I am a nursing student and also a CNA. This week one of my patients had a fall. We were in her room and I had the bed in the lowest position (per order). And had the shower chair lined up with her bed. I sat her up and moved her legs towards the edge of the bed. It was then that she started to slip. (she is total care). I learned best in nursing school
that when someone is falling that it is best to "ease them to the floor" instead of trying to catch them. This is what I did. The end result was my patient laying on the floor. I immediately went to get my two nurses on duty to aid me. They then put a pad underneath her and brought her up to the bed. Right after this she started to complain of intense pain. It was my belief and the nurses that her shoulder had been dislocated. The nurses called and got someone down to take an x-ray asap. They shortly transferred her to the hospital. This patient is a one person transfer. Any advice about what could have been done better or what will become of myself is welcomed! We did an incident report and now I am just waiting. This woman is such a sweetheart and one of my favorite patients. It makes me sick that she is probably alone and scared in the hospital. I always sit in her room when she "alone and scared" at the nursing home to just hold her hand. And I wish I could be there tonight. Any thoughts are welcome.
Jun 21, '09
Doesn't sound like you did anything wrong. Elderly people can be very frail. I once had a heavy resident whose shoulder was broken even though she was lifted correctly--she had bone cancer. No one knew until that incident.
Maybe your patient's knee just gave out. Who knows? I'm sure your patient will be sent home in a few days feeling better. Since you're a nursing student, I think it's a good sign that you're asking yourself, If there was one thing that you could change about what happened, what would that be?
Perhaps your lifting technique could use a different approach -- you might try using a gait belt if you haven't already. Gait belts tend to take the strain off of the shoulders. Perhaps your positioning of the chair could have been different. Shower chair transfers always make me nervous due to the fact that most of the wheels never lock properly. After a couple of near-misses, I learned to have someone stand by during a transfer to a shower chair.
If you've gone over all of those variables and you come up with nothing that could've been changed, then you need to accept the situation as it is. I'm sure your patient is looking forward to coming home and getting that special TLC that you've been able to provide. I know I would want such a caring and concerned aide for any of my relatives. ((((hugs)))))
Last edit by UM Review RN on Jun 21, '09
Jun 22, '09
Falls happen. Even when you do everything by the book. And there are some that seek attention and do it on purpose.
I love your compassion and concern. FOR falls my compassion went out the window a long time ago. One of the first things I think of is MORE PAPERWORK. I hear myself say "****."
You will find when its a full moon to call off sick - just kidding - because it brings falls and crazy stuff. You probably know that being a cna.
Last edit by UM Review RN on Jun 22, '09
: Reason: profanity