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As sallyrnrrt said, is the family aware of her behavior? She needs to be care planned/conferenced for her behaviours. Perhaps they can be of some assist?
I bet if they get enough phone calls, they might intervene. At least they won't be screaming that 'they didn't know'. Families seem to think that we can just wrestle with the pt and force them to do anything & everything that they themselves couldn't accomplish. Then they take an accusatory tack when things go south with the pt - like it's all our fault! Same with MDs.
She's got health problems that pose significant risk for deterioration r/t to her refusals/behaviours. Everybody needs to be on the same page!
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you know when the state surveyors where in for the annual surveyor, they wanted to watch the wound nurse do the dressing changes on this particular resident. When the DON, Administrator and Social Services director (don't know why she was involved) found out, they all went to the resident and told her that they wanted to observe the procedure and if she would not throw a screaming fit they would buy her a pizza and some soda, (KNOWING THIS RES IS DIABETIC). So she got her pizza and pop, and the surveyors left deciding not to observe the treatment procedures. I was appalled that they would do that just cause the surveyors where there.
sallyrnrrt, ADN, RN
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care plan, care plan, care plan, and i did not read where you notified her responsible party
document,document,and document, your DON was wrong, you left a msg., pending dr. response