I Said... 'huh?'

Nurses General Nursing

Published

Imagine that you're the NightShift Supervisor and have been for quite awhile with all linens, medical supplies, residents rooms, exit doors,and entry door keys for access, locking or security when suddenly their aren't any keys and the above doors are inaccessible too you?

Imagine that you're responsible for 170 residents, 15 too 25 nursing staff and several of those in your care are Trachs all using misters,one with MRCA, cancer of the throat and he suddenly goes into distress with the medical supply room locked.

Imagine that you've made several calls trying to attain the keys for immediate entry with NO Call Backs and the nurse responsible for this residents direct care is in a panic as this resident is literally suffocating and close to Resp.Distress and the other residents are in need of sterile solution for their Trachs, but you've no access other that breaking into the supply room.

Imagine that you've reported same to the Nursing Consultants as well as the Administrator with the response being; "Why didn't you wait for Resp.Distress and then 911 him out?"

Imagine calling Corporate Headquarters and explaining this and they agreed with your decision which saved the residents life; not too mention that it protected your License, and told to ask for a 'Peer review' since the Administrator put you on indefinite suspension for "Destruction of Property."

Imagine attending the 'Peer Review' with witnesses notarized statements as well as them present; a notarized statement with the witness present that the Administrator had kicked-in the DONs door for paperwork and told it was all irrelevant because they wanted the 'Names' of those directly responsible for the door damage which you refused as you where the supervisor and instructed them to gain entry. The linen closet was entered by use of a credit card but the Medical Supply room had several dead-bolts and was unattainable with a credit card.

Imagine that you asked of your 'Peers'; "What should I have done?", and you were told that; "You could have called other facilities in the area requesting the needed medical supplies."

HUH? SAY WHAT?

You explain that that was unethical since the facility had the necessary medical supplies and according to the Social Security Act, all doors should have been accessible; not too mention the embarrassment the Corporation would have to contend with and the State Investigation that most certainly would follow, which it did with several 'G' tags and others given.

Imagine that you're Terminated and asked to sign a 'Write-Up' at the close of the 'Peer Review' admitting to destruction of property or sabotage of facility?

Imagine that in your long career as a RN you've never,ever been written-up, too have this shoved in your face. You refused to sign; your terminated!

Imagine receiving a 'Certified Letter' with the write-up enclosed stating that you admitted to destruction or sabotage but refused to sign.

Imagine contacting the Ombudsman,Health Professions Bureau, ANA, VNA, local paper and all agreed with what you did but saying they couldn't do anything about it.

'HUH?' SAY WHAT?

Imagine contacting an attorney and being told it's a 'TORT' issue which may take several years and that you also had a good cause for a 'Libel Suit', but...

Imagine that the facility in question lost not just the supervisor but CNA's, LPN's, RN's, ADON and DON next due in part to their total disregard for the residents care and staffing needs which you made it a point to express to the Administrator on numerous occasions only to be told that they had NO Authority to hire or address the issues which your response was to ask if they were primarily there as 'A SEAT WARMER.'

'IMAGINE'

Specializes in Case Management, Home Health, UM.

Here is a news article involving the death of that resident:

METRO SATURDAY * May 18, 2002 (Atlanta Journal-Constitution):

In 2 years, complaints about home came to 27

Death led to probe of Riverdale facility

Peter Scott - Staff

Saturday, May 18, 2002

Over the past two years, more than two dozen complaints have been filed against SunBridge Care & Rehabilitation for Riverdale, now under state investigation.

The death of Georgia Gilbreath and complaints from her family of abuse and neglect apparently have sparked a probe by the state Health Care Fraud Control task force of the Clayton County facility, which provides long-term care for the elderly.

Gilbreath, 88, died April 25 at a hospice facility following a stay at Southern Regional Medical Center. The cause of death has not been released, but doctors at SRMC said she was severely malnourished when she was brought to the hospital, according to the police.

This week, members of the task force, which includes the Georgia Bureau of Investigation, executed a search warrant and seized files at SunBridge.

"There have been complaints filed about the SunBridge facility in Riverdale and at other SunBridge locations throughout the state," said David Dunbar, director of the Long Term Care section of the Georgia Department of Human Resources. He said the Riverdale facility also has been fined for noncompliance in some cases.

