My nurse tied a resident in here wheelchair - page 3

Night before last I was alone on the Alzhiemers unit, my partner was on lunch and the housekeeper was cleaning on the unit. I was washing my hands in the medicine room when she came and got me and... Read More

  1. by   NurseFeelGood
    Quote from mattsmom81
    Hmm. Well have ya'll been in a situation where you didn't HAVE a posey, chair restraint or wrist restraint immediately available? (Guess nobody here works for HCA or places like that...LOL)

    Sometimes we improvise for a time. If someone is gonna fall or pull a line and hurt themselves and you'll be liable for something either way, we sometimes have to make choices. I don't know WHY this nurse did what she did...I just object to the whistle blowing and finger pointing before a reminder face to face. That may have been all it took...someone saying "You know, we really can't do this anymore...let me go find the proper equipment and we'll talk about it later".

    I primarily do ICU where I WILL be liable if the patient hurts themselves so we sometimes make choices based on this knowledge. Its not a policy nor best practice to use sheet restraints, but I HAVE in extreme circumstances UNTIL I could find appropriate equipment.
    I have to agree with you on both points there. I can recall a time when being overloaded with 60+ residents, 2 IV's, 8-12 TF's, accuchecks and insulins for the IDDM's and after already filling out an incident report for a resident who fell out of her bed, after which she was gotten up to her wheel chair, (assessed with no injuries noted) and as soon as I'm gone to the other hall, being in charge of 2, I learn she has fell out of the wheel chair. We had 1 CNA to each hall. I was even helping to do rounds. The facility doctor was quite slow on 3rd shift to return calls, yes I've been there, done that. We do what it takes when it comes to keeping a resident safe. Also, in LTC more and more residents are being "weaned" off psych drugs. Understandably these are fall risks but still for some weaning them off without a PRN makes for a combination for one very irritated resident who wants to hit everyone and everything in sight as well as stand up and walk on her/his own forgetting their balance is certainly not up to par. I realize restraints are and have been abused in the past but I also believe they are sometimes neccessary. We should not whistle blow until we have talked with the person, found out the reason and tried to help with solutions. IMO :uhoh21:
    Last edit by NurseFeelGood on Oct 4, '04