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'

You should allow some time to pass before you think about it too much Betts. Today Mario was thining about your post, and how it gave me inspiration to know good people like you do wachew. My thoughts are with you during these. Thank you for helping all people with your sticking up for whats right as others come behind you.

Specializes in Everything except surgery.
Originally posted by betts

COMMONWEALTH of VIRGINIA

Department of Healt

Center for Quality Health Care Services and Consumer Protection

Dated: May14th,2002

I am writing to convey to you the results of the latest investigation in response to your complaint allegations against the above-referenced facility.

From April6-9,2002, a medical facility inspector conducted an investigation of your complaint allegations. The inspector interviewed appropriate members of the facility's administrative and nursing staff. The inspector also carefully reviewed the medical records of ____________. In addition, the inspector observed the care being provided to other residents relating to your complaint allegations.

The inspector was

and the result was???????

Brownme46,

You'll find it on page 3........don't ask me? I'm puzzled as well.....

Specializes in Everything except surgery.
Originally posted by betts

COMMONWEALTH of VIRGINIA

Department of Health

Center for Quality Health Care Services and Consumer Protection

Dated: May14th,2002

I am writing to convey to you the results of the latest investigation in response to your complaint allegations against the above-referenced facility.

From April6-9,2002, a medical facility inspector conducted an investigation of your complaint allegations. The inspector interviewed appropriate members of the facility's administrative and nursing staff. The inspector also carefully reviewed the medical records of ____________. In addition, the inspector observed the care being provided to other residents relating to your complaint allegations.

The inspector was unable to find sufficient evidence to conclude that a regulatory deficiency related to your complaint allegations occurred. However, during the investigation the inspector did find other regulatory violations. The facility received a regulatory citation and was required to submit an acceptable Plan of Correction. I can certainly sympathize with the anxiety your concerns regarding your sister's care has caused you.

This determination does not minimize the importance of your expressed concerns, nor does it imply that your concerns are not valid. The findings simply reflect the regulatory and evidentiary boundaries within which this office must investigate all complaints.

Thank you for bringing your concerns to our attention. I want to assure you that the Center will continue to conduct periodic unannounced inspections of the facility to assess the facility's compliance with all applicable regulatory requirements. Please feel free to contact this office again should the need arise. I may be reached at (804) 367-2122,should you have any questions.

Sincerely, Linda Wilhelm, Supervisor/Complaint Unit

I have a lot of questions:

1) I was on 'Indefinite Suspension' from the 6th-9th with no-call from you.

2) I was Terminated over the phone on the 9th.

3) The 'Peer Review' was May 2nd.

4) You spoke with the 'Appropriate Administration'? Their was only the Administrator since April 6th.

5) Interviewed appropriate staff? I was the 11p-7a Supervisor and the witnesses quit or were terminated. Did you try to contact them at home?

6) Unable to Find? UMMMMMM; Ever heard of a 'Cover-up' or Falsification of Records? No, not them...

7) A regulatory citation? I checked the tags given and 13 were listed; curious

8) Sister? Who's sister? I have a sister in Brookville,Indiana and another in London,Kentucky with none I'm aware of here in Virginia. Yep, just the three of us.

9) Why didn't you ask me(call) for certified copies of the witnesses statements?

10) How long do you think it takes to fix a door?

Calling in the am.....

Eagles may soar, but weasels don't get sucked into jet engines.

Whoaaaa...I miss this one! Can't to read about this call! :o.:(

Specializes in cardiac, diabetes, OB/GYN.