Since January 2000, 27 complaints about the facility have been filed, according to documents at the Long Term Care section. The complaints ranged from cold food and ant-infested rooms to bedsores and falls leading to injuries, according to state reports.

"Our agency has been involved in the investigation of the [current] complaint and we have worked cooperatively with other agencies involved. While law enforcement agencies will look at possible criminal actions, our focus is looking at whether [sunBridge] is in compliance in providing quality care," Dunbar said.

The state has 370 nursing homes, occupied by some 40,000 patients, Dunbar said, and his office averages about four complaints per home each year.

SunBridge representatives could not be reached for comment Friday but have said previously they are cooperating with investigators.

Dunbar said his office maintains a survey of nursing homes in the state that is available to the public. To report complaints to the state, call 404-657-5726 or 404-657-5728.

A federal Web site listing all nursing homes in the country, http://www.medicare.gov/nhcompare/home.asp, includes the number of beds at nursing homes, staff size and the most recent government survey of the home. It also includes a guide to choosing a nursing home that lists the characteristics of the residents in the home and staffing, Dunbar said.

Staff writer Lateef Mungin contributed to this article.

Specializes in surgical, neuro, education.

Dear Ms. Long:

Thank you very much for sharing the information regarding the obstacles your friend and fellow-professional encountered in trying to responsibly deliver care to her patients. I had just moments before an e-mail from a nurse who described what appeared to be the same disturbing scenario. I have responded to her e-mail and suggested that, if she is willing, she contact us, and, as she is able, share some additional specifics so that our program can try to address the concerns, or at least get them to the agency best positioned to address them. I would certainly invite you to do the same.

The management responses that have been described certainly do not seem to represent policies that serve the best interests of residents, to say the very least. With some additional detail (such as the name/location of the facility in question), it may be possible for the local ombudsman to effectively intervene to resolve some of the problems.

We appreciate the fact that people like you and your colleague are willing to speak out when you see residents placed at risk by facility practices or policies. Thank you for contacting the Ombudsman Program, and please feel free to contact me directly at (804) 644-2923 to discuss the concerns or to share additional information that may aid investigation.

Sincerely,

Joani Latimer

Office of the State Long-Term Care Ombudsman

VAAAA

530 E. Main Street, Suite 800

Richmond, VA 23219

(804) 644-2923

-----Original Message-----

From: zuma long [mailto:[email protected]]

Sent: Saturday, May 18, 2002 4:21 PM

To: [email protected]

Subject: abuse of the system that can kill

Dear Sir/Madam:

Suppose your mother is in a nursing home. It's late at night. Suddenly, she can't breathe; she's fighting for air. Look at your watch now and time your response because your mother literally has less than 10 minutes to live.

There's a nurse on duty who knows how to help Mother breathe, BUT the supplies are LOCKED in a room where the nurse cannot get them.

The nurse needs to act FAST. What should she do?

She calls the Keeper of the Keys at home. No answer.

Call 9-1-1? Response time: 10-15 minutes. Mother won't last.

Break open the door to the supplies? Response Time: 3 minutes.

Which would you choose? Which gets the faster, more reliable result? How would YOU have saved Mother's life?

OK. Time's up.

In this case, Mother wins because the nurse broke open the supply room door and got the supplies that kept Mother alive.

OK, next question:

What should the headline to this story read?

(A) "NURSE SAVES MOTHER; GETS BONUS FOR JOB DONE WELL; NURSING HOME REALIZES MISTAKE, LEAVES KEYS IN BUILDING FOR NIGHT SHIFT"?

or

(B)"NURSE SAVES MOTHER; GETS FIRED FOR BREAKING INTO SUPPLY ROOM?"

(B) That's right, B is correct.

Yes, you read it right: The nursing home that locked the supply room refused to give the keys to the nurse who could use them to save lives, then fired the caregiver who actually did save someone's life.

Questions:

Why was the nurse fired?

Ans: She was "not a team player." Because she made the nursing home "look bad" with her complaint to the State.

Why wasn't the nursing home fined by the State?

Ans: Because all the witnesses were so horrified that they quit and were never questioned by the State investigators. Because the nursing home covered up. A lot.

Why wasn't the patient's family notified of this event?

