Abuse Allegations

Specialties LTC Directors

Published

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.

Specializes in everywhere.

As a state/federal investigator, I have seen this all too often. And yes, I do call IJ's when this occurs.

Call me dumb. But ehat is an IJ

Specializes in Gerontology, Med surg, Home Health.

IJ=Immediate Jeopardy. No admissions are allowed. It's about the worst tag you can get.

Specializes in critical care, ER,ICU, CVSURG, CCU.

in Texas I go to the texas DADS (department of aging and disability) and work within their guidelines.

Specializes in LTC.

Interest topic....This week I had a long conversation with DHHS in regards to a fall resulting in a hip fx and resident to resident altercation....the resident with hip fx was also involved in the altercation. Talk about a bad night....anyways...

there was also a complaint of "abuse" nothing specific towards any one resident but DHHS was focusing on the noise level of the facility that night and some hollering. There was lots of hollering for "Get the nurse" and such.

but interesting to see the other side of it for the DON's.

Specializes in Managed Care, Onc/Neph, Home Health.

Case of a nurses aid comes to the desk and say, a pt wants to go the hospital. RN who has reported off to 3-11 RN, ask the aide to get a set of vitals. vitals are normal. its shift change. RN who has reported off, go on down to room anyway, could not locate oncoming RN (7-3 3-11). ask patient how are ya feeling, pt states alright, does quick listen to heart, lungs, pulse, says 3-11 nurse will be in shortly, 7-3 nurse clocks out goes home. nothing to report. RN comes back next day to 7-3 Shift. staff says, pt was taken to hospital the night before about 7pm, and died of MI. Is this neglect on 7-3 RN's part from day before? due to her not doing a through assessment This is a SNF 1 RN to 26 patients

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
Case of a nurses aid comes to the desk and say, a pt wants to go the hospital. RN who has reported off to 3-11 RN, ask the aide to get a set of vitals. vitals are normal. its shift change. RN who has reported off, go on down to room anyway, could not locate oncoming RN (7-3 3-11). ask patient how are ya feeling, pt states alright, does quick listen to heart, lungs, pulse, says 3-11 nurse will be in shortly, 7-3 nurse clocks out goes home. nothing to report. RN comes back next day to 7-3 Shift. staff says, pt was taken to hospital the night before about 7pm, and died of MI. Is this neglect on 7-3 RN's part from day before? due to her not doing a through assessment This is a SNF 1 RN to 26 patients
It is impossible to give advice on a situation without assessing the patient myself or being present to assess the situation.

The patient was assessed. Reported off to the 3-11 nurse. The patient was transferred to the hospital 4 hours after the end of the day shift nurses shift. Now...if the patient was complaining of crushing chest pain and the nurse neglected to repot it or ignored the patient complaints maybe....but again it took 4 hours for the evening nurse to transport the patient to the hsopital.

To me it sounds like one of those things

Sooooo.....I reported verbal abuse, swearing by another cna towards a resident that could not report....all it got for me was the evil eye from fellow cna's and management was impatient with me....is it okay for a cna to cuss a resident out? No. Does it happen? Yup. Sad state of affairs for our wise aged population.

Specializes in critical care, ER,ICU, CVSURG, CCU.

yes BboW, sad state.......unless the abuse is colaborated, and most residents will not, my last facility had cameras which did prove a residents alligation that a CNA struck her in the face, there was no brusing,.....camera proved she was not hit, but did deminstrate the young CNA did taunt the resident..... i let the CNA go........:cautious:

Trust me. I have seen stuff seen a CNA suppose to be sitter at beside. Pt ends up banged up. Same one who did not report fall with fx hip. Still there. Manager loved him.

Specializes in Managed Care, Onc/Neph, Home Health.

My thing is yes, there are more CNA's in SNF's/LTC facilities. But since when are they the authority on reporting RN's when it come to assessment's of residents and calling into abuse lines for substandard care, having RN's investigated?? Questioning RN's judgement/knowledge. That's what happened in the case I am talking about. The CNA "felt" the off going RN should have sent the pt to the hospital, and didn't.:grumpy:

My thing is no nurse (or human) is perfect. As bad as some bosses are they are still human and imperfect too. I will make mistakes. I just pray they are temporary and painless. Don't gloat when I error.

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