Staff on Resident Sexual Abuse?

Specialties Geriatric

Published

A female CNA with well-documented mental health problems was involved in sexually inappropriate touching of a A&Ox3 male resident this evening. The resident complained and the house supervisor was notified immediately. The supervisor interviewed the resident and spoke with the CNA, banned her from the resident's room indefinitely. She told the nurses to NOT fill out an incident report and to NOT write a nurse's note. Supervisor said "they" would keep an eye on her.

The resident was more annoyed than upset with the frequent anal probing and wanted to know why she was doing it in spite of his protests. (She said she was trying to clean him, but he's completely continent and independent with ADL's.)

Apparently the CNA had an incident similar to this a few years ago. She insisted on cleaning a new patient (again, continent and independent) and "accidentally" slipped her finger into the patient's lady parts .. Several days in a row. When the patient told her family, they left the facility the same day.

She's also had to be spoken to about inappropriate touching with other co-workers. Giving frequent unwelcomed hugs, backrubs, standing to closely, etc.

I think the facility is covering for her because of her mental problems. I'm sure they believe it's all a big misunderstanding and that she has no intent to harm anyone .. But to do nothing??

This is really bugging me. Any suggestions would be greatly appreciated!

Specializes in LTC, Hospice, Case Management.
A female CNA with well-documented mental health problems was involved in sexually inappropriate touching of a A&Ox3 male resident this evening. The resident complained and the house supervisor was notified immediately. The supervisor interviewed the resident and spoke with the CNA, banned her from the resident's room indefinitely. She told the nurses to NOT fill out an incident report and to NOT write a nurse's note. Supervisor said "they" would keep an eye on her.

One poster suggested this all belongs in an incident report or a nurses note and I'm having trouble deciding if that's true. Be careful charting "hearsay" issues. Where is her "well-documented mental health problems" actually documented? Have you seen this documentation? If not than you can't be sure it's really documented anywhere. Irregardless, an abuse investigation does not belong in a nurses note.

The aide should not have been banned from the resident room - but immediately suspended and told to leave this building. This is the immediate supervisor responsibility and can't wait for the DON to come in and make this decision. How else can you say without a shadow of a doubt that the same aide won't go down the hall and abuse someone else. It's about ensuring everyone's safety until a formal investigation can be completed.

My best advice is to find your facility abuse policy and follow it to the letter. Make sure you remind the DON of the policy too if needed.

Specializes in LTC, Dementia/Alzheimer's.

I was acting as treatment nurse for two units the night of the incident. The supervisor directly told the Charge Nurse to not write a note or fill out any of the normal paperwork. The Charge Nurse asked me to write a note anyway, since I wasn't spoken to directly, and I agreed. So, a note was written stating what I was told by the patient, what we did immediately (kept the CNA out of the room), and that we had notified the supervisor.

About the CNA's background: I wouldn't chart any of her information. I know her problems are documented in at least three places. 1) She's been formally counseled by administration for inappropriate behaviors with her fellow employees, which I mentioned before. 2) She was recently released from a local mental health hospital. I only heard that she had been admitted, however.. On an evening I was working, she continually called (10-15 times in a 2 hour time frame) and the MH hospital information showed up on the caller ID. The supervisor on-duty that night spoke with her twice, asking her to discontinue the calls -- didn't help. 3) She used to clock out at work and just hang around a particular nurse, her close friend (same nurse she had been calling from the mh hospital). She had to be counseled again when she began sleeping at the facility.

As far as undocumented problems, two different nurses had complaints against her. One nurse had to change her phone number, because the CNA had been calling her excessively. She said some days the CNA would call more than 100 times. The second nurse began carrying a knife at all times, because the CNA had shown up unexpectedly at her house one night. The nurse said she had no idea how she knew her address.

I have not contacted an attorney. For one, I don't have the resources. Two, maybe I'm naive, but is it really necessary? I work tomorrow, if this CNA is still on the schedule - I will report to State and begin looking for a new job.

Wow she sounds like she has serious serious issues!!! I am disgusted she hasn't been fired yet and that people would cover for her abuse!!! Good job telling your adon , if she doesn't get fired I really hope you report this to the state. I actually think you should anyways.

Specializes in Gerontology, Med surg, Home Health.

I really find it hard to believe this sort of thing happens and nothing is done.

I really find it hard to believe this sort of thing happens and nothing is done.

I agree, I don't believe this is true at all. If I knew or even suspected abuse was going on I would call the police.

That's where an attorney would come in handy. But you need to go thru chain of command. I would be reporting to the Administrator that the DON was aware of this when it happened but seemingly has done nothing. If something still isn't done, you have an obligation to report this to the State. If you were to be terminated after making that call, even if they say it was for another reason, this is where an attorney can help you.

Given that the two residents who have reported incidents of her abusing them sound like they were A+Ox3, I would highly suspect that this may have been happening with other residents as well, who unfortunately are unable to communicate what is happening. So if this does get investigated, it may turn out that there are many more victims.

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