What should I Have Done?

Specialties Geriatric

Published

Hello Friends,

I was doing a phone pacemaker check when my CNA came to me that a

resident had raised her recliner up to high and had slid out onto the floor.

Was not bleeding or moaning in pain. Just sitting up, she said. As soon as

my pacemaker check was complete, I examined the resident who appeared

uninjured. My D.O.N. wrote me up for not stopping the pacemaker check and going to the resident. I was to have hung up the phone and quit immediately! I feel if the resident had been bleeding and moaning that would have been different. I was terminated because she said for the resident's

safety, I could not continue there!

What do you feel I should have done in handling this situation?

caring angel regardless

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Excessive but a learning experience. Anyone can hold the phone for a pacemaker check, the patient who fell was or could have been in real trouble. Sorry, but learn from this and go on to another job.

Specializes in ER.

I am with the minority I guess. If I knew the pacer check was going to be no more than 30 seconds longer on the phone I would have finished it and then assessed the resident. In a hospital setting I have completed a task and then gone to assess a problem unless I knew there was a life/limb emergency in progress. If a patient has fallen in the next room, and I know someone is with them, a short delay to say "excuse me" or make sure the person I'm attending to is safe seems appropriate.

Of course, if we're talking about a delay of greater than a minute it becomes a bigger risk. How long does a pacer check take anyway?

Specializes in Adult, Gero, NICU, Peds, wound medicine.

I agree with jjjoy. Other people get away with so much stuff and never get a slap on the hand. She messes up once and gets terminated. I slide out of the chair and just sitting on the floor to me was not so emergent that she couldnt finish the test. A FALL out of the bed-is a different story......

Specializes in ICU, PICC Nurse, Nursing Supervisor.

I would have hung up , you could have always done the pace maker check later. Even though the CNA did not see any blood that does not mean she was not injured. I think you being fired was excessive, Ive seen much much worse in LTC with no more than a slap on the hand...

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