Interview from a RN or LVN regarding patients and UAP's

[buffieriley]

Hi, I am a 3rd semester LVN student and for my leadership class, I am supposed to interview a RN or LVN who works or has worked in a position where they must delegate responsibilities to unlicensed personnel. (Nursing assistants, CNA's, etc.)I asked my intructor if it was ok to post the questions on the allnurses website and she gave permission for us to do so. Also, I value UAP's and their help, this is not necessarily about the UAP doing anything wrong, this is about conflict resolution. I am supposed to ask about a situation dealing with this unlicensed person and a patient or patient's family. It can be any difficult situation, such as the unlicensed person exceeding their scope of practice, ineffective communication between the staff member and family, or simply a family member complaining that the aide doesnt know what she's doing, etc. . Any help would be greatly appreciated.:)

If you can think of a situation like this, could you answer these questions for me?

1. What was the situation that occured?

2. Who was involved? Include patient, family members and any hospital staff involved.

3. What steps did you take (from start to finish) to resolve the problem?

4. What was the ultimate outcome of the situation?

5. What, if anything, would you do differently if a similar situation were to occur again?

Many thanks in advance for any help anyone could give me.

[AggieNurse99, BSN, RN]

i'm an rn on a tele floor - we take six pts with 1-2 techs for 30 beds.

1. what was the situation that occured? my tech took a pt out of restraints and got him up to the chair and then left him alone (without asking me or even telling me); i found the pt on the floor we think about 20 minutes later.

2. who was involved? include patient, family members and any hospital staff involved. tech, pt, me, charge nurse

3. what steps did you take (from start to finish) to resolve the problem? first, with my charge nurse got the pt back to bed, notified the md (got orders for xrays etc), pt on 1-1 until no broken bones and re-restrained, i spoke with the tech and explained that only a nurse in our state is authorized to take the pt out of restraints and that by doing so, she risked my butt not hers. i then spoke with our manager who told me to leave it alone.

4. what was the ultimate outcome of the situation? i was written up for not keeping a closer watch on a pt in restraints, which i then protested to the cno citing the ppm on restraints and it was expunged, but nothing happened to the tech. i watch her like a hawk now.

5. what, if anything, would you do differently if a similar situation were to occur again? immediately inform upper management of any safety violations or major events, as soon as determining the pt is stable.

[buffieriley]

Thank-You for your reply, if you don't mind me asking, what state are you from? Thanks again for your reply, it was extremely helpful. :)

[AggieNurse99, BSN, RN]

Texas