Abuse Allegations - page 4

Just curious have other DON's handle abuse allegations. What is your process? Also, how are incident reports handled? The DON at my facility handles all of these and a lot are getting lost or not being investigated.... Read More

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    True, the surveyors can't leave the building until the immediacy of an IJ is lifted.

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  2. 0
    Oops. Surveys can leave the building. But cannot exit the investigation or survey until the immediacy is lifted. Often we will inform the Administrator, DON, and whatever other department heads they may want to know. Then we leave the building for lunch or whatever to give them a cool off period.
    I commend the Administrators and DONs that jump on these. I work very hard to build good relationships with the facilities. The people who benefit from it are the residents. The residents are the reason any of us are there. My normal "speech" runs along the lines of.......many times we (surveyor/investigators) are the last voice a lot of the residents have. That is a responsibility that I take very seriously. I'm not saying you don't. But please look at this as a learning experience, as painful as it may be, we still need to work together for the residents.
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    What do you mean by systematically substantiated?
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    I investigate evefy allegation of abuse. I sometimes interview everyone, I sometimes just gather and read their statements. It all depends on the allegation. I always speak to the resident even if they are demented. The worst cases are he said she said without any evidence....not so much when a confused, paranoid resident accuses a staff member of something, but when one staff member accuses another. This is the part of my job I hate the most. I do not have a crystal ball to determine the truth. I can only go on what little evidence I have and my gut.
    Orca likes this.
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    Early in 2012 a physically debilitated Alzheimer's resident supposedly fell out of bed and sustained SEVERE injuries. The nurse on the unit was told by someone in higher authority that she was not to send the resident to the hospital. All parties involved admitted that the unit nurse did notify the higher authority and the higher authority admitted that the unit nurse was told not to send the resident to the hospital. Needless to say the resident died just past the time to be considered a sentinel event. The higher authority was then either suspended or fired because they were no longer at work. The remaining authority then held an investigation and during the investigation was noted to say that the absent higher authority would be coming back to work. Corporate staff produced a letter from the unit nurse stating that she never told the higher authority about the residents fall or injuries. Corporate staff then deemed that the higher nursing authority did not "neglect" the resident she just used "poor judgement" and was allowed to return to work. While this was being sorted out another resident became ill and the unit nurse asked another nurse to check in on the resident. This other nurse had every authority to check in on the resident. The concern was the resident was not eating or drinking and was complaining of severe pain and the treatment for these symptoms was enemas. Enemas for 2-3 weeks for severe pain, anorexia and dehydration. The nurse that was asked to check on the resident attempted to call the family but no number was available. She decided to call the State appointed guardian but that number was also not available. The Ombudsman was called and when she arrived she wanted to see the resident she had received several phone calls about. The resident was sent to the hospital and was sent back to the facility the same day. The Administrator suspended the nurse for stepping on the toes of the unit nurse and unprofessional conduct. Or in other words for calling the Ombudsman. The nurse was allowed to return to work after a few days and after the death of the resident that had screamed and begged to go to the hospital for 3 weeks. Then the State came in and there were some serious tags. I believe there were some IJ tags and the Administrator had to be removed as well as the higher nursing authority. They were both sent to continue their work at other facilities. The nurse that attempted to get the family involved and notified the Ombudsman was fired. The nurse called several attorneys about the situation and was told she has no rights. She feels she has been blacklisted and I believe has given up on nursing.
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    Sounds like pure fiction.
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    As a state/federal investigator, I have seen this all too often. And yes, I do call IJ's when this occurs.
    Orca likes this.
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    Call me dumb. But ehat is an IJ
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    IJ=Immediate Jeopardy. No admissions are allowed. It's about the worst tag you can get.
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  10. 0
    in Texas I go to the texas DADS (department of aging and disability) and work within their guidelines.

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