We have a new policy in our LTC/rehab facility that states the nurse is now responsible for giving the enemas. Apparently there was an incident where a elderly, confused lady was due for an enema. She resisted and sustained a fractured arm. I don't know all the details but now our policy from management is that the nurse gives the enema. What is next? Who wants an enema???? They can refuse. And it sounds like this lady refused, you don't have to be the nurse to make that judgement. Resident rights is something that all employees should be aware of.
Aides at my work can not give anything that is prescribed (including high calorie drinks or surgical stockings) because we are not allowed to sign off on the MAR sheet. A nurse has to sign that the medication was given. The nurses, rightly, will not sign for something someone else has given (and this is also policy), so even if we were allowed to give an enema, they have to do it to sign it.
Second: HOW did the resident suffer a #arm? Seems like a case of assault. Is this being investigated? And a CNA SHOULD know that residents have the right to refuse any and all care. This is drummed into us. We CAN NOT do anything without consent, we have to pass it to the nurse.
I'm shocked that a resident was harmed like that. I can only imagine that some real force was used. I really, really hope that the bigger issue (assault and lack of knowledge about consent) are being addressed and not swept under the carpet.
Last edit by JDZ344 on May 14, '14