I Said... 'huh?'

Nurses General Nursing

Published

Imagine that you're the NightShift Supervisor and have been for quite awhile with all linens, medical supplies, residents rooms, exit doors,and entry door keys for access, locking or security when suddenly their aren't any keys and the above doors are inaccessible too you?

Imagine that you're responsible for 170 residents, 15 too 25 nursing staff and several of those in your care are Trachs all using misters,one with MRCA, cancer of the throat and he suddenly goes into distress with the medical supply room locked.

Imagine that you've made several calls trying to attain the keys for immediate entry with NO Call Backs and the nurse responsible for this residents direct care is in a panic as this resident is literally suffocating and close to Resp.Distress and the other residents are in need of sterile solution for their Trachs, but you've no access other that breaking into the supply room.

Imagine that you've reported same to the Nursing Consultants as well as the Administrator with the response being; "Why didn't you wait for Resp.Distress and then 911 him out?"

Imagine calling Corporate Headquarters and explaining this and they agreed with your decision which saved the residents life; not too mention that it protected your License, and told to ask for a 'Peer review' since the Administrator put you on indefinite suspension for "Destruction of Property."

Imagine attending the 'Peer Review' with witnesses notarized statements as well as them present; a notarized statement with the witness present that the Administrator had kicked-in the DONs door for paperwork and told it was all irrelevant because they wanted the 'Names' of those directly responsible for the door damage which you refused as you where the supervisor and instructed them to gain entry. The linen closet was entered by use of a credit card but the Medical Supply room had several dead-bolts and was unattainable with a credit card.

Imagine that you asked of your 'Peers'; "What should I have done?", and you were told that; "You could have called other facilities in the area requesting the needed medical supplies."

HUH? SAY WHAT?

You explain that that was unethical since the facility had the necessary medical supplies and according to the Social Security Act, all doors should have been accessible; not too mention the embarrassment the Corporation would have to contend with and the State Investigation that most certainly would follow, which it did with several 'G' tags and others given.

Imagine that you're Terminated and asked to sign a 'Write-Up' at the close of the 'Peer Review' admitting to destruction of property or sabotage of facility?

Imagine that in your long career as a RN you've never,ever been written-up, too have this shoved in your face. You refused to sign; your terminated!

Imagine receiving a 'Certified Letter' with the write-up enclosed stating that you admitted to destruction or sabotage but refused to sign.

Imagine contacting the Ombudsman,Health Professions Bureau, ANA, VNA, local paper and all agreed with what you did but saying they couldn't do anything about it.

'HUH?' SAY WHAT?

Imagine contacting an attorney and being told it's a 'TORT' issue which may take several years and that you also had a good cause for a 'Libel Suit', but...

Imagine that the facility in question lost not just the supervisor but CNA's, LPN's, RN's, ADON and DON next due in part to their total disregard for the residents care and staffing needs which you made it a point to express to the Administrator on numerous occasions only to be told that they had NO Authority to hire or address the issues which your response was to ask if they were primarily there as 'A SEAT WARMER.'

'IMAGINE'

Originally posted by betts

Wildhoney,

TY for the suggestion,but the idea is to have as many Caregivers as possible send emails as well. Feel free to send this thread to anyone that you believe will read it.

Yes Mam, will do. :)

Specializes in surgical, neuro, education.

betts: what article on your site do you want us to see? Also--I just took a course in nursing activism and they said it is far better to write a letter than an email. It has a better chance of being seen.

Lets all write President Bush!!! If he is inundated with our letters maybe he will read one of them.

Hang in there--were behind you.

Try the "Village Voice" in NYC they will love it and have a field day... They are pretty good for stiring things up...

Yes, I did submit the thread url when I sent my letter to ARRP.

Hmmmm....i wonder what erin brokovich is doing these days....

Subj: Re: Letter to the Editor from Web site

Date: 5/20/2002 9:36:24 AM Eastern Daylight Time

From: [email protected]

To: [email protected]

Sent from the Internet (Details)

Thank you for your letter. We are not able to use it without a full name; neither can we use it if you are not the original author. We do appreciate your concerns, however.

Linda J. White

Letters Editorial Assistant

The Free Lance-Star

[email protected] wrote:

> Betts--I am sending a copy of the letter that sleepyeyes wrote. I have added a note at the end:

>

> Dear Sir/Madam:

>

> Suppose your mother is in a nursing home. It's late at night. Suddenly, she can't breathe; she's fighting for air. Look at your watch now and time your response because your mother literally has less than 10 minutes to live.

>

> There's a nurse on duty who knows how to help Mother breathe, BUT the supplies are LOCKED in a room where the nurse cannot get them.

>

> The nurse needs to act FAST. What should she do?

>

> She calls the Keeper of the Keys at home. No answer.

> Call 9-1-1? Response time: 10-15 minutes. Mother won't last.

> Break open the door to the supplies? Response Time: 3 minutes.

>

> Which would you choose? Which gets the faster, more reliable result? How would YOU have saved Mother's life?

>

> OK. Time's up.

