Is this pt abdandonment? What is your opinion?

Nurses General Nursing

Published

So within the last few days, a nurse who works in an critical care setting went to break, which is suppose to be 45 mintues and was gone over 3 and 1/2 hours.

After about 2 hours, the nurse supervisor was called, security was called and no one could find her. They looked everywhere......... other floors, outside.......... no RN.

About 1 and 1/2 hours later the RN comes strolling back into the unit, and looked suprised that people had been searching for her....... she had NO IDEA what time she went on break- states she fell alseep and had no idea what time it was then.

She changed her story twice about where she was, since the first place she stated she was had been seached many times by many people.

The manager has been notified. Her charting is a nightmare- I have not seen it, but have been told it is almost impossible to read, words scratched out, not making sense.

Her pt is OK (covered by her partner RN) however the partner RN was very busy with her own critically ill pt..........and believe me, I would not want one of my family member to have her as a nurse.

What do you guys think of this?

it is definitely abandonment in my book and i would have reported it.

It may be different because of the states Board of Nursing Regulations. Many states Boards of Nursing describe pt abandonment as being when an RN walks out after taking report & leaves the pt without care by an RN. According to state boards of nursing, if the RN who leaves has first turned over her pt to another RN, technically & legally, the pt has not been abandoned.

What we feel about what the RN did doesnt matter. If the pt had another RN who assumed responsibility for him, the Board of Nursing may technically & legally, conclude that he was not abandoned. That doesnt mean the RN is free & clear on any other charges that may come from her irresponsible actions. But depending on her states Board of Nursing Regulations, she may not be charged with pt abandonment or diciplined by the Board of Nursing. The hospital however, can discipline her itself for being AWOL & investigate where her problems are coming from. That investigation might even turn up another problem that does need to be reported to the BON.

I honestly don't think labeling this issue at this point is as important the question of whether or not admin is taking the whole issue very seriously.

If I were a supervisor and she was on the professional assistance program, I would definitely make sure they knew of her lapse.

A 2 hour break is, at least, leaving your work station without letting someone know you'd be gone _that long_ whether or not your patient was "covered" or not.

As a supervisor, I would consider this a very serious offense and depending on this nurse's background, might even consider it grounds for dismissal.

Yes. It just might not be something she would lose her license for under pt abandonment because technically she did turn the pt over to another RN. Still it should go further than just a dismissal - which would let her be free to jeopardize other pts someplace else.

Specializes in ER, PACU, OR.

well technically, the other nurse was covering. so no it's not abandonment.

however, legally, "if it's not charted, it wasn't done." so if either one failed to chart that casre was being assumed by nurse "x", while on break.......it could then become abandonment as far as the law is concerned.

the only thing i can say? someone ought to thank god nothing happened!

jfr, in our facility, sleeping on company time is grounds for termination. since she was gone for 3.5 hours, i think it would be easy to assume more than 30-45 minutes was sleep time for her.

me :)

Why is it that some people get away with anything and everything? Yes, I agree she abandoned her patients when she dumped them on the other nurse (Not safe!). I know I'm the type who'd get charged if I left my patients for a 30 min. break and was gone for 45. LOL. Why does this person still work as a nurse after all the problems? I've never worked for such a forgiving employer! THANK GOD NOTHING HAPPENED! When I read the post that started this thread, I too thought, gotta be drugs. What other reason could someone have for being so wreckless with peoples lives??? Where I come from people go to jail (felony) for driving wreckless and endangering others....

Specializes in correctional, psych, ICU, CCU, ER.

Management puts up with it and expects the other nurses to cover for her, makes allowances for her bx, transfers her from unit to unit? What kind of monkeycrap is this?????

Specializes in CVOR,CNOR,NEURO,TRAUMA,TRANSPLANTS.

Im sorry but if she worked for me she would be drug tested immediately and the suspended until further notice and then the state boards would be notified of the incident...

There is no excuse for such behavior, where the He@@ did she think she was at the beach?, and to say that she fell asleep well that alone would get you canned in my area....

She needs to have her license revoked. No question about it..

But thats just my opinion

Zoe

I agree, it sounds like a drug and or alcohol issue. I spoke to the board of nursing when someone was trying to say I abandoned a patient when I did not. I understand that if you notify your supervisor and there is someone to cover that patient in your absence then it is not patient abandoment. Since there was a nurse there to cover her patient she assume responsibility to that patient. It is a good thing that patient did not code or went critical I would hope they would severly discipine that nurse because that is a big liability acute care facilities don't need.

Specializes in ER, ICU, L&D, OR.

Howdy yall

from deep in the heat of texas

Lets keep it simple

FIRE HER IMMEDIATELY

doo wah ditty

Abondonment, Endangerment, & Neglect! This is patient ABUSE! This is not the normal covering of breaks. This should have been an occurence report, a disciplinary action and a call to Adult Protective Services. We are all Mandated Reporters. When we are aware of abuse and do not report it we can be fined and we can even spend time in jail over it. I don't mean to sound harsh. We have many regulations do follow in health care. If we pulled that we would be looking for our next job.

She knew just who to ask to cover for her. Peer pressue is strong. She knew when she would get away with it. Our director would have first inquired if she had a health condition and next a behavior or substance abuse issue.

If it was me I would call and report the abuse now before someone else calls and list me as a person who has knowledge of it.

Keep us updated!

Good topic to discuss.

Cali

The question that I have is- did the other RN recieve report on the patient? You said that the partner RN covered her patient while she was gone, but how much updated information about the patient was given before she left. In SC, I believe that you are suppose to leave your patient in charge of another nurse, even if you run to the lab or something. This includes giving some kind of report to a nurse when you leave. About two years ago this actually happened at my institution with a contract travel nurse. She went to lunch and did not return for hours ! After about an hour, the nurses working with her noticed she had not come back to the floor. They sent out a "search party" including the manager and the nursing supervisor. Some of our patient care workers looked for her as well. Come to find out, she had been seen on several different units visiting with other nursing staff that she had become freinds with. She basically traveled all over the hospital visiting. When one of the case workers found her, she escorted her back to the unit. The hospital sent her home. They cancelled her contract with the agency immediately. Another interesting twist to the story is that while she was "missing in action", the other nurses decided that they better count the narcotics and there were some drugs not accounted for. When she returned to the unit, she was confronted by the manager about that. I do not know what happened with the drug count, because it was handeled privately. It is scary though !!!

+ Add a Comment