Ans: Silly, it's unethical to tell the family; all nurses know that. It's part of having a nursing license.

OK. Last question, then you can all go home and get a good night's rest:

When's the last time you visited your loved one in that nursing home? In the middle of the night?

Sincerely,

This incident actually happened to a friend of mine. I have been in nursing for over 15 years and I wish I could say I am speechless, but I can't. I have seen so many practices that should not have been--they are not by NURSES who care about their patients--they are by CORPORATE America who cares nothing for you or your loved ones health or safety.

Please look into this incident in Virginia.

Sincerely Cheryl Long BS RN

Betts just received this--have you written this Joani Latimer?? She sounds like she will at least investigate your situation. I do not know the name of facility--but I posted this in case you want to try her.

The link below is the new one for Nursing Home Comparisons in the Country.

http://www.medicare.gov/

They haven't posted as yet for the State Investigation conducted from May6th-9th.............

Specializes in Case Management, Home Health, UM.
:( I thought that the role of government agencies was to protect its citizens from unscrupulous providers. Well, that is a pathetic joke! Even an official of my state government admitted that "more should have been done", to have prevented the death of that LTC resident here in Atlanta, who perished as a result of malnutrition. Well, as they say: "Talk is Cheap", and it is TOO late for that woman and her family...who I personally knew as her Case Manager, before she was transferred to this facility...which turned out to be a death sentence.....

UPDATE:

I've faxed 18pages to the following Government Department: Health,Education,Labor Committee&Subcommittee in DC...................awaiting their reply and will post same,whether negative or positive.

Fax# (202)224-5128

My personal fax # (540)972-6104

zumalong,

Sent email to MS Latimer; will post her response ASAP when I receive same; and Thank You Cheryl!!!

Email notice:

Subj: Re: REPLIES?

Date: 5/25/2002 7:29:43 PM Eastern Daylight Time

From: [email protected]

To: [email protected]

Sent from the Internet (Details)

Dear Betty,

This is Jennifer from the Citizens' Committee to Protect the Elderly.

You sent several emails for Judith on May 22...she has not received them

yet, as our email system has been having some difficulties. We are hoping

that the system will be resolved ASAP this coming week.

I wanted to let you know your emails have been received!! AND will be given

to Judith on TUESDAY...

I apologize for the delays.

We are working as quickly as possible to correct the problem in the

communication system! If Judith had received your emails, she would have

responded immediately--as is usual fashion.

Thank you very much for sending the information that you have sent.

It is appreciated, and unfortunately, familiar.

Sincerely,

Jennifer

The Latest in MY Job Search:

Hello All,

Well, I've been on 9 interviews with 6 call-backs,had 4 other calls to setup phone interviews from Key West($10,000 hire on bonus) to Jax; from Miami to TampaBay which is great,but you're not going to believe the 3 others reason for non-hire status; R U Ready?; "I've NO experience as a Nurse in Florida".

SAY WHAT??????

I started my Healthcare career in Kissimmee in 1969 as a NA(CNA)SNF, on a psych unit as a psych aide, a CNA III for 5 years at a Trauma Center in Orlando(neuro/diabetic unit) while I attended and graduated from Valencia with my ASN. Was recruited to Indiana then to Virginia, yet I've NO Experience as a nurse with the Elderly.

Add it up, ummmm, almost 30 years; come this August it will be. I've my ASN, BSN(Nursing), and a Bachelors of Science in Healthcare Management. Hold Licenses in all 3 states, nothing against my licenses, as yet??? I asked what of the Nursing Shortage and the new GN's? They said that's different(GN's), and I replied; "They've NO Experience as Nurses either, how is it you can justify your statement"? I was curious to whether they'd received anything negative from my former employer in Virginia(the 'DOOR' one).

Not worried as I can start at any of the others Tuesday. Does or did anyone else have this excuse given them in Florida or elsewhere? I'll keep up the posting of any and all replies to the original post.

Have 'A Happy and Safe Memorial Day',

Betty (betts)

Sent my plea to NBC, on your behalf betts. My closing? Every Nurse Has a Story. how true, how true (sigh).

WOW!!! It's hard to believe, but unfortunatley believable. My prayers are with you. Don't give up. We are all with you on this. May God be with you and guide you.

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