Patient Abuse/Nepotism

Nurses General Nursing

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Hello, I am a registered nurse in need of some advice. In my place of work there is patient abuse, and staff abuse that has been going on for some time now, it is my belief that nepotism is keeping the abuser from the receiving the justice that they greatly deserve. The abuse is being committed by a fellow RN. I'll start with the first incidence I know of, the RN was assigned to care for a man on hospice with not much longer to live, the patient had no motor function from the neck down, and had a excessive amount of salivation requiring frequent oral care. At change of shift the oncoming RN found this patient with gnats all over his face with a "kleenex" box wrapped in a washcloth tucked under his chin , this was reported, nothing ever came of it. Another patient the abusive RN cared for required transfer to ED and died 2 days later, the nurse left this patient outside during the winter time for the majority of the shift, Foley bag ready to burst, patient skin reddened from the cold, unstable vital signs. Another patient of this abusive RN simply asked for a muscle rub cream to be applied to his leg, this RN decided to rub an excessive amount onto the patients genitals, this caused the patient a great deal of pain, some of the cream ended up in the patients urethra, the nurse laughed and bragged about it, when this particular instance was reported to management, the nurse manager said "he must have accidentally put the cream on the wrong body part or maybe he looked at the wrong order" the nurse manager even found the instance slightly funny ( this patient does not nor ever has received any cream to/for the genital area). A different RN made a complaint to management about the abusive RN stating that the RN threateningly backed her into a corner in a highly confrontational manner, the manager blew this off, the nurse suggested to the manager to watch the video recording as this event happened directly in front of a camera, the manager never watched the video, nothing ever came of it. Many patients on the unit frequently request/almost beg to have this person as their nurse. Patients say that this nurse is rough with them, rushed, this nurse frequently leaves the floor to smoke and is often not readily available for the patients. The abusive nurse has a family member that is a nurse manager on a different unit, that manager is friends with our nurse manager, both managers and the abusive nurse are friends with the manager's boss, who overseas all of the units in our section of the hospital. All of the atrocities have that this abusive nurse have committed have been reported to management, and nothing has ever been done about it. People are afraid to report to any "higher-ups" because we do not know how deep the rabbit hole of nepotism goes. The ethical nurses who have reported on these instances have been the targets of many forms of retaliation from management, including bullying, hostile working environment, changes to the nurses work schedule, false accusations despite documented proof (time stamps, camera recordings..etc) and many other forms of retaliation to the nurses who try to make a difference. If anyone has any advice on how to proceed please share, thanks... concerned RN

On 9/8/2019 at 2:08 AM, Ethical_RN said:

I've been told in the past that State investigations are blocked by, or handed over to Federal organizations when the organization being investigated is federal? So its not such a straightforward problem @JKL33 especially when the appropriate authorities to report it to are the ones retaliating against the whistleblowers.

On 9/8/2019 at 7:44 AM, Ethical_RN said:

@NRSKarenRN so are you saying that pretty much no matter what that when i report this I will most likely have to find a new employer?

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On 9/7/2019 at 11:24 PM, Ethical_RN said:

Hello, I am a registered nurse in need of some advice. In my place of work there is patient abuse, and staff abuse that has been going on for some time now, it is my belief that nepotism is keeping the abuser from the receiving the justice that they greatly deserve. The abuse is being committed by a fellow RN. I'll start with the first incidence I know of, the RN was assigned to care for a man on hospice with not much longer to live, the patient had no motor function from the neck down, and had a excessive amount of salivation requiring frequent oral care. At change of shift the oncoming RN found this patient with gnats all over his face with a "kleenex" box wrapped in a washcloth tucked under his chin , this was reported, nothing ever came of it. Another patient the abusive RN cared for required transfer to ED and died 2 days later, the nurse left this patient outside during the winter time for the majority of the shift, Foley bag ready to burst, patient skin reddened from the cold, unstable vital signs. Another patient of this abusive RN simply asked for a muscle rub cream to be applied to his leg, this RN decided to rub an excessive amount onto the patients genitals, this caused the patient a great deal of pain, some of the cream ended up in the patients urethra, the nurse laughed and bragged about it, when this particular instance was reported to management, the nurse manager said "he must have accidentally put the cream on the wrong body part or maybe he looked at the wrong order" the nurse manager even found the instance slightly funny ( this patient does not nor ever has received any cream to/for the genital area). A different RN made a complaint to management about the abusive RN stating that the RN threateningly backed her into a corner in a highly confrontational manner, the manager blew this off, the nurse suggested to the manager to watch the video recording as this event happened directly in front of a camera, the manager never watched the video, nothing ever came of it. Many patients on the unit frequently request/almost beg to have this person as their nurse. Patients say that this nurse is rough with them, rushed, this nurse frequently leaves the floor to smoke and is often not readily available for the patients. The abusive nurse has a family member that is a nurse manager on a different unit, that manager is friends with our nurse manager, both managers and the abusive nurse are friends with the manager's boss, who overseas all of the units in our section of the hospital. All of the atrocities have that this abusive nurse have committed have been reported to management, and nothing has ever been done about it. People are afraid to report to any "higher-ups" because we do not know how deep the rabbit hole of nepotism goes. The ethical nurses who have reported on these instances have been the targets of many forms of retaliation from management, including bullying, hostile working environment, changes to the nurses work schedule, false accusations despite documented proof (time stamps, camera recordings..etc) and many other forms of retaliation to the nurses who try to make a difference. If anyone has any advice on how to proceed please share, thanks... concerned RN

