long....looking for aaa information...substantiated neglect

Specialties LTC Directors

Published

Hi, Looking for someone who has had a similar experience as my state's local aaa office nor the main office can help. I am the DON of a facility that reports absolutely everything that could even remotely be construed as abuse: the demented lady that state "the father of the would be child slipped in the the night with his friend and 12 men raped her", I mean EVERYTHING. My thought process is that I would rather report and withdraw than not report and get tagged.

Recently while I was on vacation, a resident fell and sustained a hematoma. She is a long term resident with no fall history, no attempts at self transfer in the 9 months shes been with us, alert and oriented, transfers and ambulates with contact guard/supervison.

Nurse aide assisted to bathroom and left her to do her thing. By history she has always used the call bell when she was done. This time she leaned over to adjust her O2 tubing and fell. Minor injury, hospital eval and back in 3 hours.

I instructed the ADON via phone to report. DOH questioned if the the facility had followed the plan of care or was neglect suspected. I instructed the ADON to state plan of care was followed and no neglect or PB 22 needed. They accepted the report.

ADON also reported to Area Agency on Aging. They investigated and wanted to substantiate abuse against the nurse aide for not staying in the bathroom with the resident. I stood behind the nurse aide stating, he would not have needed to stay in the bathroom with the resident as that is not her plan of care.

She ended up not tagging the nurse aide. She substantiated neglect against ME as the DON, for not educating staff to stay with the resident. I am appealing and the road blocks are considerable, no one can even tell me who this is reported to, how it impacts my license nothing!

Anyone have similar experience??????

Specializes in LTC, Hospice, Case Management.

Sorry you are still fighting this but I am happy to hear that your company's legal team is behind you. At least you are getting support from your company and sometimes that is sadly lacking.

Wow! I truly am sorry that you have to deal with this. I'm a cna and my DON would never stand behind anyone. I wish all DON'S had your attitude, maybe then things would get better. Thanks! From one who "doesn't matter".

Iluvmyjob, Thanks for the support! I am sorry you feel that way about your DON, but maybe she is supporting you in ways you are unaware of. No one at my facility other than my administrator has any idea that this has happened including the CNA assigned to the resident at the time of the event.

I would not have discussed this openly had the allegation been against someone else, and I do not see the benefit to doing so in this case either.

I go to bat for the nurses and the nurse aides routinely, without them ever realizing its happening, I consider that to be a big part of my job. Happy staff make happy residents.

Please never refer to yourself as "one that dosen;t matter". Nurse aides are the backbone and the heart of every facility. Having started as a nurse aide, I still count those shifts as some of the most rewarding of my career.

I have a CNA that works in my building who refers to his job not as assisting nurses (nursing assistant) but giving aide. I love that. What greater privilege than to give aide to those in need. :yeah:

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