>

> In this case, Mother wins because the nurse broke open the supply room door and got the supplies that kept Mother alive.

>

> OK, next question:

>

> What should the headline to this story read?

>

> (A) "NURSE SAVES MOTHER; GETS BONUS FOR JOB DONE WELL; NURSING HOME REALIZES MISTAKE, LEAVES KEYS IN BUILDING FOR NIGHT SHIFT"?

>

> or

>

> (B)"NURSE SAVES MOTHER; GETS FIRED FOR BREAKING INTO SUPPLY ROOM?"

>

> (B) That's right, B is correct.

>

> Yes, you read it right: The nursing home that locked the supply room refused to give the keys to the nurse who could use them to save lives, then fired the caregiver who actually did save someone's life.

>

> Questions:

> Why was the nurse fired?

> Ans: She was "not a team player." Because she made the nursing home "look bad" with her complaint to the State.

>

> Why wasn't the nursing home fined by the State?

> Ans: Because all the witnesses were so horrified that they quit and were never questioned by the State investigators. Because the nursing home covered up. A lot.

>

> Why wasn't the patient's family notified of this event?

> Ans: Silly, it's unethical to tell the family; all nurses know that. It's part of having a nursing license.

>

> OK. Last question, then you can all go home and get a good night's rest:

>

> When's the last time you visited your loved one in that nursing home? In the middle of the night?

>

> Sincerely,

>

> This incident actually happened to a friend of mine. I have been in nursing for over 15 years and I wish I could say I am speechless, but I can't. I have seen so many practices that should not have been--they are not by NURSES who care about their patients--they are by CORPORATE America who cares nothing for you or your loved ones health or safety.

Specializes in surgical, neuro, education.

Sorry Betts. I wish I had penned this letter--I would have been glad to send my name, address etc. What else can I do to help.

Cheryl

'UPDATE'

Subj: RE: web-mail: Comments

Date: 5/21/2002 9:05:38 AM Eastern Daylight Time

From: [email protected]

To: [email protected]

Sent from the Internet (Details)

Ms. ___________:

Thank you for contacting the U.S. Administration on Aging. The Public

Inquiries Unit of the Center for Communication and Consumer Services

responds to messages posted to the agency web server.

You have a flair for writing and a point to make, but you do not have an

idea or suggestion for improving a situation you feel needs to be addressed.

Is it to change rules to allow greater autonomy by nursing home staff? The

difficulty with this is the U.S. Senate Special Committee campaign to

curtail nursing home abuse by nursing home staff - a message that encourages

administrators to be more restrictive rather than less restrictive.

The other recent public policy initiative is one taken by the Department of

Health and Human Services along with Congress to increase recruitment and

education of registered nurses. But according to a recent article, it would

take nearly $2 billion to bring the salaries of RNs in nursing homes to

comparabilty with RNs in hosptials. Given that more than 30 states have

deficit budgets largely due to increases in Medicaid costs (and 2/3 of

residents in nursing homes are on Medicaid), finding that $2 billion will be

difficult.

You are to be commended for your commitment and interest in advocating for a

better work environment for nursing home staff - which would contribute to

better care of residents (I think most would agree). We hope you are

working with your state advocacy organization:

http://www.nccnhr.org/static_pages/citizens_groups.cfm

Bruce M. Craig

Public Inquiries Unit

Center for Communication and ConsumerServices

U.S. Administration on Aging

email: [email protected]

Tel. 202 619-7501

Mr.Craig informs me I've NO idea or suggestion for improving a situation I/we feel needs to be addressed. 'HUH?' Say What?

I would think that it's "A GIVEN"; "Apparent", "Evident", "Obvious", and clearly "Visible". In my "flair for writing", 'money' wasn't the issue.

What I want for Caregivers is simple;

Description of my ideal company:

Whether public, privately owned and operated:

a.) Recognized for its Center(s) of Excellence in Healthcare and/or

Rehabilitation.

b.) Respects the dignity of each client/patient/resident, physician,

volunteer, visitor and employee.

c. )Given the recognition and support from upper management to do the job.

Specializes in Case Management, Home Health, UM.

My God, what a travesty....I worked at a LTC facility as an ADON for only three weeks, then got the hell out. My conscience would not allow me to be a part of an institution which provided substandard care. Only last night on the evening news, it was reported that another resident had died as a result of substandard care at another LTC facility in the area......

Maybe this should be happening more often to administrators of substandard nursing homes. A resident had to die a horrible death for anything to be done.

Charges urged in Robinson nursing

home death

Friday, May 17, 2002

By Cindi Lash and Gary Rotstein, Post-Gazette Staff

Writers

The Allegheny County coroner has recommended that

the operator of a Robinson nursing home be prosecuted

in the death of an elderly resident who was locked

outside the home on a cold night.

Dr. Cyril H. Wecht

yesterday called on District

Attorney Stephen A.

Zappala Jr. to prosecute

Atrium I Nursing and

Rehabilitation Center

administrator Martha F.

Bell for "gross, reckless

and negligent misconduct"

leading to the death of

resident Mabel Taylor on

Oct. 26.

