How can you protect yourself from a harrassing patient at a Nursing Home?

[maggiecreek]

I have a serious problem. I am on a Travel Assignment an I have truly loved it. I love the people I work with an all, could not find better people to work with. but I have a resident there that is about 600lbs and is 52 yrs/old. he can walk an an is very alert an oriented. he goes out on pass each day an throws his w/c up on the bus an hops right on up. this is a nursing home not an assisted living facility. For the past 2 weeks he has made my life miserable. i truly want to complete assignment, but this nursing home is saying even with all the heavy documentation I have done an SS workers heavy documentation they have not got the right to give him a 30 day notice. It is unreal what he has done to me, I am charge at night an I feel Like I have made very sound judgement calls. he request a bath at 3am an wants the female cna's to do it. We do not have the staff at night to be able to give this man a bath in the middle of the night. Then he wants me to personally show him how to sponge bath himself, for some odd reason he doesn't think he knows how. Then he stalks us specially me thru out the night and we have caught him taking a flash light outside peeping thru windows of other residents in the middle of the nite. He always has a very good excuse when asked about his behavior. See he is smart, but he reported this nursing home last month an they did not see any reason for c/o's. But a social worker performed the site check. So last nite I was told an so my cna's that the state listens to him because he is alert & oriented. But there are many other residents alert an oriented as much as he. This man has been thrown out of nursing home after another. So why do we not have rights to fight back when you feel sexually harrassed an stalked? My company was told by these people this would be handled, well things got worse when he was counseled of this matter. As of last night my company will be stepping in on Monday to have it resolved or have me pulled from assignment. To me the nursing home is afraid of this resident. I want to known do I have a liable case to bring before a court against this resident? I really would like to know something about if anybody else has had this same type of problem? According to DON he started strange behavior 3 months ago an I got here May 19th. At first it was great, now the DON thinks he only likes light skin gals an I am. SO PLEASE HELP ME HERE!!

Thank You

maggiecreek:confused:

[chadash]

Are you kidding!? In light of the world today, after explaining this pts. behaviour to her, I cannot believe she would still have wanted you to visit this man alone! She sounds like a sadist.

I never put myself in harms way. Neither should you.

No, I am not kidding.

It is funny, she seemed to enjoy the whole thing at some level. Before this, I thought she was pretty nice. I had no reason to doubt her judgement. She was the nurse, I was the aide. But, it did not add up. So, I doubted myself. It was the first time I had said no to her...

All my patients and nurses were really pleased with my work, so it was not like I was a problem.

This was not in a nursing home, I was isolated....no one knew but her and one nurse.

I don't think she was there much longer after I left, and the agency had problems, closed, and restarted. I am not sure why. But my old patient actually hunted me down and hired me private duty....of course not Mr. Strange!

And yes, never never again.

I am so glad the original poster is sticking up for her nurses!

[maggiecreek]

I am so happy to get this advice from everyone. Yesterday I was at dinner with one of the nurses I work with there when I worked days. I brought her to the hotel an got on to show her all the support an advice to my question. She is a very smart person also an believes that something has to done soon. So hopefully Monday this issue will get resolved.

[maggiecreek]

I am still rolling on the floor laughing on this one. You are right, sometimes it is the opposite to fix problem.

[maggiecreek]

i want ya to know last nite was ok. But when my cna's made their rounds they made a true atemp to make him feel important lst nite.. Well when he is out for a while tonite he so happeningly come to nsg st an ask ..Is there a new service?

an i ask what

he says well my door gets knocked on every 2 hrs is this necessary...LMAO her.... i sy well since it stems from last week where you stated you had bm on you, an you did not tellus,,,,an you reported we did nothing, so i want to make sure you are given same privileges, every 2hr check...LOL...TWO can play here rite guys???? he said well does she have to knock?..So i said this is giving you respect so we will not violate your privacy...LMAO...Now he c/o of too much attention..NO BATH REQUESTED....LMAO.....I will be so honey made here, he is running to his room making his own log. But Ya know what? I am going to report him to stae very very soon. Like I said 2 can play...RIGHT?

[leslie :-D]

i want ya to know last nite was ok. But when my cna's made their rounds they made a true atemp to make him feel important lst nite.. Well when he is out for a while tonite he so happeningly come to nsg st an ask ..Is there a new service?

an i ask what

he says well my door gets knocked on every 2 hrs is this necessary...LMAO her.... i sy well since it stems from last week where you stated you had bm on you, an you did not tellus,,,,an you reported we did nothing, so i want to make sure you are given same privileges, every 2hr check...LOL...TWO can play here rite guys???? he said well does she have to knock?..So i said this is giving you respect so we will not violate your privacy...LMAO...Now he c/o of too much attention..NO BATH REQUESTED....LMAO.....I will be so honey made here, he is running to his room making his own log. But Ya know what? I am going to report him to stae very very soon. Like I said 2 can play...RIGHT?

i would certainly reconsider treating this as a game.

if your interventions are done with the intent to protect yourself from retribution, accusations and other liabilities, then everything is justified.

but when the intent 'seems' to imply that this is pay-back time, it's not exactly the high road to take.

we are supposed to treat our pts ethically and justly.

just something to think about.

leslie

[BradleyRN]

i sy well since it stems from last week where you stated you had bm on you, an you did not tellus,,,,an you reported we did nothing, so i want to make sure you are given same privileges, every 2hr check...LOL...TWO can play here rite guys????

Why is a q2h check worth an LOL? I feel sorry for LTC patients having to be awakened q2h. But i would be more sorry for the burning urine they would lie in otherwise, which would lead to UTI's and skin breakdown. These checks are not a punishment. You shouldnt portray them that way, because if you stoop to this man's level, then you are both equally wrong.

[maggiecreek]

I was just laughing in my own corner...here. But i do not think of it as a game. It does not matter what intervention is done this man is so smart, he turns every intervention back on us as a bad thing that we have done him wrong no matter what is by the books an on care plan.

[maggiecreek]

actually this LTC is a very good one. Pt's are turned an changed q2hr. and at times sooner. I am not tyring to turn anything into a game here. His c/o we did not help him, and they did not check on him. Like I keep saying I had a laugh to myself...have to laugh at times of pressure. But no matter what regiment or interventions are done for him it is turned around on us, even though they are in care plan. If this man does not want TLC care then go to assisted living. A TLC takes care an makes rounds q2hr, unless otherwise ordered different. I f you leave them in the urine yes ulcers develop. Only ulcers in 68 pts are the ones they got when at hospital. No one develops them here unless neglected and they do not get neglected here.