Helpless Visitors

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On two occasions we have had "helpless" visitors come to our floor. What do you do in these situations.

1. An older wheelchair boud lady was brought by her son to visit a patient and essentially abandoned. It was in the evening and she kept saying he was supposed to come back and get her. She was incontinent at times and needed assistnace to transfer to the toilet when she wasnt having incontinent episodes. Our asst nurse manager was able to contact appropriate family the next day to come and get her if I recall...but for that night a tech assisted her.

2. A morbidly obese woman...over 400lbs came to visit her mother. It started with the ER calling our floor and asking if someone would wheel her from there to our floor because she wasn't able. We did not and security brought her to the room. At some point the woman needed tp use the bathroom and could not get up. Eventually security + 3 staff got her on a bariatric bedside commode and back into a wheelchair with much difficulty. Our night supervisor warned after this incident that if injured the staff wouldn't get workers comp and also assisting someone is entering into a contract with them and we could be liable for injuries.

My question for the 2nd one is how did this lady even get from her house to a car to the hospital and in a wheelchair anyway. Of course no one asked. And for both we are busy as it is without having essentially another patient needing full assistance but these people were helped as not to be cold.

Specializes in Med/Surg, Ortho, ASC.
Using McDonalds as an analogy, what these people are doing is the equivalent of me walking into a McDonalds with my friend and ordering a supersized meal. I then request a free coke for my friend because I am a customer and she is my friend. Do you think they will get her a free coke or expect that it be paid for?

Better yet, will they take your friend to the bathroom and lift her onto the commode???:)

Well, I believe one has to rise to the occasion, and take care of whom ever graces our floor. I is an equivalent to the McDonald's employees being greeted with a bus. Don't like it, some times hate it, but it needs to be done. Granted the individual is not your immediate customer, but the individual is a customer no less. So, rise to the occasion, or call your UM and request additional assistance..."WE'RE SWAMPED! :eek:

I don't have customers, I have patients. Do people turn up at McDonalds with 10 friends/relatives in tow, and expect free stuff for their friends/relatives as well? Do they start demanding the McDonalds employees get them a pillow so they can be comfortable? Nope.

Specializes in M/S, MICU, CVICU, SICU, ER, Trauma, NICU.
Well, I believe one has to rise to the occasion, and take care of whom ever graces our floor. I is an equivalent to the McDonald's employees being greeted with a bus. Don't like it, some times hate it, but it needs to be done. Granted the individual is not your immediate customer, but the individual is a customer no less. So, rise to the occasion, or call your UM and request additional assistance..."WE'RE SWAMPED! :eek:

I don't think so.

Well, I believe one has to rise to the occasion, and take care of whom ever graces our floor. I is an equivalent to the McDonald's employees being greeted with a bus. Don't like it, some times hate it, but it needs to be done. Granted the individual is not your immediate customer, but the individual is a customer no less. So, rise to the occasion, or call your UM and request additional assistance..."WE'RE SWAMPED! :eek:

I don't want to go completely off topic here, just mention that this post presents a very interesting example of why the use of terms such as 'customer" "client" and "consumer" in health care can lead us off target when it comes to providing good patient care.

Well, I believe one has to rise to the occasion, and take care of whom ever graces our floor. I is an equivalent to the McDonald's employees being greeted with a bus. Don't like it, some times hate it, but it needs to be done. Granted the individual is not your immediate customer, but the individual is a customer no less. So, rise to the occasion, or call your UM and request additional assistance..."WE'RE SWAMPED! :eek:

And while I am stuck in a bathroom with someone's helpless visitor, who is taking care of the actual patients? There is a HUGE difference in making a patient wait because you are busy with another patient and making a patient wait while you are busy with a visitor. I should not be stuck providing nursing care to someone who is not my patient, who I know nothing about, and who I am unable to do an assessment on. What happens when the visitor I am helping gets a skin tear or falls? What happens when I note blood in the stool of a visitor who refuses to go to the ER? What happens when I get hurt helping a visitor to the bathroom?

Specializes in NICU, Post-partum.
She had diagnosed dementia. The patient (husband) was her usual caregiver. The family were just getting free caregiving services. The administration knew. It was wrong.

...then I agree with you. That never should have been allowed.

I am getting the sense that some posters are in disagreement with viewing their patients and their family members as "customers." I welcome you to visit the "Medicare and Medicaid" government websites. Review the information on your specific facility. Believe me, you are being graded on customer service criteria. Everything you say and do has a lasting impression!

Specializes in Clinical Research, Outpt Women's Health.

I can see no "upside" to providing care (toileting etc) to visitors. It opens the nurse, the facility, and anyone else involved to liability. I will open the bathroom door for you, but that is it unless you are my patient.

Specializes in Emergency & Trauma/Adult ICU.
I am getting the sense that some posters are in disagreement with viewing their patients and their family members as "customers." I welcome you to visit the "Medicare and Medicaid" government websites. Review the information on your specific facility. Believe me, you are being graded on customer service criteria. Everything you say and do has a lasting impression!

I think the semantics of patient vs. customer are important, but that's not really the issue here. That is a whole other thread or two or three. ;)

The issue here is responsibility for care of an actual patient vs. a non-patient visitor. They are not the same.

Specializes in LTC, med/surg, hospice.
Well, I believe one has to rise to the occasion, and take care of whom ever graces our floor. I is an equivalent to the McDonald's employees being greeted with a bus. Don't like it, some times hate it, but it needs to be done. Granted the individual is not your immediate customer, but the individual is a customer no less. So, rise to the occasion, or call your UM and request additional assistance..."WE'RE SWAMPED! :eek:

People take advantage of us as it is. No one would give us more help for VISITORS. We barely get the staff we need already to take care of patients.

There is no way in hell I would be helping a 400# visitor to the bathroom. That is a lawsuit waiting to happen. I wouldn't risk my license for it. I also don't check temps, blood pressure, give Tylenol, etc. to visitors either. If visitors are having a health issue they need to go to the ER to be triaged, examined, admitted, etc. Management wouldn't even think of having us do these things. They aren't our patients and we care solely for patients not their visitors.

If a family member was left and couldn't care for themselves we would try and get them a ride home and if that didn't work we would call APS. We cannot be held accountable for visitors that can't care for themselves. If they needed medical attention we would surely arrange for emergency help for them but they would go through the proper channels.

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