19 Arrested at Nursing Homes in N.Y. - page 4
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Jan 16, '06I am a lpn and have worked in nursing homes for 16 years. I can tell you how come this goes on. If the lpn stays behind the desk all night minding "her own business" this crap goes on all the time. But if the lpn gets up from the desk and works on the hall, expecting her cna's to actually work, then the patients are not abused or neglected. Too many night shift lpn's just sit behind the desk and collect the monet, usually night shift gets paid higher. I have never had to write up a cna for not doing her work, my presence at the bedsides and calling the cna to "help" me keeps the patients cared for. My cna's know when they see my face at work, they are going to work that night. I fault the lpn's who work the floors for allowing their patients to be neglected.
Jan 16, '06I recently left a facility because the abuse I reported was not adressed. I want to begin a watchdog group of long term care nurses in Louisiana to be a voice for long term care patients, but have no idea how to go about it . does any one have any suggestions for me?
Jan 16, '06i am not here to support camera's in the nursing home in any sort of way. there are camera's where i work and they seem to be used just as evidence against the staff. the camera's aren't in the rooms but in the hall ways and the public rooms where families visit. i have one question about the story does anyone know where these resident's were treated next? i am a charge nurse on a long term care facility. my facility is monitored closly by the state of michigan and we are subjected to frequent suprise inspections. also michigan has new state requirements for when you are to locate the state. and lets just say i have seen the state department checking out things more often in the last year then ever before. we also have very smart and talented physcians and pas who respect the elderly and take very good care of their patients.
i also don't appreciate the comment about nursing homes highering from the bottom up. my nursing home is licecensed to train cna's and we actually make them go through a lot just to get into the class, then we make them work on an actual unit for 2 weeks before they work on their own. so while there are many cases of resident abuse. don't look at the negative try to figure out how we can prevent this from happening to any other patients.
Jan 16, '06I agree whole heartedly, I think that things ar so much worse in Louisiana because we put so much less into long term care than do the nothern states. I have traveled and saw a great differnence in quality of care.
Jan 17, '06I totally agree with putting cameras in ALL facilities ESPECIALLY state facilities where unions protect the "slacker" workers and the "state system" protects the "slacker" managers/administrators.
We had an incident recently in CT where several state workers were arrested and prosecuted for leaving a DMR aspiration risk patient alone w/food in a car while the lead worker went shopping.....patient chocked on a hamburger and died. The workers in the other car did notice the patient in distress but went looking for their lead instead of calling 911. When they discovered it was too late to do anything for the patient, they simply fabricated their documentation (as usual). And they would have gotten away with it had not the police investigated. The police became involved ONLY because the incident happened outside of state property; otherwise this death like soooooo many others would have passed through the internal investigation with a few "nods" and "oh wells".
These workers are not properly trained, certified or licensed to care for patients. (I'll bet not all the workers were even aware the patient had a "risk for aspiration") Sure, anybody can call 911 but CT State Workers are trained in the double standard....yes, procedure says call 911 but you better get your supervisor first who gets their boss and so on and so forth. And the documentation gets rewritten and rewritten until it's written "just right". Then, if the police or other "authorities" have to get involved, it's the responsiblitity of the Administration who notifies them and only AFTER the paperwork is PERFECT. In this case, the incident happened OUTSIDE the facility where the police have jurisdiction.
CT State Workers who bring problems to the attention of Management/Administration are retaliated against which sends a CLEAR message that this is not acceptable conduct. Why? Many of the problems in State Social Service Agencies are difficult and complex. Add a corrupt Governor in office for over ten years and an entire state government loses sight of anything more than the lining of their own personal pockets and self interests. Integrity and ethics become fodder for party jokes.
CT State Agencies are monitored by other CT State Agencies where back scratching is a venue for job security. Any legal issues these CT State Agencies find themselves entagled in will be defended by a very zealous Attorney General, Richard Bloomenthol and his Office. Dick will get the families to settle for peanuts instead of dollars and thereby protect the CT Taxpayer's hard earned dollars. (Too bad Dick can't see how he's helped create the monster.)
These workers were just doing what they were trained to do.......fabricate paperwork. This patient wasn't the first patient to die from neglect or abuse. If this patient had chocked on a hamburger at the facility, you can sure bet after an internal investigation that fabricated paperwork (after many rewrites) would have passed legal scrutiny.
Too bad for the workers that the patient died OUTSIDE the facility because it became the jurisdiction of the police and that "fudged" paperwork had to sit on its own merrits without benefit of the expertise of Management. If Management had gotten involved in the fabrication of the paperwork, these workers would have been home free, (literally).
I certainly think these workers should be held accountable for the death of this patient but what about all the other dead from neglect and abuse? Who is held responsible for them? It's high time Administrators in State Agencies get prosecuted right along with the workers like the owners/operators of non-state facilities.
CT State Agencies should be monitored by an INDEPENDENT authority because the CT State Monitoring Agencies do a GREAT job of monitoring non-state facilities for compliance but they "LOOK THE OTHER WAY" when it comes to monitoring fellow CT State Agencies. (CT Public Health Department is also partly responsible for helping to create the monster....and then there's the Advocates.... what a joke they are!)
Jan 17, '06Hi,when i read about those nurses,i just remembered that there are many nurses unknown without a cam doing worse than that but i am sure that God is taking care of their patients.Do you think the agency should be blamed or the nurses first?
