alzeihmers res w/ combative behaviors

[allezelenfer]

What is the stigma of charting combative behaviors that upper level management have to hide?? For instance: I charted on one of our res behaviors - she was hard to redirect, slapping/hitting/pushing staff who tried to redirect her to sitting in her chair or eat dinner. She then proceeded to raise a hand to another res out of no where and removing her from the scene and placing her at nurses station w/ diversional activity. - i charted all that ( even the raising the fist as if she was going to hit another res w/ out reason ) yet, the upper managment state that i shouldn've charted this and removed it.. They tell us to CHART EVERYTHING.. yet behaviors and psychotic behaviors are a no no in charts!!!

[SuesquatchRN, BSN, RN]

When a resident is aggressive towards another we do a ful investigation and immediately notify the DON and admin, even at 3 a.m. We certainly chart it.

My guess is that they don't want anything to show up when State comes in to audit, and they don't want it showing up on their QI score (MDS stuff). They're foolish.

[allezelenfer]

There is the answer I thought. Hiding from QI. Aggrevate's me. I didn't call my admin tho.. She didn't HIT them.. just had her fist drawn back like she was going to hit her..and they are known to hide the charts when state comes in of psych pts *upper management hide them*

[SuesquatchRN, BSN, RN]

They are going to be a world of hurt should the resident hurt another resident and hiding behaviors comes out. She should be screened for a UTI and separated from the others, in a stationary chair.