Social Service Director and Housekeeping Supervisor's Ideas About Resident Rights... - page 3

We had our annual resident rights inservice last Friday. The comment was made that making the resident's wait for something that they want or need is a violation of those rights. I always... Read More

  1. by   achot chavi
    Quote from CapeCodMermaid
    Do you work in the desert? Most people don't really need all that water all the time. A drink or two in the ladies' room is probably more than enough....but I digress.
    I guess everyone is different, "a drink or two in the ladies room" (BTW I really don't think it is hygienic to drink in the ladies room, but I respect cultural differences and will try not to gawk when you do it) is not enough for me for the 8+ hour shift. Glad I dont work for you!!!
  2. by   CapeCodMermaid
    My ladies' rooms are spotlessly clean and we have water coolers throughout the building.
  3. by   achot chavi
    EVEN SO!!! spotlessly clean or not I dont drink in the ladies room.
    Do others?
  4. by   flashpoint
    Quote from DusktilDawn
    I think you've missed the point of the OP. In fact the OP stated that their understanding was that making a resident wait an UNREASONABLE AMOUNT OF TIME FOR NO REASON for something was a violation. Her/his issue was the example provided during the inservice by SS Director and Housekeeping Supervisor that argued that making a resident wait to have toenails trimmed while the nurse is tied up with a resident in respiratory distress is a violation of resident's rights. They actually argued with the OP and stated that this could be grounds for legal or disciplinary action despite acknowledging that life threats come first. In essence they're saying nurses should be disciplined for not being able to be in two places at the same time. Rather disheartening for the nurses.

    The sad part is that nurses have been disciplined over nonsense like this. Someone complained because they had to wait for a coke because the nurse was busy with a patient whose wound dehisced, or someone complained because they had to wait to have soup warmed up because the nurse was tending a post-op patient who was bleeding. Both of these examples have been posted here by other members and in both instances those nurses were reprimanded. It's gotten ridiculous. I really don't think you believe that nurses should be disciplined for dealing with an emergent situation first before things that are not.

    Exactly...when we were having the discussion in the meeting, the SSD commented that if she got a complaint that I "made" a resdent wait a long time before I was "willing" to trim her nails and that if a complaint were filed, I would have to do some additional resident rights training and that I could risk suspension and being placed on a quality improvement plan. One of the other nurses commented that if she were called into the office and asked why she made the resident wait so long, when she responded, "Because I was suctioning someone else...but I trimmed her nails as soon as the other resident was stable," that the only response from the PTB should be, "OK...we just needed to ask because there was a complaint about it." The housekeeping supervisor kept going on and on about how unfair it is to make someone sit there having pain...I think she just doesn't get it. I personally wonder why the resident's nails were too long anyway...they are supposed to be trimmed (or at least checked) three times a week after their bath...that could be considered negelct, but simply expecting a resident to wait their turn should not.

    I go to church with a guy who is on the state survey team...I think I'll ask him about this one...
  5. by   achot chavi
    When things get so other professions question the work of my nurses, i ask one nurse to write me a summary of what she does every 10-15 minutes, with that sheet in hand I shut everyone else up. Between sitting with an ice cream sunday and doing her toenails in different colors, my nurses are very busy, if not, they wouldn't be my nurses!!!
    Unfortunately anything can be misconstrued or spun to look like abuse, we do have to be so careful!
  6. by   DusktilDawn
    Quote from cotjockey
    Exactly...when we were having the discussion in the meeting, the SSD commented that if she got a complaint that I "made" a resdent wait a long time before I was "willing" to trim her nails and that if a complaint were filed, I would have to do some additional resident rights training and that I could risk suspension and being placed on a quality improvement plan. One of the other nurses commented that if she were called into the office and asked why she made the resident wait so long, when she responded, "Because I was suctioning someone else...but I trimmed her nails as soon as the other resident was stable," that the only response from the PTB should be, "OK...we just needed to ask because there was a complaint about it." The housekeeping supervisor kept going on and on about how unfair it is to make someone sit there having pain...I think she just doesn't get it. I personally wonder why the resident's nails were too long anyway...they are supposed to be trimmed (or at least checked) three times a week after their bath...that could be considered negelct, but simply expecting a resident to wait their turn should not.

    I go to church with a guy who is on the state survey team...I think I'll ask him about this one...
    Well, what I'd like to know is how unfair the housekeeping supervisor would think it is for someone in respiratory distress to die because the nurse is playing pedicurist? The sad part is you're right, she doesn't get it. But again why would anyone put on shoes that they know will cause them pain? The resident is only going to be uncomfortable through their own action. Their pain is avoidable. Makes me wonder if they actually expected the toenails to be done first since if the resident in respiratory distress died they couldn't complain. The ONLY solution in their scenario is to take care if the patient in respiratory distress, than deal with the toenails. You apologize for making the patient and explain that you had an emergent situation that had to be dealt with. If a resident is so self-absorbed that they cannot understand that and complains, the PTB SHOULD BACK UP THEIR STAFF.

    The issue in their scenario isn't about the nurse "making" one wait before being "willing" to do a task, unfortunately they don't understand that either. Regardless of whether one has to wait because of an emergent situation, or whether one has to wait simply because the nurse can't do two tasks at the same time, it boils down to the fact that one person will have to wait. In essence, the SSD is THREATENING disciplinary action towards nurses for the inability to be able to be in two places at the same time. Regardless of whether the SSD has any authority to discipline nurses, I would view her remark as a threat, which constitutes workplace harassment.

    I think you should discuss this "inservice" with your superior and outline your concerns. I think the SSD and Housekeeping supervisor need their own educational inservice on what truly violates a patients rights.
  7. by   systoly
    Quote from CapeCodMermaid
    Do you work in the desert? Most people don't really need all that water all the time. A drink or two in the ladies' room is probably more than enough....but I digress.
    I tried to do that at my facility, but they told me that was inappropriate behavior.
  8. by   systoly
    Quote from achot chavi
    EVEN SO!!! spotlessly clean or not I dont drink in the ladies room.
    Do others?
    Not any more - they won't let me.

close