Abuse Allegations

[txdon]

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.

[miasmom]

Thatnshould be under charting. I am sorry.

[kittyrjb]

I'm sorry, I'm new to this but if CNA's are warned many times to use a hoyer lift for transfer & they keep NOT using it, does that make it abuse? I really need to know.

[CathRN]

Actually, I would cite it as Neglect. They are neglecting to provide proper care for the resident by refusing to use the lift. They are also neglecting to follow the plan of care.

[kittyrjb]

Thank you very much. This situation happened to 2 different residents on Monday. Weirdly, the next day during report, a charge nurse brought up that BOTH residents have "injuries" & that's when my fellow CNA told her that they weren't transferred correctly. My unit manager & I are going to talk about this in the morning. I know I'm doing the right thing but I'm scared of those 3 CNA's who screwed up b/c I don't want to be a target or looked @ wrong either. Word spreads like wildfire where I work.

[mccartybunch]

I have a friend who is a supervisor of a LT nursing facility. She told me of an incident that happen to her. I'd like to get information on where to find a manual on what is reportable d/t this person's experience to prevent it from happening to me.

Here's what happened to her: She recently had a resident choke in the dining room. The CNA's ran & called for the supervisor. The supervisor immediate ran to the person choking, assessed him noting that he was still conscious but did appear to be having a difficulty clearing the food. The supervisor performed the Hiemlich maneuver 1 time noticing that the resident was starting to clear the food through coughing on his own. So she stayed with him, monitoring his breathing & airway and comforting him until she saw that everything had cleared and that he was fine. It was a very busy night to include another resident that she had to deal with that was dying & did eventually pass away that shift. She also passes medications to 25 residents herself as well as supervising staff & other resident & family issues. When all was said and done, the supervisor was asked about the choking incident the next day when she realized she never did write up the incident nor call the family & doctor about the situation. She admitted to the DON the oversite. The DON later called the supervisor into the office informing her that she was going have to send her home until further investigation due to the fact that the DON learned about the incident from a another family member that was in the dining room during the incident.

So now learning about this situation, I became concerned that it could happen to me being as we do get pushed to our limits often and we are all human and forget things. Can somebody explain to me why she would require investigation for this obvious oversight and does this affect her license. I would also like to know where I could access a manual on the reportables to become more educated.

[CoffeeRTC, BSN, RN]

I have a friend who is a supervisor of a LT nursing facility. She told me of an incident that happen to her. I'd like to get information on where to find a manual on what is reportable d/t this person's experience to prevent it from happening to me.

Here's what happened to her: She recently had a resident choke in the dining room. The CNA's ran & called for the supervisor. The supervisor immediate ran to the person choking, assessed him noting that he was still conscious but did appear to be having a difficulty clearing the food. The supervisor performed the Hiemlich maneuver 1 time noticing that the resident was starting to clear the food through coughing on his own. So she stayed with him, monitoring his breathing & airway and comforting him until she saw that everything had cleared and that he was fine. It was a very busy night to include another resident that she had to deal with that was dying & did eventually pass away that shift. She also passes medications to 25 residents herself as well as supervising staff & other resident & family issues. When all was said and done, the supervisor was asked about the choking incident the next day when she realized she never did write up the incident nor call the family & doctor about the situation. She admitted to the DON the oversite. The DON later called the supervisor into the office informing her that she was going have to send her home until further investigation due to the fact that the DON learned about the incident from a another family member that was in the dining room during the incident.

So now learning about this situation, I became concerned that it could happen to me being as we do get pushed to our limits often and we are all human and forget things. Can somebody explain to me why she would require investigation for this obvious oversight and does this affect her license. I would also like to know where I could access a manual on the reportables to become more educated.

This isn't abuse but I would have done an incident report. An incident report would allow for further investigation. Was the resident on the right diet? Do they have a swallowing or chewing problem? Speech therapy consult? Were they put on an alert charting list and followed up on for the next few shifts? Risk of aspirtation assessed and monitored? Temp check? Listen to lung soungds?

I work as the supervisor and also have an assignment for 22-25 residents, so I can see where things get crazy BUT...... This is definatly a teaching event.