FRI or No FRI?

[DHawkinsrn]

So one of my CNAs, along with another CNA transferred a resident using a gait belt instead of using the sit to stand lift. The patient subsequently fell during this transfer and sustained an avulsion fracture to the patellar. I feel we should report it, however others do not. Any thoughts??

[Ruas61, BSN, RN]

What's care planned?

[DHawkinsrn]

What's care planned?

Sit to stand lift is care planned.

[ClearBlueOctoberSky]

It is my understanding that any fall with fracture or serious injury is reportable. At least to us in Colorado. If the Aides weren't following what is Care Planned, it could also be Neglect. Again, my facility would self report it as neglect.

As a side note, our laws on the Elder Justice Act, we operate under both Federal, and we have State, are about yo get tougher. Not only would it be neglect, this incident could involve Criminal Negligence.

[Mn nurse 22]

Absolutely. In our facility it would be a vulnerable adult, reportable to the common entry point, and if they die within 6 months their death is reviewed by the medical examiner.

what did your charge nurse say? She should have filled out an incident report, fall report, and VA report and probably call the family and facility administrator.

[CapeCodMermaid, RN]

In Massachusetts, any fall with fracture is a reportable event. We have 7 days to investigate the incident and report it to the DPH along with our corrective action and the names and titles of any staff members involved. I report everything...if someone falls and goes to the hospital for tests, I report that even if all the tests were negative. The surveyors trust me since they know I never try to hide anything.

[traumaRUs, MSN, APRN]

Merged topics

[LTCRN4LIFE]

Not only do you need to report it but they were not following the Care Plan so you need to discipline and do education.

[DHawkinsrn]

Not only do you need to report it but they were not following the Care Plan so you need to discipline and do education.

Reported it and immediately did a plan of correction which included transfer education with all staff members. Also change of condition education with the staff as well.

[NurseGuyBri]

In the Virginia OLC regs, it actually indicates that this is not required to be reported.... HOWEVER, since Facility Reported Incidents are self-reporing, I would still report it. Sometimes the rules are a little vague and there is a clause that says if it may end up in litigation, it should be reported. It is a definite report for me.

[jay34]

Sorry this post is late, but also show what disciplinary action you took toward the staff that did not follow the plan of care. In this case, the staff member should have been suspended immediately pending investigation. After a three day investigation, I would terminate the staff members and in the state of MS, report them to the Board of Nursing and the Attorney General. They conduct their own investigation and decide if other reprimand needs to be given. Always remember you have to protect the resident that harm was caused to, and protect those that could be potentially harmed.

[DHawkinsrn]

Jay34 the staff were disciplined as per our company policy. One fired immediately the other suspended and written up. Both reported to the board of nursing.