened.

    No, I would not report it. There is more to this than they guy knows (or understands) and would appear to be a clinical issue rather than an abuse issue.
  7. 1
    Neglect, yes. Abuse, no.
    SCSTxRN likes this.
  8. 0
    It seems appropriate to file a complaint with the state board of nursing if harm resulted to the patient and the nurse acted outside of her/his scope and was without authorization from the doctor to perform the duties you described.
  9. 0
    If it happened as the pt states, then reportable. However, he would not be the first DD pt to get confused/not understand what had happened/out and out falsely report, so it's hard to say. Is there any way you can get more info?
  10. 0
    If the patient is a reliable historian and this is what happened, then yes. However as others have said, patients are not always the most reliable historians (non DD patients as well as DD patients) so the information regarding incorrect treatment/delay of treatment should be verified).
  11. 0
    reprotable??? Absolutely.
  12. 0
    Quote from GonnaBSN
    I cared for a pt this week who had stage III wound ( it was 4cm deep, MRSA positive, and horribly painful!). This pt was documented as "MR" and lived in a group home. According to my pt, the cause of this wound becoming so bad was that a nurse (LPN) who worked at the home "popped" it like a pimple, spreading the infection to the proximal area. Then they delayed treatment for two days -- a doctor advised them to take her to the hospital, but they waited.

    Is this something that should have been reported as abuse?
    Pressure ulcer? Nope...Boil or to those just out of school...carbuncle (haven't heard THAT in a while)...They come to a head and can POP just being touched. Reportable? Doubtful...probably was started on po antibiotics. I have seen them a lot worse than what you are describing. Especially with MRSA.


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