Dsmama

So she has quarterly's that consistently bring up her attitude, treatment of staff, and refusals. However this last episode which caused the suspension was her refusal for staff to intervene when she was at a 40 blood glucose and 911 was called. Because of that I don't think they have taken her promises of compliance and lack there of to heart. Nursing was not involved prior but is now due to health and safety which is why they are looking for guidelines on what is an acceptable amount of refusals (with respect to severity) before she is deemed to high risk to be in the home. They wanted to not have her back but I'm trying to advocate for her with some guidelines but falling short on what I can have the company look at and go "OK we can try that"

Hello. I work in a group home for behavioral health clients. We have a young female in early 20s who often refuses to tell us her glucose levels and carbs for her sliding scale. Diabetes is hard for her and she does not like being in the group home so she expresses her independence as much as she can and often its not telling us important info in order to give her insulin. She wears devices that read the insulin levels but we are not allowed access to it (her request). When we ask for her levels or carbs she ate...she screams and swears and slams the door in staff faces. When asked why, she says because she likes to and "because I can" She is on a suspension until our team can help with solutions for better compliance while she can still maintain her rights. Health and safety is priority so we cannot have her in the group home if she is not giving us her levels and info when we need it. She also refuses help when she is hypoglycemic and it appears consistent with self injurous behaviors and ideation. My question: Can someone suggest ideas of how many times a refusal can be had before it is considered her not trying or "informed Refusal" to where we gave it a shot and tried but she has not stuck with her agreement? I realize factors such as severity of the situation etc... matters and keep in mind it has been over a year with education on what can happen and encouragement from staff so I don't feel its there that we are lacking. She "promised" to be better but we have seen this 5 times before on other meetings and plans. What can be a fair trial idea of her refusing and what level we say....OK we are done? Please don't say company policy and follow it as we go case by case. Thank you for all suggestions.

Hello everyone, I do not know where to go to get this answered. In regards to working at a company that's not familiar with nurse licensing and the responsibilities they create for me, how can I verify my license is covered with what they want me to do or what I need to make sure I don't get in trouble for missing something? I work at a group home and they don't have much for requirements on documentation for training employees on insulin, oxygen, and what home is required by RN to train versus a regular employee who knows how. They created job responsibilities for me that are vague and state verbiage like "the RN is responsible for training staff in a home with oxygen" then tell me it does NOT have to be me as long as another knowledgeable staff can do it. Do I sign this form? Who do I contact to ask what questions to cover my license? Thank you!