Elopement and LTC

Specialties Geriatric

Published

I currently work in Vermont and had a resident elope on my shift, I was at lunch and was not in the facility at the time of the incident.

Upon return, I was notified about what happened by my supervisor. The resident was already on 15 minute checks with a wandergaurd in place. This is not the first time that the resident has been successful in leaving the property.

A few hours later the Administrator was called and came into the facility to question people about the incident. I was also brought in for questioning. After I had sat down, the Administrator immediately starting what felt like attacking me and almost trying to pin the blame of the elopement on me stating that the resident must have left the facility at the same time as I and they were hiding so I could not see them. I obviously became defensive with these statements and actually waiting a moment when I left the facility to make sure that the doors had shut so I knew that they were secure. The administrator continues to tell me that I will end up losing my nursing license because of this incident if I do not "cooperate and work as a team with us (them)". I was not being uncooperative and was more fearful of losing my nursing license over something I literally had no control over. I did not cause harm, I checked to make sure my residents were safe before leaving for break, I notified my staff on the unit, and I also saw said resident on the unit as I was leaving it. I was also told that if I called out of work the following day because of the incident it would be suspicious of being guilty of causing the elopement. I have been a nurse for two years and have never had anything like this happen to me, I was and am still completely shaken up. Now, I am afraid to work in the facility for fear of retaliation or losing my nursing license.

Once the conversation was over the Administrator wrote down my statement, which I looked over, agreed, and signed. I made sure to get a copy for my records of the incident.

My question, has anything like this ever happened to someone? I feel like every time I've heard of an elopement situation the nurse on duty ends up getting fired or losing their nursing license over it. Also, if anyone has any information where I could find what Vermont's laws on something like this are that would be great. I have googled things but have only seen case studies or facility specific guidelines.

Any input would be great!

Specializes in MICU, SICU, CICU.

You are being blamed for this elopement. They are building a case that they can use for progressive disciplinary action and to deny employment benefits based on misconduct.

Do not sign anything else.

It is time to part ways with this facility. Start looking for other employment.

Specializes in SICU, trauma, neuro.

I lost my grandma to an elopement from her memory care facility. It was March in Wisconsin, and overnight--it was well below freezing. Staff was not penalized. The reality is it's impossible to have eyes on one person every minute of the shift, and it's reasonable to expect the safety equipment to be working. Otherwise, why is it there?

That said, I completely agree with icuRNmaggie that you should part ways with this facility

Specializes in SICU, trauma, neuro.
I lost my grandma to an elopement from her memory care facility...

I just wanted to be clear that the staff was doing their rounding; it was q 1 or 2 hrs, and as soon as they found her gone, they activated the appropriate emergency response system. It wasn't like she was gone all night and nobody noticed.

They had a Wanderguard system and the alarm never went off. It was an equipment failure, and the staff did what they could.

As a floater, I work all units. Recently was called into a room to "look at his leg" I had heard that 2 weeks prior he had rolled off his be when being turned. What I saw at 5 am was yellow discoloration, obvious fracture from weeks before. I medicated him for pain immediately. I took my supervisor in for her opinion. Shortly thereafter the 7-3 nurse came in, I took her to the bedside. The residents remained comfortable. No s/s of pain. I ordered a mobile X-ray and left. Following day I am under investigation for medical neglect, unpaid suspension. Although after 3 weeks they asked me to come back to work despite the investigation still open. What would you do? What would you have done differently?

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