Wecht, who believes the

misconduct sufficient for a

charge of involuntary

manslaughter, said

Zappala would make the

final determination.

Calling their conduct "truly reprehensible," Wecht also

recommended that Bell and other Atrium employees be

prosecuted for criminal neglect of Taylor as well as

"most of the other" residents of the 170-bed facility on

Campbells Run Road. Under Pennsylvania law, that

offense can range from a misdemeanor to first-degree

felony, depending on the degree of injury.

Wecht also said he believed that Bell, registered nurse

Kathryn Galati and possibly other employees committed

perjury and conspired to obstruct justice during the

investigation and inquest into Taylor's death. Bell and

Atrium attorney Lawrence Zurawsky declined comment

yesterday; Galati could not be reached.

Wecht said he would forward his findings to Zappala,

Attorney General Mike Fisher and state and federal

agencies that regulate and allocate funding to Atrium.

Assistant District Attorney Thomas Merrick said Zappala

would review Wecht's recommendations before deciding

whether charges would be filed.

"What ensued [at Atrium] is intolerable," said Wecht.

"I'm not out to hang anyone here. [bell and other

employees'] actions and testimony under oath will

speak for itself."

Taylor, 88, who had Alzheimer's disease, died of heart

disease aggravated by cold after she was locked

outdoors in a fenced courtyard on a 40-degree night.

Her daughter, Jane Baczewski of Hopewell, said Galati

later telephoned and told her that Taylor had died

"peacefully in bed."

But Baczewksi learned from employee Rose Beasley

that Taylor died outdoors and that employees carried

her cold body back to bed, redressed her and turned up

the heat to make it appear as though she'd died in her

sleep. Police and the coroner were called and an inquest

was convened.

The inquest later expanded to include testimony from

current and former employees of Atrium and relatives of

residents who were critical of the facility's care,

cleanliness and staffing.

A Pittsburgh Post-Gazette review of Atrium in February

also detailed criticisms by family members and

ex-employees as well as penalties imposed by state

and federal regulators.

Baczewski said she was "thrilled" with Wecht's

recommendations and believed they would spur changes

at Atrium.

"The first step to change is seeing how bad the picture

is," she said. "Nobody had believed it up to that point,

but now they do. It has all come out -- how they denied

my mother and other people even the most basic care --

and that is what needed to happen to make things

better."

Wecht's recommendations mirror those of attorney

Robert L. Garber, who presided over the four-day

inquest, then compiled a scathing report criticizing

Atrium's management. In his report to Wecht, Garber

referred to Atrium as an "operational nightmare" and

warned that its continued operation "poses serious risks

of bodily harm or injury and death to its residents."

"One of the seven wonders of the world, if not the

eighth, is why this place is able to be in existence,"

Garber said yesterday. If Atrium is permitted to

continue operating, he said, its management and

operations "should be cleaned up."

Wecht stopped short of calling for the state Health

Department to revoke Atrium's license. But he, too, said

its managers must be forced to "shape up" by adhering

to state and federal standards and by providing proper

care to residents.

The Health Department has imposed numerous

penalties upon Atrium since its 1995 opening, but

stopped short of its most extreme steps, which are

closing a facility or forcing it to accept a temporary

manager to correct problems.

The state has not shut down a nursing home since

1998. For problem homes, the Health Department

instead uses provisional licenses, fines and temporary

bans on admission to encourage compliance.

"This is where people live, and the Health Department

is not in business to put homes out of business," said

Susan Getgen, director of the department's division of

nursing-care facilities.

The latest Health Department inspection of Atrium on

March 28 found widespread problems, resulting in 22

citations for deficiencies and a fine of about $18,750.

Among the problems cited were failure to assess and

care for residents properly, inadequate quality

assurance and staff supervision by managers,

unsanitary food and kitchen conditions, and failure of

staff to pay attention to door alarms.

Atrium was also assessed its second consecutive

provisional license, a status that is supposed to bring

increased scrutiny by inspectors. The facility was on a

previous provisional license and was fined $5,550 for

the circumstances surrounding Taylor's death.

Atrium is in the process of changing its name to the

Ronald Reagan Atrium I Nursing, Research and

Rehabilitation Center through a link with the Ronald

Reagan Legacy Project. A spokesman for the

Washington, D.C.-based Legacy Project, which seeks to

memorialize the former president, said the name

change was to be final next week.

Conscience and Courage

A message to employees of nursing home and assisted living facilities:

If you are an employee of conscience, and, as a service to the community, you wish to inform the public of practices or policies in any nursing home or assisted living facility which you believe are harmful or inhumane to residents, please call or email us to contribute this information.

If you feel that the public could better protect themselves if they knew what you know, then please, as a public service, donate that information to the Citizens' Committee.

Your information, combined with information from other people with similar experiences, will become a resource which will allow the public to make better and safer choices.

If you are a person of conscience and courage, please contact:

Judith Allison (Email) [email protected]

Board President

Citizens' Committee to Protect the Elderly

Absolute confidentiality is assured.

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