Maybe sending the story, as you have written it here, in your own words, along with the replies of people here, who approved their imput, of course, to shows OTHER than 20/20 with the disinterested 20/20 email attached, might get the attention of another show who could work the story line from the angle of the actual horrific event, to the paltry care of the resident in question, to this being a WONDERFUL example of why people are hesitant to go into nursing, might get a rise out of someone.....That, along with, if it is available, some imput from the family of the resident in question, might raise a few eyebrows....Think about a letter to Gloria Alyred (sp)...Something to PEOPLE magazine.....Mention to whoever you may send something to, that you have attempted to get the story out, not only for what happened to you but also, travesty that it is, what this facility was willing to sacrifice in the way of human suffering and life AND money from the taxpayers with regard to the 911 comment...Might want to throw in your comment that the door in question was somehow more important than an actual person and that is a sad comment on the viewpoint in some healthcare arenas these days, specifically the one YOU are speaking about......Many ways to go about coloring the tone of this horrible and unfair treatment both of patient AND nurse. You are to be applauded for doing the right thing. What a wonderful nurse you are! My former comments coming from a writers point of view, by the way....Good luck and many hugs...

Specializes in cardiac, diabetes, OB/GYN.

PLEASE include the complaint person's statement (Linda Wilhem?) in any info you may chose to send in to any public forum, whether it be television or otherwise. You KNOW newspapers are always looking for expose's like this. I am certain the state of Virginia might want to talk about their approach to the situation and your response, should you be fortunate to achieve air time...Work the nursing shortage angle and treatment of individual patients, specifically.......Were they trying to get rid of you before this? That might be something you need to clarify.....

Betts,

I know you are going to do the right thing here. I read the entire thread and all bases seem covered. What can I do to help?

Collectively, we are of one voice and the patient comes first.

Under the circumstances, I might have been the first one to open those doors. Why were those doors locked in the first place?

One good thing did come out of this-you will be warm in the winter!

I urge you to follow your heart on this one and whatever avenues are open for your courageous voice. If this can happen to you--it does seem possible this scenerio can find its way into any one of our lives.

I can see the headlines now:

Nursing Ethics VS Corporate Policies

You are welcome to reply privately or on the board--This situation is one that cannot be ignored. How can I be of assistance to you?

One thing I need to comment on--this ugly mess fell on strong shoulders. You are a seasoned nurse and a credit to the profession. In my humble opinion, you will see positive results from your efforts and persistence. President Bush might even be interested in your story. He represents America: Land of the Free and Home of the Brave.

Sassey Nurse @webtv.net

Specializes in cardiac, diabetes, OB/GYN.

Whatever I can do....YOU go girl!

Dear Betts,

I want to write to people, but I want to make sure I have the situation stated simply enough for their non-nursing, "miracles-happen-everyday" minds to absorb.

So how's this:

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,

I'm sending this letter and a link to this thread to the other advocate for elder care, the AARP. I can only hope it disturbs the elder community. Because it should.

:kiss way to go, Betts :kiss

I sent that letter to AARP at the following link:

http://www.aarp.org/feedback/contact.html

I'll post whatever they respond.

I'm humbled that all posters have given so-much of themselves in their efforts to resolve a wrong such as I've experienced but, don't think of this occurrence in the Singular or Individual; It's a Stand for ALL Caregivers Everywhere; All Clients, ALL Patients,and ALL Residents, that haven't the Ability,Means, Resources,Understanding,or Right to Stand-Up and Challenge the Monster that would have it otherwise. I'm NOT thinking of Myself but of ALL.

I've Never,Ever in any facility,whether I was the head nurse, unit manager, coordinator or DON personaified the; "ME,MYSELF,I" but rather insisted on "US,WE,TEAM'!

We need to UNITE in a Singular Voice on this or any other issue of misconduct,not for the ONE,but for the WHOLE!

Sleepyeyes,

The 'State Surveyors' did call and have written testimony, as far as I know'. There were five or more of them investigating during my 'Indefinite Suspension' but I'm puzzled about this 'Inspector' (one individual) mentioned by The Center for Quality Health Care Services and Consumer Protection?

Another question I will ask Linda Wilhelm.

As I mentioned before, I called everyday after 4:30p and evening, as I knew the 'Administration?' would be gone to find out about the staff and residents, and was informed of the States Presence but never any mention of a singular inspector being their; I will find out and post immediately.

OH MY! What 'Money' won't buy!

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