I feel so bad, is this considered abuse?

[mzsuccess]

Ok, so I'm a CNA and The lpn who's in charge tells me she had to catch the new lady from falling and tells me to put her in bed, i tell her, that i never transferred her before and send the other aid in. Well the other aides comes and and walk out and never comes back. So i asked the resident could she stand and she says yes. So i put her wheelchair on the side of the bed, lock the wheels and she stands a little then when we are up she freaks out big time and drops her weight. I thought for sure i lock the wheelchair but when i try to but her back in it, she's refusing and acting out and crying and screaming. and the wheelchair keeps moving and going back..so i help her to the floor and she's reaching up and i bend down and lift her by the waist and when i have her up i kinda slang her the bed, and she cries so bad that i wanted too and then when i have her in bed, i call the nurse and explained to her what happened and she says she doesn't considered it a fall and she helped me pull her up in bed and she was more angry that i didn't get someone to help me get her up. Because she has a herniated disc from during previous cna work. But the resident has a small scrape on her toe..I'm just worried because the lady tells everything to her family. But when i finished putting her in bed, she said thank you and was smiling. I'm scared i abused her, and that this would go on my certificate. My back was hurting all day afterwards? so is this abuse?

[hope3456, ASN, RN]

Ok so I'm a CNA and The lpn who's in charge tells me she had to catch the new lady from falling and tells me to put her in bed, i tell her, that i never transferred her before and send the other aid in. Well the other aides comes and and walk out and never comes back. So i asked the resident could she stand and she says yes. So i put her wheelchair on the side of the bed, lock the wheels and she stands a little then when we are up she freaks out big time and drops her weight. I thought for sure i lock the wheelchair but when i try to but her back in it, she's refusing and acting out and crying and screaming. and the wheelchair keeps moving and going back..so i help her to the floor and she's reaching up and i bend down and lift her by the waist and when i have her up i kinda slang her the bed, and she cries so bad that i wanted too and then when i have her in bed, i call the nurse and explained to her what happened and she says she doesn't considered it a fall and she helped me pull her up in bed and she was more angry that i didn't get someone to help me get her up. Because she has a herniated disc from during previous cna work. But the resident has a small scrape on her toe..I'm just worried because the lady tells everything to her family. But when i finished putting her in bed, she said thank you and was smiling. I'm scared i abused her, and that this would go on my certificate. My back was hurting all day afterwards? so is this abuse?[/quote']

No. If the resident could not assist in transferring a hoyer lift should be used or a sit/stand. When she was admitted she should have been evaluated by PT or OT for her transferring status. Or maybe her condition has declined and she needs reevaluated.

However it is common for CNA's to be blamed when a transfer goes wrong. They consider it negligence not abuse. I know cuz I was accused of it when I was a CNA in a similar situation.

It might serve you well to approach your DON and explain to her what happened. Tell her you feel horrible about it. It would be better for her to hear it from you than the family.

[mzsuccess]

I know but i was told she could stand from the previous shift and the lpn told me not to worry about it. Did it go on your record?

[hope3456, ASN, RN]

Oh and if your back hurts file a workman comp claim ASAP

[CaitlynRNBSN]

No. We are actually taught to lower patients/residents to the floor if something were to happen. We don't drop them, we lower them gently. Safe for resident and most importantly yourself. You should never "lift" someone yourself and lowering someone to the floor is perfectly acceptable. She may have been crying due to frustration/embarrassment. But that is not abuse.

Some places consider lowering patients to the floor a fall and some do not. I guess its situation based and what the facility defines as a fall.

[hope3456, ASN, RN]

Not my license but I got "wrote up." I quit this place shortly after because it was dreadfully understaffed.

What happened was I didn't put a bed rail up because I heard a w/c alarm going off and I knew that lady would fall if I didn't get to her right away. So I averted that fall but when I got back to the other room that lady rolled out of bed.

I did feel horrible but you are one person that can only do so much in those places.

[mzsuccess]

its been two days since this happened, my back isn't hurting now, i just feel bad and my charge nurse told me not to worry. but what if its a camera or something in her room and she has demtia, but what if she remembers it'll fall back on me. we have a huge facility with only two hoyer lifts and she stands to help transfer, she just flipped out, when i got ready to put her in bed.

[hope3456, ASN, RN]

You are not the first CNA this has happened to and you won't be the last.

[mzsuccess]

I know hope. thanks alot. i guess you can't control everything, things happen. My nurse told me i better hope i don't have a fractured disc now that worries me. We are very understaffed as well. That night it was just two of us.

[chrisrn24]

We call it "being lowered to the floor." I believe it is different from a fall, in our charting.

[mzsuccess]

i know, but i shouldn''t have lift her shes about 150-160 i'm 140, i already have a back strain and my back has been hurting.

[dishes, BSN, RN]

1. Lowered to the floor is an incident for the patient and needs to be reported

An incident isn't just when a fall or an injury occurs, it can be when something outside of the norm happens and had potential to cause injury. If no injury occurs it is considered a "near miss" by risk management.

2. Since you have pain, a work related injury report also needs to be filed