Jan 17, '06I resigned last year from a Assisted Living Facility because of nursing assistants being hired with no experience in nursing. I was the LPN Supervisor for the 11p to 7:30a shift. The Director of Nursing who was also a LPN. Did not like being wrong. So if you went to her about the new staff she just hired. Who did not know anything. We were told to work with them. She would always hire someone's sister, cousin or friend. Their orientation was such a joke. So now here I was at night trying to teach them how to read and speak english. NO JOKE! That I could not monitor all the other staff.
Who was trying to find a place to sleep. The last straw was when she wanted me to teach someone who could not read to give meds. That was it for me. There was a nursing assistant who she had giving out meds on her shift. That would make so many errors with meds. Thank god the residents knew their meds. They would tell her what they were suppose to get. What has happen to nursing? I have been a nurse for 20 years. And when I started in 1985. You had to have a least a certificate. But today you can walk in off the street and get a job. So I see how this incident could have happen with this patient choking. Thank God it was not covered up. "God is good" all the time.Last edit by dbrowneyes712 on Jan 17, '06
Jan 17, '06I think we need to come up with a way for the lpn's in the facilities to be able to act as a watchdog entity. We are the larger work force and more hands on than rn's.
Jan 17, '06I am soooo glad I work for my LTC facility in PA after reading the thread. I did not become a CNA until I was 52 yrs old.. The shift (10:30pm - 7am) I work has two full time gals (young 20's) and myself (part time).
We WORK together. I have worked with some real pitas (pain-in-the-asses), CNA, LPN, RN's, that were only there to collect a pay-check...
I have written staff up myself when my direct lpn would look the other way. I am not well liked at times, but our residents are well taken care of.
Having worked in management in other professions, my motto to my co-workers is "If you are looking over your shoulder all the time for your supervisor, You probably are doing it out of guilt, When you don't look over your shoulder, you are probably doing a great job".
Hats off to all the angered people by this thread... May God Bless You.
Jan 17, '06I hate the fact that this happened because I love working with the elderly. The problem is like with anything in society, you get what you pay for. First, let me say again, it's not the residents fault. I think if the sites pay better the treatment will be better. If you can give 20 million dollars to an actor for a movie how about $11.50 an hour to take care of someone whose taxes help build this country. Another problem is that you have so many people (CNA) who just do the job for the money but if there is none then 19 residents get arrested and residents lay around in their own waste.
Jan 17, '06Quote from myrtle1956I think we need to come up with a way for the lpn's in the facilities to be able to act as a watchdog entity. We are the larger work force and more hands on than rn's.
A watchdog entity is a good idea but you'll need the camera's to prove what/whom you are saying/accusing. I say we take camera's and tape management meetings as well because problems on the front line are NOT being addressed by management. The fontliners get the directives to do such and such but they don't give us the tools to get the job done. For example, in a union facility an RN in behavioral health is in charge of the unit and may have up to 10 mental health aides working under his/her license but the RN has real authority to motivate the aides to do their jobs. For instance, I once told a MH aide to wake up as he was suppose to be monitoring a patient who was a danger to himself. I woke the aide up and offered to get him a cup of coffee and he told me to go f__ck myself and went back to sleep. I told the supervisor and she told me this particular aide has 20 plus years in the union and had a neck injury on the job...and he has been mandated to work additional shifts (which was not true, this worker worked 70 - 80 hours/week and VOLUNTEERED for the overtime so he could sleep and get paid!) Welcome to state government jobs
Jan 17, '06Debba,
We have cameras in the halls and common areas. The management uses this as a marketing plus. But the only reason they put cameras in was to prove worker comp fraud and employee theft. I make rounds all the time and catch people sleeping. It makes me feel very angry when the supervisor turns the other way or explains away the behavior.
I think the lpn's should be responsible for reporting actual hands on staffing of the patients to the state. Kind of a system of checks and balances that management can not interfere with. It would require that the management pay what it takes to hire and keep quailfied nursing assistants.
But back to the cameras. If I ever have to put any one into a nursing home I would definately use cameras. Once we had a difficult to please patient whose family was even more difficult. The family brought in a new t.v. The cna's noticed a small red light glowing in the front kind of hidden and near the bottom edge of the set. They got spooked when I told them it might be a built in camera. They started putting a towel in front of the red light. The next thing I told them that this made the family even more suspicious. It would be easier to just take proper care of the lady. They finally started taking better care of the patient. They still believe the little light is a camera. Of course, I knew the whole time it is a light that is a power indicator, I have one at home.But it was an interesting study in human behavior.
Jan 18, '06Makes me mad:angryfire, when I worked my backside off as an aide on night shift in a rehab. Hospital never taking a break all shift to insure my patients has some care. Even our nurse never sat she would stand and do charting, when she could in-between PT's.
I was very overworked sometimes having upwards of 50 patients to do at night by myself .I would start a round and go back to where I started. Things did not change at that rehab until the state stepped in.
I think they should have those aides who did no care, should have the same experience as the PT'S and see how abusive this really is. It's people like this who just don't get it, how to care for human beings. They were never really taught to be kind and respectful to PT'S
When I was taught as an aide we were given a little acid test with strong lemon aide the RN wanted us to understand what it felt like to have acid on our skin .she placed a dropper full of the strong lemon aide on our skin on the inside our wrist .We had to leave it there 40 minutes.
Within minutes we were digging at our skin on our wrist it was turning red sticky and burning .Then she stated think of this happening over and over on someone's soft bottoms when the patient would urinate again and again.
I have never forgotten this lesson.