what can be done????

marielina85 · Aug 17, 2010

Why in the name of AllNurses would your DON go after you for a pt's refusal to heed your warnings?? Can't say it enough!! Document, Document, Document!!!!!

yea she is confused. I guess i'm just annoyed I got in trouble when I feel I'm doing everything I can for this person, but yet she still manages to find a way to fall.

leslie :-D · Aug 17, 2010

yea she is confused. I guess i'm just annoyed I got in trouble when I feel I'm doing everything I can for this person, but yet she still manages to find a way to fall.

you've heard the saying, about 'crap' rolling downhill?

that.

your don is taking her frustration (and fear!) out on you, because ultimately, it comes back to her being ultimately liable.

if i were don, i'd be scheduling a family meeting, getting members updated and involved...

even if it's the emergency contact in the chart...the facility needs to collaborate w/someone from pt's side.

we had such a pt (hospice facility) whose disease process was such that bones would shatter on minimal impact.

and she/pt was a feisty, determined, independent lady.

the nm called in certain family/friend/poa, and they ended up signing a form that made them aware of pt's high risk for falling.

i remember this close friend/poa stating to let her do what she's going to do.

so when this pt ended up sustaining major trauma to herself, there wasn't any anger/surprises/threats, etc.

maybe this doesn't help the pt at all, but it does keep everyone involved and informed.

if this pt is competent, then have her sign a form to effect stating, that she has been educated about dangers she presents to herself, and any injuries sustained, are of her own doing.

it's still tragic if she hurts herself, but also says in no uncertain terms, "we tried to warn you."

good luck with this lady.

and God bless her. :lol2:

leslie

Plagueis · Aug 17, 2010

I'm confused...how can a patient refuse/be noncompliant with bed sensor?? Don't you just set the button on the bed? I set the bed alarm on all my patients who are at risk for fall and most of the time, they don't even know I've set the alarm.

Well, with residents who are AAO x 3, they often refuse bed alarms/sensors because they don't like the noise the alarms makes when the get up or move around in bed. Plus, other residents are often quite capable of turning off and taking apart their bed alarms.

marielina85 · Aug 18, 2010

you've heard the saying, about 'crap' rolling downhill?
that.
your don is taking her frustration (and fear!) out on you, because ultimately, it comes back to her being ultimately liable.
if i were don, i'd be scheduling a family meeting, getting members updated and involved...
even if it's the emergency contact in the chart...the facility needs to collaborate w/someone from pt's side.
we had such a pt (hospice facility) whose disease process was such that bones would shatter on minimal impact.
and she/pt was a feisty, determined, independent lady.
the nm called in certain family/friend/poa, and they ended up signing a form that made them aware of pt's high risk for falling.
i remember this close friend/poa stating to let her do what she's going to do.
so when this pt ended up sustaining major trauma to herself, there wasn't any anger/surprises/threats, etc.
maybe this doesn't help the pt at all, but it does keep everyone involved and informed.
if this pt is competent, then have her sign a form to effect stating, that she has been educated about dangers she presents to herself, and any injuries sustained, are of her own doing.
it's still tragic if she hurts herself, but also says in no uncertain terms, "we tried to warn you."
good luck with this lady.
and God bless her.
leslie

'

yea leslie I figured that shes taking out her frusterations out on me.=(.....Thats not fair though but its watever. Thanks everyone for all the great advice.

JulieCVICURN, BSN, RN · Aug 20, 2010

Have you used a motion sensor?

Heh. I read this as "moron sensor".