Patient fell, Forgot to reset alarm

Nurses General Nursing

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Ive been a CNA for about a year at a hospital working the Med/surg floor. Never had a fall. Today I had a 39 yr old patient, alcoholic dying of liver failure. Completely jaundiced but coherent and not confused at all. He was weak and wobbly, and needed help using the bathroom.

The first time his alarm wen off, he was trying to get out of bed alone to use the bedside commode. Myself and another CNA went in and told him he was not allowed to get up alone because he was so weak, and he said he understood. We cleaned him up, put him to bed, reset bed alarm.

The third and last time we take him to use commode, we get him back in bed. I leave room to get vitals machine. She pulls his covers up and leaves the room. I get his vitals and leave room, but forget to reset bed alarm. 1 hr later nurse goes in a finds patient on floor cause he once again tried to get up alone to use commode and fell doing so. Nurses come in and help patient back to bed. I was in the middle of helping a nurse admit a post-op. I go in and no ones looking at me, everyone is p*ssed. My manager informs me I need to double and triple check bed alarms. I shake my head yes and leave the room. This occurred 15 mins before the end of my shift. The patient is unharmed. I am now the jack@ss of the floor.

I go to give report to the oncoming CNA, when I go to tell her to be cautious of the guy that fell, she states she already knows, she heard, and she heard already I was going to be written up. News travels fast. The incident just happened.

To top it off, today was the first day the joint commission was visiting, so everyone was already nervous. :chair:

Needless to say, I know I screwed up, and its my responsibility, what Im concerned about is having this reported to the state and getting a black mark on my license.

So, how bad is this?:confused:

If an A&O patient is told to request help getting up and fails to do so, if he falls, it's his own dang fault. The bed alarm merely would have alerted someone to his fall sooner. It would not have prevented his fall. I am sick and tired of nurses taking the blame for every bad choice a patient makes.

Specializes in LTC.

Honey, it will be ok. The patient wasn't hurt. People forget alarms all the time. Just be more careful.

OK, take a deep breath. I bet you will NEVER forget to check again! We learn by making mistakes.

One of my patients once fell whilst I was RIGHT THERE, talking to them. I felt awful. I cried when I was taken into the DONs office.

Oh, and your co-workers "gossiping" about you being written up? They SUCK. I would bet money they have made worse mistakes/omissions.

Thank you for the supportive posts guys, made me feel much better.

OK, take a deep breath. I bet you will NEVER forget to check again! We learn by making mistakes.

One of my patients once fell whilst I was RIGHT THERE, talking to them. I felt awful. I cried when I was taken into the DONs office.

Oh, and your co-workers "gossiping" about you being written up? They SUCK.

yeah, they do, lol, but I've come to expect that of them. Comes with the job. I'll just be more careful.

Specializes in CNA, Nursing Student.

It's a learning experience. We all have little hiccups here and there. I remember myself one of my first nights we had a patient fall. She wasn't hurt (aside from a bruise for a couple days) but between myself and the other CNA covering the floor we had just checked on her. I mean we were literally ten steps from the door when the alarm went off and she was on the floor. As previous posters have said, you breathe, let it go (can't change the past) and take it as a learning experience. Now you know firsthand what can happen, you will be better for it.

I too echo the sentiment that your coworkers were giving you far too much flak for it. Falls happen, despite all we do to try and prevent them. (Just don't get complacent because of it and you will be fine)

One time one of my patients fell and was found without the tabs alarm set. Also the motion sensor alarm was on but not functioning (it was broken, without my knowing -- the light turned on and everything). I was blamed and I felt soo guilty. I swore when I left the room I had checked everything.

Later that night myself and a coworker witnessed the patient removing the tabs alarm and trying to get up to use the bathroom. Are you sure something like this didn't happen?

Specializes in LTC.

**** happens. Just use the fall as a learning experience. I have a sneaky suspicion that you won't be forgetting a bed alarm for awhile.

Just an update, I was fired Monday due to poor performance. My manager called me into the office originally because he said he wanted to discuss what happened, but when i went in there, he pulled out my performance review and said one of the items on there I had failed to correct (had nothing to do with the patient falling) and because of that he had to let me go. I said, "I have improved in every single area you asked me to, and your choosing one thing and now Im fired". He said that was correct. Whats interesting is, he didnt bring up the patients fall AT ALL. The performance issue he criticized me on had to do with how I was spending my extra time at work (reading) and had nothing to do with patient safety or satisfaction).

And here's the kicker. That morning at work, one of my patients approached me in the hallway and said, "Hey, I just talked to your manager ( he described him to me) and I told him what a great job you did for me while I was here, so i wanted to let you know." I got along great with this patient. So I actually got fired for performance on the same day a patient complimented to my manager on how great I was for them.

I dont think its a coincidence my "performance plan" came up only 5 days after the falling incident. The fact that he never discussed it with me and deicded to focus and fire me for something so spetty says everything. They wanted me gone because of the fall, but needed to use something else to get me out and did. Also, my manager didnt know the patient had told me he spoke to him about me praising me. And my manager never bothered to bring up the praise in the meeting. LOL!

Oh well, live and learn, I learned ALOT in the time that I worked there, and I know one thing is for sure. I plan to stay the hell away from med/surg once I get my degree, LOL. I take my NLN entrance exam soon so i will spend the extra tim studying for that and probably get a part-time job on campus. Something less stressful to concentrate on my nursing studies. Thanks for the posts guys! You rocked. :yeah:

Specializes in ER.

I really hate to hear that. I hope it all works out for you. Sometimes things like that are a blessing, even if it doesn't feel like it. You seem to be dealing with it well. I hope you continue to and good luck with the future!

Specializes in Cardiac.

OP, this is very unfortunate that this happened to you, but from reading your posts you truly seem to care about your pts and I think you will be a great nurse! Good luck in school! :D

Funny how you were fired when Joint Comission is visiting. It's the old find someone to throw under the bus so you can prove you took action.

Ordinarily, at worst, you'd be written up. If it was the first time, there was no injury, nah, at worst you'd recieve a verbal warning or counseling. I'm sorry it happened, seems to happen a lot lately. I'm glad you have made the decison to move on. You are courageous and you know deep down as a CNA you rock!

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