Patient claims of Abuse - page 3

by helpme,

6,241 Visits | 30 Comments

Hello allnurses, I am a newly graduate RN working at a skilled nursing facility. About a week ago, a patient verbalized to me that “The CNA was rude to her”. Is this considered abused already? and if so, what can happen to me, my... Read More


  1. 0
    Quote from Dazglue
    Not one time was the patient verbally, physical, or emotionally abused. The patient's family later admitted to one of the nurses that she really didn't want any black people to take care of her. I wish she would have said that instead of claiming abuse.
    Hope someone brought that to managements attention. Not sure about legal stuff but isn't that slander or defamation of character?
  2. 0
    Quote from Silverlight2010
    Hope someone brought that to managements attention. Not sure about legal stuff but isn't that slander or defamation of character?
    It's freaking terrible, is what it is.

    I have several people in our LTC who act this way, very crafty, manipulative little things. It is up to the nurse to look into alleged 'abuse' IMMEDIATELY and not leave it until a day or so later when someone else can take care of it. This will just lead to greater issues, and if the patient is just being nasty, there's no way you can figure that out 'later'.

    I had an issue yesterday where a patient claimed the two CNAs that were delivering meals took his leg and "tossed it all around and cussed at everything". Turns out he just didn't want to be woken up early and was mad they brought breakfast.

    We had another CNA fired when he tripped in a crowded room (with two bariatric beds, two of those XL wheelchairs and all the other nonsense that comes with that) and banged his shin on a bed. The resident claimed the aide kicked the bed, and was rude. The same resident would never allow his light on at night. The management took the side of the resident- and promply fired one of their best aides.
  3. 0
    Quote from Silverlight2010
    Hope someone brought that to managements attention. Not sure about legal stuff but isn't that slander or defamation of character?

    It was, but waht did management say? "Because she said abuse, we have to turn this over to the state.". The CNA is still being investigated. Managment told her to make the pitch of her voice higher when she speaks to people? Ummm, didn't know you could do that. I know you can fix your tone, but not the pitch. She justs naturally has a very deep voice. Sweet as can be and one the best CNA's I know!
  4. 0
    OP,
    Did you ask the CNA what happened? Every story has two sides. I'm not saying the OP shouldn't follow facility procedures on reporting, NASCAR, but that she needs to be more thorough. In my state, the documentation needs to be thorough in accordance with our whistle blower protection. We can't report without reasonable suspicion, but we have a duty to report should something be wrong.

    The resident isn't always right, the way Corporate thinks they should be because they're "customers." I'm just saying it's wrong how only one side of the story was heard, and the OP already wants to go report it without hearing the other side. It's odd how the resident doesn't want the nurse to talk to the CNA about it, because that way the alleged abuse would stop and that CNA would get fired. Meanwhile the resident is receiving attention from this ordeal. From what the OP said the resident's story wasn't consistent, either.
  5. 0
    Sounds like staff splitting and manipulation, and "rudeness and swearing" is certainly unprofessional, but does not legally qualify as "abuse." Talk with your supervisor about it, make sure to document the inconsistent story and that you did not know what happened at first or that you didn't say things she said you did.
  6. 0
    Ugh. I recognize that some patients can be manipulators but really, is that an excuse for us to be rude or abusive? 2 wrongs...

    First..report to your Abuse coordinator and let them do the investigation. If you don't know who that is, then ask! It's not your responsibility as the floor nurse to investigate allegations. Report off to your superiors and go about your business.
    Abuse is subjective, to the patient. It's his/her perspective. ANY potential abuse needs to be reported. If you suspect it, report it. good luck!
  7. 0
    I agree with Merlyn. Report it. FIll out one of those incident reports. Let them do the investigation. Now....someone being rude to someone is not "abuse" or we might have to put most MD's into the clink for it. BUT...

    Filling out an incident report stating, Pt states Mary Jo was rude to her, etc. allows for management to address the issue. If Mary Jo has never been rude before...an isolated incident. If Mary Jo has 10 incidents of different residents complaining of rudeness...well...someone needs to talk to Mary Jo about how she is perceived. Rude does not always equal abuse, or we would all be in trouble. It's a persons perception, not an action.

    Case in point. I work with an MD who does not really have an Office. He has an open area on the unit, with no door, and glass walls. People tend to interrupt him a lot when he is there. I used to do it all the time. He one day told me he felt that I was rude because I approached him all the time there. I was pretty hurt. Then I thought about it and realized if that really is his office area, then I was essentially walking directly into an office, no knocking, etc. I was being rude. I apologized and learned from it. He is still a little bit of a cocky jerk, but...in this case, I was actually being rude.
  8. 1
    Quote from JDougRN
    Sounds to me as if you have encountered a not so unusual specimen- called Elderius Manipulativatious.
    I've heard it sometimes follows a common condition called Ageus Medius Full O.poopius.
    Merlyn likes this.
  9. 1
    Quote from wooh
    I've heard it sometimes follows a common condition called Ageus Medius Full O.poopius.
    Now you know better then to diagnose. The condition is really a PIA.
    maelstrom143 likes this.
  10. 0
    I chart what the patient said and let the charge nurse know there is an issue. I also talk to the CNA and find out what her point of view is...often, what the patient says and what my CNA will not compute and therefore the discrepancy bears more investigation. I counsel my CNA as to appropriate behavior and charting everything she does/says and patient response, thereby creating a paper trail. I have encountered a few episodes I would consider abuse (i.e. threatening, physical neglect), but these have not been the norm in my 6 years of practice.


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