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BON and alleged verbal abuse via pt

Nurses   (4,383 Views 83 Comments)
by Beldar_the_Cenobite Beldar_the_Cenobite (Platinum*) Platinum*

Beldar_the_Cenobite works as a Certified Nursing Assistant.

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Not_A_Hat_Person has 10 years experience as a RN.

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No way should 2 people try to position a 400+ lb. patient, unless they are using a mechanical aide, like a lift. 

In Nursing Home Hell, I had to try to position a resident who weighed over 500 lbs, with 2 LNAs and a lift. Things did not go well.

I worked in another facility where the official standard for lifting or turning without some kind of mechanical device was one person for every 75 lbs. A patient weighing 400 lbs. would require at least 6 people. 

Hopefully, nothing will come from the patient's complaint. You may want to look for a new job, if only to save your back. 

 

Edited by Not_A_Hat_Person

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TriciaJ has 37 years experience as a RN and works as a Retired.

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11 minutes ago, Not_A_Hat_Person said:

No way should 2 people try to position a 400+ lb. patient, unless they are using a mechanical aide, like a lift. 

 

This is the part the ombudsman should be most interested in.

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4 minutes ago, Not_A_Hat_Person said:

I worked in another facility where the official standard for lifting or turning without some kind of mechanical device was one person for every 75 lbs. A patient weighing 400 lbs. would require at least 6 people.  

 

Agreed, and this is likely true for most positions and is often going to be found right in the job description - number of lb/kg expected to be able to lift.

Although the consensus is that the OP should've used care in discussing the situation and making a plan for the care, the fact is that finding enough help to provide completely predictable care in these situations is frequently some sort of a rigamarole. And why should that be the case?

You have a tech/aide/CNA who is right smack dab in the middle of a patient who needs help (sometimes sort of urgent either d/t the condition or the patient's dignity - such as helping them use a bedpan or commode so they aren't incontinent) and the fact that the facility has neglected to have on hand the number of people required to do the job (or do it in a timely manner).

I think honestly this is indeed frustrating to most people who find themselves right in the middle of it.

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17 hours ago, Beldar_the_Cenobite said:

What about the post is detailed? Location, names of facility, name of patient, etc, is not mentioned, therefore, nothing is being violated. 

The  description of the events is not general and could easily be uncoverexuncovered

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I doubt you will find anyone here at AN who will argue that it is a reasonable expectation that only two people should attempt to lift a 400 lb. patient. That's really not the primary issue. The OP is being investigated for inappropriate comments made in front of this patient, not because he refused to attempt a dangerous lift. He could save himself a lot of trouble and hassle down the line if he would learn how to communicate with more tact. By his own admission, he is seriously lacking in that department.

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Leader25 has 35 years experience.

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On 5/11/2019 at 9:53 AM, FolksBtrippin said:

If you get fired for this, its not a good place to work. They should ensure you have adequate staff to move large patients and you need to be able to speak about it. 

If they counsel you on what not to say in front of the patient and admit that you were trying to get help and not trying to hurt anyone, then you can learn from this and move on.

I agree.Do not apologize any more,it is done.Keep your mouth shut ,do not discuss with anyone,not even your perceived friend because many are known to throw you under the bus for extra points.If you had injured your self they would blame you anyway.

Be glad it could be worse,good luck.

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I could see how even asking for extra staff to reposition her when standing over her might have drawn the reaction that you got. Even if you had said “We need 5-6 people”, she might have heard “she’s like 5-6 people”. 

I would just recommend always leave the room when talking about a patient, never in earshot unless you are addressing them directly, to avoid exactly these issues. It’s a good habit to start now. 

Getting extra staff to assist in the repositioning would have been a request that you would make to a supervisor anyway, so saying it to the other staff members while repositioning her doesn’t serve any purpose other than to complain.

It is possible that they are coming down so hard on you in order to deflect from the fact that they really should be providing adequate staff and are not doing so, therefore putting you and the patient at risk for injury. Have you brought this up at all to a trusted supervisor?

 

 

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not.done.yet has 8 years experience as a MSN, RN and works as a Professional Development Specialist.

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Beldar, from nearly everything you have posted here recently you are suffering. Anxiety, anger issues, near paranoia, escalating problems at work, a sense of entitlement over things you cannot control. It is not normal to feel this way and you don't need to. I, again, strongly encourage you to seek out assistance with these issues. You will not meet any of your goals if you continue down this path. Some of the things you state here are alarming.

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CapeCodMermaid has 30+ years experience and works as a DNS.

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Did you post that you are jealous because a facility is using donuts for pressure relief? This is way off topic but no one should be using those donuts anymore...they cause more problems than they treat

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4 hours ago, CapeCodMermaid said:

Did you post that you are jealous because a facility is using donuts for pressure relief? This is way off topic but no one should be using those donuts anymore...they cause more problems than they treat

This made me laugh out loud because I read it imagining donuts from the bakery. I was thinking to myself, I’m jealous too if a facility is using donuts for pressure relief! Thinking in terms of the pressure of nurses to get a job done, and giving them donuts to feel better. Then after a few seconds I put it together. No donuts after all. Wah wah. But those donuts also cause more problems than they treat, haha. 

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6 hours ago, not.done.yet said:

Beldar, from nearly everything you have posted here recently you are suffering. Anxiety, anger issues, near paranoia, escalating problems at work, a sense of entitlement over things you cannot control. It is not normal to feel this way and you don't need to. I, again, strongly encourage you to seek out assistance with these issues. You will not meet any of your goals if you continue down this path. Some of the things you state here are alarming.

Symptoms of depression. 🤔

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not.done.yet has 8 years experience as a MSN, RN and works as a Professional Development Specialist.

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We definitely are not qualified over the Internet to diagnose and per terms of service we can't give medical advice. I am simply stating an opinion that has no medical bearing and should not be construed as a diagnosis or medical advice beyond that to seek out assistance in sorting out what appears to be a very complicated time in Beldar's life.

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