Sex offenders/ residents screening?

CAT-CNA · Feb 10, 2011

Last place I worked at we had a sex offender and a murderer. I was told to take another person with me when I cared for the s.o. until I felt more comfortable with him--never did feel comfortable with him but I got to the point (very quickly) where I could handle him on my own. I never talked about my girls with him like I would my other residents (he had raped a little girl), you just had to keep a eye on him and his hands.

CapeCodMermaid, RN · Feb 10, 2011

We do a sex registry check on EVERY resident before we admit them. If they are a level 2 or 3 we automatically deny them. If they are a level 1 we try to find out more info, but usually deny those too.

We have 2 current sex offenders in the building...let in before I started there. One is really icky. The other says he got drunk and peed in public. Someone saw him and he was arrested and labeled.

We don't take anyone on parole or with an arrest for a violent crime either. They might need care, but it won't be at my facility.

Bella'sMyBaby · Feb 11, 2011

Yes, I have heard that some facilities are starting to run criminal checks on potential admits but the LTC Companies I have worked for were not doing it, in fact, the last Corporation I worked for, had the creepiest sex offender ever. He was in a room all by himself, was violent, was served all meals on styrofoam since he would always throw food, plates, everything....He was absolutely vulgar, would ramble on about "Chester Molester." Whenever the facility had a function going on, his door was shut. That Monster belonged in Prison. He was truely EVIL....They don't belong in Nursing Homes.....Prison would be a better option..... :rolleyes:

mdecastronp · Feb 11, 2011

if you have a social service consultant, i recommend discussing your resident with hx of being a sex offender. i was consulted once on a case in which the ltc did not know the resident was a sex offender until his parole officer called. i consulted with our social worker and indeed there were regulations that we have to follow. if your facility is near a school, you may want to review it also with the parole officer even if he is w/c bound.

CapeCodMermaid, RN · Feb 11, 2011

Yes I have heard that some facilities are starting to run criminal checks on potential admits but the LTC Companies I have worked for were not doing it, in fact, the last Corporation I worked for, had the creepiest sex offender ever. He was in a room all by himself, was violent, was served all meals on styrofoam since he would always throw food, plates, everything....He was absolutely vulgar, would ramble on about "Chester Molester." Whenever the facility had a function going on, his door was shut. That Monster belonged in Prison. He was truely EVIL....They don't belong in Nursing Homes.....Prison would be a better option..... [/quote']
There are thousands of prisoners who are aging. The push is to get them out of prison and into nursing facilities because it's cheaper for the state. The line is 'very few violent crimes are committed by people over the age of 65'. Keep them in the prison...don't subject our residents to them.
'

susanthomas1954 · Feb 11, 2011

My current facility does a sex offender screening on every potential admit. If we find an admit who slipped through the cracks (and we've only found one in two years) we pitched a fit, and he was back to the hospital in no time.

The jails here DO have infirmaries. Our problem is border patrol doesn't have the same level of care. We get some really rough rehab characters from the county hospital, automatically on our state Medicaid replacement program just from being admitted to the hospital. WE have enough trouble here near the US/Mexico border without adding sex offenders into the mix.

One facility somehow managed to admit a convicted murderer who took a shine to me. I brought in a magazine from home, never intending to leave it at work, but left it on the desk while I got a glass of water for someone, and I saw him looking at my address. That would have been a little creepy, except it was my ex-husband's address......I lived far away. :smokin:

I did see him at a grocery store where I shop when he got put in a half-way house. He recognized me right away (he was aphasic, with a g-tube-the murdered guy got in a few swipes with a knife before he bought the farm.) but he was well supervised.

Taking care of the poorest of the poor brings it's rewards, but it's not for sissies. I loved my private pay facility work, too, less stress worrying for my own safety.....

nola1202 · Jul 1, 2011

I've been doing LTC since forever and I can't figure out how we are supposed to manage/ deal with these residents. Over the years, we've had residents that were supposed to be watched more frequently, but how the hey are you supposed to do that when you have xyz residents and staffing is how staffing is in LTC and half the time they are fully amblitory. You can put what every you want down on the paper (care plan) but is it going to be done?
Thankfully, we have a good administrator that isn't afraid to suggest other placement for residents when we are unable to meet their needs.
I'm sure over the years I've taken care of a sex offender maybe with or maybe without a criminal record. Now days these things are reported more but these "dirty old men" make me wonder.

yikes I had no idea! I've dealt with this in psych nursing but not LTC, guess who's going to be working an LTC with a strong dementia program. Based on past experience, there's not a lot to be done but redirect, observe, redirect...protect the patient population and ourselves. (then go home and take a shower to get the feeling of "I've been slimed!" off

royhanosn · Jul 4, 2011

it should be up to the manager or owner of the LTC. Not the nurse! If suspected, clear it with the super.

IdrilRN, BSN, RN · Jul 8, 2011

could the "dirty old man" be part of a generation of not talking about, or covering up incest/sexual abuse commited by these men. I remember too many old men trying to grab or touch the LNA's or Nurses. If it was an isolated incedent then nothing came out of it. but if it continued, we would contact the doctor for some "female" hormones some docs would do it some would try an antidepressant or anti anxiety. One man in particular we had him on constant observation when he was out of his room, not allowed near the women. The doc only wanted to try a low dose Paxil, which didn't help. It wasn't until he grabbed the but of a little girl visiting her great grandmother did things get in motion. He was given a 30 day notice, his son came in and told him he needed to knock it off. Which did nothing as the man didn't even know who he was. The medical director interviened as his regular doc still wouldn't medicate him with anything. That very day he was on estrogen and olanzipine. Other then his sexual behaviors he was pleasently confused. He eventually stopped the touchy feely stuff. If we had a man LNA on he did his care, even if he came from another unit. Oh and documentation, usually a page a day!