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?

[mzsuccess]

I asked my charge nurse, should we report this and we have to and she had me explain what happened, she said well then its and almost fall, she's ok, i'll just treat her scrape and she'll be fine. I don't know if or how she reported because I've been off for two days.

[dishes, BSN, RN]

I would ask the nurse about it again upon return to work. Maybe both of you can clarify with your manager whether or not an incident form should be completed. I understand that the patient only expereinced a superficial scrape, but it was an unusual occurance and there was a risk for serious injury. It is possible for harm to occur from seemingly safe handling of a patient, there have been cases where frail nursing home patients suffered ostoporotic hip fractures when they were turned in bed.

I hope your back is feeling better.

[mzsuccess]

your right, i'll ask her tomorrow. She asked the patient was she hurting and examine her, she just said her toe was hurting, which was the scrape. I'm just over worried, because all the cnas i know that have falls occur lose their jobs.

[dishes, BSN, RN]

It is unethical and inhumane for an employer to fire a staff member for a patient fall. It is counter productive to a safe patient environment. Healthcare managers have a responsibility to foster a patient safety culture. In a patient safety culture, the majority of staff feel their managers take steps to address staffs concerns about patient safety issues and that they deal with patient incidents in a non-judgemental manner. The intent of incident reports are to learn how to prevent future incidents, not to penalize staff.

[mzsuccess]

The place I work at is terrible someone is fired every week for anything. And state is ALWAYS there, we work with 4 cnas alomst every night with about 60-70 patients. We have another level which is rehab and we share the hoyer lifts, one is broken and its only two.

I know i should have thought about everything then, but i didn't. I shouldn't have lift her and should have reported it, i don't care if i lose the job just don't want anything on my license. I talked to another older cna, who was there for 10 years, she told me its not really a fall and don't worry about it. And i'm clueless to why my charge nurse didn't think to document it. Because of course this lady can bring it back up to her family they visit every week. I don't know if the nurse charted it or not, she just treated her scrape on her toe. I'm just worried bad, i feel bad for the lady because she was screaming and for not thinking to report it. We don't have a DON, we have an assistant DON and the unit manger and they're both kinda strict so i don't know.

[dishes, BSN, RN]

What I hope your manager says to you is, thank you for saving the patient from serious injury by lowering her to the floor, thank you for doing the best job you can, I am sorry you were hurt.

[DedHedRN]

You dont have to use a hoyer lift, you can use a sit to stand lift.

[mzsuccess]

we don't have those isisc

[mzsuccess]

thanks everyone

[bluegeegoo2, LPN]

If that res was care planned for a 2 person asst transfer or a mechanical lift and you transferred alone, then the fault would lie with you and you would not have a case with workman's comp. You could actually be wrote up for it if not fired because you didn't follow the plan of care and an incident occurred. Care plans must be followed at all times. If she was care planned for a 1 asst, then you would be fine. Just make sure that PT knows of the incident so that if she was a 1 asst, that they could re-eval and amend the care plan to reflect the need for more asst. The nurse should have at the least charted the asst to the floor, as it is an abnormal event, but whether or not an incident report is in order is dependent upon facility policy.

[CapeCodMermaid, RN]

What in the world does the word "slang" mean? I slang her into bed?!?!

If the care plan called for a two assist and you did this by yourself, I'd have you in my office for counseling on following the plan of care. You're lucky she wasn't hurt and you're lucky you didn't hurt yourself badly.

[ComeTogether, LPN]

If that res was care planned for a 2 person asst transfer or a mechanical lift and you transferred alone then the fault would lie with you and you would not have a case with workman's comp. You could actually be wrote up for it if not fired because you didn't follow the plan of care and an incident occurred. Care plans must be followed at all times. If she was care planned for a 1 asst, then you would be fine. Just make sure that PT knows of the incident so that if she was a 1 asst, that they could re-eval and amend the care plan to reflect the need for more asst. The nurse should have at the least charted the asst to the floor, as it is an abnormal event, but whether or not an incident report is in order is dependent upon facility policy.[/quote']

Workers comp covers you for being injured at work fault or no fault