What advice would you give to someone asking this question? It's hard to believe you don't know what to do or who to go to. I appreciate your dilemma, your fear, especially after reading about the VA and all of the evil happening there, but I think you do know what to do.

For one thing, how about the BRN? Report this monster directly to the licensing agency because he has done things, per you, to patients that should get him de-licensed or, at least, punished. Torturing? Abandoning? Are you kidding?

While you're at it, report the managers, too, for protecting this guy and for demonstrating no concern at all for patients.

Do the reporting anonymously if you want to.

Also, report to your state and federal senators and congressmen/women, also to local media, CNN, etc. Again, anonymity can be your friend. Don't use your cell phone or other phone that can be traced to you. Don't hand write anything. Don't type anything at work. And be quiet about making c/o at work. Stop talking to your peers about stuff, even if they agree with you. Silence is golden.

I know you're in a tough place and I applaud your desire to help the patients and to bring down this terrifying evil.

On 9/8/2019 at 6:44 AM, Ethical_RN said:

@NRSKarenRN so are you saying that pretty much no matter what that when i report this I will most likely have to find a new employer?

I imagine you might want to go as soon as possible.

Can you get the tapes that show this guy being violent? any other tapes?

get written witness statements?

Can you plant a bug or 2 around the Sups' offices? Talk to a lawyer before you take this step.

Specializes in Transitional Nursing.

You and anyone else with knowledge of these things, past and future, need to report this to the state & the BON.

I'd also suggest the ombudsman and the company's hotline if they have one. Many often have a corporate line you can call anonymously.

Nurses are mandated reporters, as you know. Facility management doesn't qualify in circumstances such as these.

Specializes in medsurg.

Yes

Specializes in Nursing Education, Public Health, Medical Policy.
On 9/8/2019 at 12:57 AM, Ethical_RN said:

@TriciaJ the dilemma is that I don't want to leave, I care so much for the residents, I want to do whatever is in my power to make their lives better and end this abuse, I'm in the process of figuring out who exactly I need to/should talk to, I'm not alone on this I do have some help. It's just such a catch-22, doing the right thing can get yourself black-balled and out of a career, but not doing the right thing allows abuse to continue, trust me not doing the right is not even an option on my radar, I'm just trying to figure out the best way to go about it, thanks for your input btw.

If this is truly the situation at your facility then the issue should not be about you and your desire to stay. The issue is abuse and you can report that now- like right now- to the BRN. Stop worrying about the possibility of losing your job and step up for the helpless patients that you are supposed to be advocating for. I really have zero tolerance for your poor me attitude OP.

Specializes in medsurg.

@Megan1977 you obviously didn't read the entire thread, I already reported it, I came on here for actual advice, not beratement from someone who apparently sees the world in black and white. It was never about to report or not to report, obviously I'd be an unethical *** not to report, I was looking for advice on how to effectively rid the abusive nurse of their position in an organization where the the state cannot investigate, where its endless beaurocracy is riddled with nepotism, nepotism directly tied to the abuser... "poor me attitude"... Smh really... I've already "stepped up", yeah it would be a shame to lose my job but that wasnt the point, would you have rather me gotten fired for speaking go immediately without any thought, me getting canned and the abuser continue his reign? #poorme

Specializes in Nursing Education, Public Health, Medical Policy.
On 9/12/2019 at 5:45 AM, Ethical_RN said:

@Megan1977 you obviously didn't read the entire thread, I already reported it, I came on here for actual advice, not beratement from someone who apparently sees the world in black and white. It was never about to report or not to report, obviously I'd be an unethical *** not to report, I was looking for advice on how to effectively rid the abusive nurse of their position in an organization where the the state cannot investigate, where its endless beaurocracy is riddled with nepotism, nepotism directly tied to the abuser... "poor me attitude"... Smh really... I've already "stepped up", yeah it would be a shame to lose my job but that wasnt the point, would you have rather me gotten fired for speaking go immediately without any thought, me getting canned and the abuser continue his reign? #poorme

Pretty much the response I expected. LOL

Specializes in Inpatient Oncology/Public Health.

Any update on this situation?

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