Quote from anaknisupernurse
John, I am a male LPN, too and encounter similar circumstances. I can only wonder what things the lady said for the other residents not to take medication from you.
If the lady is deemed capable, and after you have explained to her what her medications are for, can't you just write down on the MAR and on the chart that she refused? I know those were some essential meds but having you attempt numerous times and arguing with her ended up making the whole floor refuse their medications. What you or your supervisor could have done was to call her son and inform him of her refusal. Occasionally, we've had the family member come to the facility to talk to the resident themselves. Sometimes having the family member talk to the resident on the phone works. But honestly, I don't think you are obligated to do this. If the resident is truly oriented and can decide for herself, then she has the right to refuse. Am I right?
I am still puzzled why being male made the other residents refuse medication from you. Once in a while female residents refuse for me to change their diapers or clothes. But that's mostly it.
I do hope you rethink the decision not to go back to that unit. What happens when something similar happens at the other station? You can't just keep crossing off stations on your list. I can understand your move to another station for a while but don't say you can't work at that first station in the future. You did not do anything wrong.
I did notify my sup as soon as i could have, about 20 minutes after the incident, and I didn't argue with the resident, just explained that it wasn't an invasive procedure, and didn't require me to see any part of her anatomy other than her hands and mouth, as she swallowed the meds. Never raised my voice, or showed my frustration, and quietly walked away after the third refusal.
The reason the rest of the ladies on that hallway refused were probably that they heard this resident yelling that I was a man, trying to get her to take pills, and I must have some private agenda to drug her and take advantage of her. She stated that she never took any pills before, from anyone, and wouldn't be starting for me, because I was a man and just wanted to drug her. The other residents heard her, and since most have alzheimers and/or dementia, did the monkey-see-monkey-do thing. I never raised my voice, and walked away after three attempts to persuade her, even showing her the MAR and explaining what each med was for. A sup wasn't available to come and talk to her until several hours later, but social services did come about 45 minutes later and talk with her and her son, over the phone. Also, upon having the time to read her chart, she's done this before to female nurses also, so this is just a behavior of hers. It's been looked into, with no change. I didn't know that until after the med pass tho, because no one warned me ahead of time.
It took three attempts, and a full explanation of each med to the rest of the ladies on the hall to get my med pass done successfully, which is why I was so late in completing that med pass. I sorta' blame the regular nurse on that unit, as she seems to have an anti-male attitude, and I have personally heard her degrade a male CNA for even attempting to care for a woman resident who usually has male care-givers, but for some reason that day refused a shower from that male caregiver. I can fully understand that, but to degrade a man, saying that "yeah, he shouldn't be trying to see ladies naked", and hinting that he just wanted a cheap thrill, when this nurse was the person who assigned that lady to him is just WRONG on soooo many levels. In my opinion, this nurse has persuaded many of the residents on that unit that men don't belong in nursing, and that's what made it so hard for me that day.
I've heard, either myself, or from other nurses and CNA's, this nurse make other anti-male comments, and really think there-in lies the problem. Also, they have both a 7AM and 3PM med pass, that the day-shift is responsible for. Never encountered that one before. Seen an 8AM and 2PM, but never right on 7 and 3. This nurse I've mentioned writes most of the orders in the MAR, so I'm guiessing that's her doing.
I return to that facility this afternoon at three, and again tomorrow for a day-shift, but am assigned to another unit tonight. The reason I won't go back is because I really don't need the aggravation, and also don't really want to upset this woman resident again, and the other residents within earshot of her. Hopefully all goes well, as it usually does for me. I have a positive attitude, and will make it thru the day whatever happens. Wish me luck guys and girls!
PS,,,, I'm only working in PA for another month or so, until my FL license comes in and I move south. That means only 4-6 more weeks of this facility, and then a move that I'm really looking forward to, so I really have a positive attitude that I can take whatever I have to until I move. Of course, I hope the last month here will go smoothly, but hey, it's all in the game, right?!?!