If you leave a home d/t intimidating or uncooperative behavior is that abandonment?

[RN1263]

I'm wondering about abandonment laws concerning home health visits (not private duty or case managment).

This week I encountered two homes that I feel I should have left, but didn't thinking it may be abandonment. If faced w/ the situations again I feel I will leave, but don't know how much I have to put up w/ before I can legally walk out the door.

Anyone know....?

[Noryn]

It really depends on the exact situation. But if you ever feel your safety is at risk then abandonment is never an issue BUT you have to take steps to protect yourself. If there is a change of behavior then you would leave, contact 911 then notify your supervisors. Your safety is always paramount.

Of course like I said it depends because you have to use common sense. If a vent pt's hose came off and they were flailing their arms and accidentally hit you of course you would not immediately leave. Also with pediatric patients with no guardian then there could be circumstances (if the pt was of little threat to you).

Document, document, document and immediately inform your supervisor.

[wonderbee, BSN, RN]

On admission, patients are bound by our admissions documents including "Patient Rights and Responsibilities". Terms include maintaining a safe environment for staff as well as respectful treatment. If they violate the terms, they can be discharged without notice. Their physician is notified of the discharge and the circumstances are documented. There may be some further intervention required by police, protective services, etc. if there is danger to the patient or household members.

[caliotter3]

Whenever you leave a home before your visit is complete you must immediately call your agency, inform them of the reason, and follow up with a written report. If at all possible, try to complete the visit. If not possible, call from the home phone. If that is not an option, then go out and call from your cell phone in your car.

You are within your rights to leave the home when your own safety is compromised but beware of the possible negative consequences. My agency retaliated against me when I left after being sexually assaulted at a home and I decided to leave. My attorney stated I have grounds to sue the employer. Yes, the contract that the client or their representative signs states that they must provide a safe environment for you but that does not mean that your employer will back you up when you refuse to remain in an unsafe environment.