Quote from Nola504
My manager said that because policy was not followed by giving bedside report and checking the bed alarm I broke protocol and a patient was seriously injured because of it.
I disagree. That pt was going to fall whether you did bedside report or not. She refused the offer to get up to the restroom & then tried it on her own; it would not have mattered if 2 of you were at the bedside at that time or not. The bed alarm would have just saved her from calling you herself.
My first pt fall was a doozy. At that time, we did not do bedside report & we only had a handful of pad alarms that could be placed under pts in bed so not everyone automatically got one. I had 5 or 6 pts on nights on an ortho floor. As I went to assess my last pt, I could hear a weak cry for help. There, near the entrance of the room, was my pt on the floor leaning against the wall. Blood everywhere. EVERYWHERE. From the linens, to the bedrails, huge puddles on the floor, smeared across 2 walls, all over my pt. Looked like a scene from a horror film.
Pt was a fresh cervical spine surgery. Woke up confused thinking he had to pee (had a foley), got up & tripped over the scd's. He had a drain which I initially thought had been pulled out due to how much blood was everywhere. Turns out it was all from his IV.
This happened when I was barely off orientation & was my first experience with filling out an incident report. Thankfully, the pt did not have any injury & I learned a lot that night. My charge was great. We talked about prioritizing which pts to see first (I had seen him last when I should have seen him before a couple pts who were 1-2 days post-op), but also reassured me that even if I'd seen him early, he likely would have tried getting up at some point between rounding & still would have fallen.
I expected to be called into talk to the manager but never did. Falls happen & staff cannot be with every pt 100% of the time.