OMG!! You guys are right!

Specialties Geriatric

Published

When you advise some people to leave bad LTCF's!! I'm SO glad right now that I just left the place that I did!

I just talked to the day RN there, and the place has been turned into state for resident abuse. It's a situation that went from bad to worse - an arrogant CNA did not follow orders to use a pivot board with this one LOL, and afterwards she complained of pain.

The lady has dementia, and she ALWAYS complains of leg pain. The nurse checked her out as well as she could - lady isn't real cooperative - then had to go on to other residents. She reported it to evenings, who were supposed to report it to nites. She also reported it to the DON, who was supposed to go look at it. At 5:30 the next morning the nite nurse discovered that the leg was red and swollen clear down to her ankle!! They sent her to the ER, where it was discovered she had a spiral fracture, and the ER doc turned them in to DHS.

I KNOW the day RN there is an excellent and caring nurse, but she also is so overloaded with work - and as I told her, hindsite is better than foresite!! She said her charting over the whole thing was not the best, but there's nothing she can do about it now.

The CNA who caused the injury was fired - should have been fired long ago, she's had so many write-ups.

The nurse feels badly, but she's also worried what will happen to her. She said that the DON is already trying to lay the blame on her!!

My thought is - I can't believe this leg just 'suddenly' became red and swollen at 5:30 the next morning! I wonder if the next two shifts even looked at it?

I told my friend to sit down and document everything that she remembered about the whole thing while it was fresh in her mind - and to get the HECK outa there!!

Specializes in Long term care, pediatrics, orthopedics,.
When you advise some people to leave bad LTCF's!! I'm SO glad right now that I just left the place that I did!

I just talked to the day RN there, and the place has been turned into state for resident abuse. It's a situation that went from bad to worse - an arrogant CNA did not follow orders to use a pivot board with this one LOL, and afterwards she complained of pain.

The lady has dementia, and she ALWAYS complains of leg pain. The nurse checked her out as well as she could - lady isn't real cooperative - then had to go on to other residents. She reported it to evenings, who were supposed to report it to nites. She also reported it to the DON, who was supposed to go look at it. At 5:30 the next morning the nite nurse discovered that the leg was red and swollen clear down to her ankle!! They sent her to the ER, where it was discovered she had a spiral fracture, and the ER doc turned them in to DHS.

I KNOW the day RN there is an excellent and caring nurse, but she also is so overloaded with work - and as I told her, hindsite is better than foresite!! She said her charting over the whole thing was not the best, but there's nothing she can do about it now.

The CNA who caused the injury was fired - should have been fired long ago, she's had so many write-ups.

The nurse feels badly, but she's also worried what will happen to her. She said that the DON is already trying to lay the blame on her!!

My thought is - I can't believe this leg just 'suddenly' became red and swollen at 5:30 the next morning! I wonder if the next two shifts even looked at it?

I told my friend to sit down and document everything that she remembered about the whole thing while it was fresh in her mind - and to get the HECK outa there!!

Hopefully she documented that she reported it to the next shift and DON. The incident report should also relflect that this info was passed

on. You have to remember to always cover yourself!!

Specializes in LTC, Sub-acute, correctional.

The more I hear about long term care, the more I think there's just no safe place in it for me. It's a rare facility where the nurses have all been on the job together for a long time, and being together for a while is what makes teams work. My best job in LTC was with a group who all started together, and all looked out for each other from shift to shift. We really, truly did worry about leaving something undone, or not properly following up on something, because we knew very personally the nurse who was going to pick up the slack. It wasn't just about personal liability, but the liability of our whole team. I miss those days. It's the only time I ever felt that I gave really good patient care in LTC. My other jobs left me feeling like it was me against the world, and how fast do you burn out when you feel like that? Just my 2 cents.....

P.S. "Run, forrest, run" is exactly how I felt at my last job! Great words to capture that feeling of OMG, get me out of here before somebody ends up dead. Sad but true.

Well, the next facility that I went to WAS better, altho not perfect. I did finally leave tho, because my disability - essential tremor - got to the point where I no longer could write for very long without major muscle cramps.

I really thought that I would miss nursing, and I do get bored, but I don't ever miss the nursing part - all I have to do is spend time here on the board, reading some of the posts - and I'm a happy camper!!:rotfl::rotfl:

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