I was reprimanded today at work by hospital administrator. I thought this might start an interesting debate of thought.
Basically I had a heavy set fully hoyer transfer dependent gentleman who in no way can bear weight with assaultive history, fall history and periods of confusion.
Pt. did have Stage II ulcers on coccyx and was soiled. When CNA attempted to care for him he was striking out at her and demanding to be taken to the toilet for BM.
I told the CNA to offer bedpan because of safety, his fluxuating mentation and animated behavior it was unsafe to hoyer transfer to high rise toilet.
CNA did not like my answer and went to administrative nurse who took two other CNA's in room and took him to toilet in the manner described above.
I was upset for not being consulted as to why I chose the action I did and I was in charge of that pt. The pt. in bed was in no eminent danger and my plan was to re approach and negotiate with pt. when he settled down. Yes I was going to let DOC know but I was trying intervention first being going right to chemical restraint.
The administrator told me that the administrative nurse had every right to superceed. The patient had a right to choose to be taken to bathroom over my judgment that he was unsafe. The administrator told me that all the patients are ours (meaning the clinical staff) and that her license hangs on the wall too. It was not my patient but all clinical staff have a right to intervene and care for patients.
So what is everyones else's opinion and have you had similar situation?
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