Resident's right to refuse? Or NO right to refuse?!

Nursing Students General Students

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I am an LPN student close to graduation.

Today at clinicals in the etended care facility, I had a resident refuse "skin prep" to her heels. She was in the hall in a wheelchair. She didnt just say "No" , she screamed that she did not want it,while planting her feet firmly on the floor. Tried explaining what it was for, that it did not hurt, would only take one minute. I tried.

NO!!!!!!!!!!!!!

Charted in the TAR her refusal. Told her nurse. No problem.

Husband comes in in the afternoon. She tells him we tried to force her into it.

Clinical Instructor informs me that the pt does NOT have the right to refuse "cause she isn't in her right mind." And I could lose my licence for "not doing the treatment".

I told her exactly HOW she refused. Practically kicking and sceaming. Literally.

She says, "Doesnt matter. Just do it quick."

Isn't this against the law?!

The pt remembered well enough what happened that morning, to tell her husband about it in the afternoon. She fully understood what I wanted to do.

But "She doesnt have the right to refuse" ???!!!

HELP !

One of us will have her again tomorrow morning!

And if she refuses again, our instructor will try to force us to do it anyway :(.

Specializes in Critical Care.
it doesn't matter if the patient was declared incompetent and has a guardian, if the patient raises their voice and says , "no!" or otherwise acts negatively to something you, the nurse, want to do with, or to them, you had better stop at that very moment, re-assess and re-strategize.

does this only apply to ltc? i can think of dozens of acute care situations where following such advice would lead to disastrous consequences for the patient.

Specializes in DD, HHC, Med Surg, PCU, Resource.

I may be wrong I am only a 1st semester student who hasn't even begun clinicals yet. So feel free to correct me if I am wrong. The way I understand what my instructor has said about right to refuse; the patient has the right to refuse unless it is a safety matter. For example someone needs restraints to keep them from injury. I would say that heel prep is not a safety factor, so the pt. would have the right to refuse.

Specializes in LTC.

A patient has a right to refuse ! Thats the bottom line here. You must cover your butt at all times. Your instructor has her license, if she wants to put her license in jeopardy by forcing a pt. to do a treatment than thats on her. As for you, you have your license to get, and I wouldn't ruin it by listening to your instructor. you need to tell your instructor about the patients rights, and tell her that you refuse. If she's not trying to hear that, then you need to go to her supervisor

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