Cna incident investigation

[Nnb07]

I need some advice on what will happen to me. I am a cna and recently I was involved with an incident that resulted in the resident falling from the stand up lift and breaking her hip. I was helping an aide transfer a resident from the chair to the bed and when the resident was standing up in the lift, I asked the aide if it was ok for me to go on break and she said yes. I left before the resident was transferred in bed and she was still standing. When I came back from break she told me the resident fell from the lift when I wasn't there.

The facility sent the information to the attorney general and department of health for nys.

I was suspended from work and I understand I am in big trouble but does anyone know the process or what will happen? Will I lose my certification and can I continue nursing school?

I know now I shouldnt have left and I really regret it and I'm so upset that the patient fell I feel so bad. But I don't know what to do and I can't stop thinking about this. Does anyone have any advice or information on what will happen?

[MunoRN, RN]

I don't lack a basic understanding of anything is that's been the "standard of care" at literally every facility I've been at. You can keep your condescending, passive rude comments to yourself. No way you can dictate what someone else knows from experience.

Again, you're point is moot in this scenario because if the CNA requested help and OP was suspended then obviously it was the "standard of care" in this facility too and/or the staff nurses failed to upgrade this patient to a hoyer because obviously the patient wasn't a good candidate for the stand lift.

And I'm not discussing the lift issue again!

"Standard of Care" is a legal term that defines negligence, it's defined as something that no other reasonable or prudent nurse would do. Lifting a patient by putting a strap around the patient's neck would go against the Standard of Care since you wouldn't be able to easily find nurses that would find that appropriate. The belief that no lifts can be used by one person is clearly not a standard of care as one can easily find not only nurses but entire facilities and organizations that do not hold this to be true.

Sit to stand lifts are commonly used by solo caregivers in home health for instance, would you agree they are guilty of criminal negligence?

[NurseBlaq]

"Standard of Care" is a legal term that defines negligence, it's defined as something that no other reasonable or prudent nurse would do. Lifting a patient by putting a strap around the patient's neck would go against the Standard of Care since you wouldn't be able to easily find nurses that would find that appropriate. The belief that no lifts can be used by one person is clearly not a standard of care as one can easily find not only nurses but entire facilities and organizations that do not hold this to be true.

Sit to stand lifts are commonly used by solo caregivers in home health for instance, would you agree they are guilty of criminal negligence?

I'm not doing this circle jerk thing with you, nor am I doing whataboutism. Do you have anything to say about the OP situation or nah? If not, we're done discussing this.

[brillohead, ADN, RN]

So here you are again with the condescending nonsense but according to someone else you're Mary Magdalene.

I said I wasn't addressing this again, so I'm not.

Now that you feel superior with that wall of BS, do you care to address the fact OP failed and a patient is now hurt or nah?

And yet, here you are, continuing to blather on about it after having been proven to be wrong.

[NurseBlaq]

And yet, here you are, continuing to blather on about it after having been proven to be wrong.

Wrong! Here you are 1 of 3 different people who keep quoting me to harp on irrelevant nonsense while not addressing the OP topic. Nothing was proven wrong, cause my experience and what I know to be truth hasn't changed. Only thing I see is continued attack dogs with an irrelevant ax to grind. I'm also done addressing you on any form.

Now have at it since you need to feel important. LMAO!

[MunoRN, RN]

I'm not doing this circle jerk thing with you, nor am I doing whataboutism. Do you have anything to say about the OP situation or nah? If not, we're done discussing this.

The OP asked what the potential legal ramifications are of a caregiver using a lift by themselves, so I'm not really clear why you view a discussion of exactly that to be off topic.

[NurseBlaq]

The OP asked what the potential legal ramifications are of a caregiver using a lift by themselves, so I'm not really clear why you view a discussion of exactly that to be off topic.

Don't worry, you're now on my ignore list.

[Ruas61, BSN, RN]

The chance of the OP being charged with a felony for going on a break rather than staying to assist someone else who told her he didn't need her help is essentially nil.

Her behavior was highly questionable, but this kid is not going to jail.

In this case, I would agree but see the article below. I am not talking out of my hat when I say some CNA/NAR in my state have been charged and tried criminally for falls.

Nursing home employee charged with manslaughter - StarTribune.com

[Sour Lemon]

In this case, I would agree but see the article below. I am not talking out of my hat when I say some CNA/NAR in my state have been charged and tried criminally for falls.

Nursing home employee charged with manslaughter - StarTribune.com

That actually sounds pretty extreme. He didn't make a single good decision leading up to the event or even after it. To be blunt, he just didn't give a ****.

[Ruas61, BSN, RN]

That actually sounds pretty extreme. He didn't make a single good decision leading up to the event or even after it. To be blunt, he just didn't give a ****.

I have seen charges filed even with 'less extreme' situations but in the same genre. I don't know if he gave a crap or not but I suspect panic and a poor choices all rolled up with it too.

[neuron]

Wow, I don't know where you guys work, but the whole point of a lift (either a Hoyer type or a Sit-to-Stand type) is that it doesn't require multiple people to move the patient. Lifts are used in home care all the time, including by unlicensed, uncertified family members.

Check out these instructional videos easily available on YouTube -- all demonstrating that the lift is used with just one person assisting:

Every single time, only one person is required to facilitate the transfer.

Thank you, kbrn2002... nice to see that I'm not the only one who knows this!

It took me several years to be proficient at using a hoyer lift. Till this day if I am at a facility, I will not use one by myself. And a sit-to-stand lift, the person being transferred has to be mental intact, if not they will probably fall over with the strap around them.

Most residents being transferred by hoyer lift at a nursing home are not mentally intact, some are obese, contracted, and have a feeding tube, and screaming during the transfer.

[dianah, ASN]

Kudos to members who have redirected this thread back to its original topic.

Please refrain from posting off-topic comments and comments with personal attacks.

Thank you.

[VivaLasViejas, ASN, RN]

I've honestly never worked in a nursing facility that didn't require two persons for a lift transfer. Yes, I'm sure it's done in homes and maybe even assisted living facilities, but every hospital and nursing home I've been at had a policy that everyone who needed a Hoyer or sit-to-stand lift was a two-person transfer. This was for the safety of both the patient/resident and the staff.

I couldn't help noticing that the patient using the sit-to-stand in the first picture was wearing only socks, not shoes. The error glared out at me because THAT is unsafe. I once wrote up an aide for transferring a resident that way who slipped and fell partway out of the lift. That aide was my son. He's an LPN about to graduate from his RN program, and he never forgot that nor did it again.