dv0806

You are so right about the luxury of time with the family because that is the impression I got from the resident that it was not a rush. I "think" we have to give them a 30 day notice if we want them to move. I sure wish something would happen before that. The resident is a sweetheart but she just needs more than what we can offer her. I noticed recently some nursing facilities have a short waiting list so sometimes its hard to plan too far ahead

I want to say thank you to everyone for their comments and feedback. I have written my director with my concerns and what I think needs to be done for the sake of the resident and our staff.

New view to this and thank you. This whole situation is new to me. I have worked with residents that are hard to transfer but have had trained coworkers or lifting devices. At this place I have neither. Thank you

Great suggestion!

She has that recliner and a pole from ceiling to floor to help with transfers. I just need to push the issue more of getting her moved to a facility that have lifts and more staff trained with transfers.

Ann, I have called my director who is a nurse about this situation. It just seems to be taking awhile. I want the best for her without putting us at risk of injury. Thank you for your feedback. Everyones post comments are really helping me deal with this situation.

I understand what you are saying. She sleeps in a recliner and a bed pan may be too difficult to get under her in such a small area and not really able to roll her. We were able to get her up with three people just a few minutes ago. Being the nurse that I am I am going to take care of her the best way that I can until she is moved into a LTC which will be soon. Thank you for your opinions

She had a doctor appt a few days ago and I sent a fax with all my concerns to her doctor with no new orders. Until she is moved we need to take care of her the best way we can. We risk moving her we risk her skin by allowing her to pee herself. its a hard situation

I understand what you are saying and I am torn bout my coworkers and the resident. Here's the thing when we got hired they ask if you are able to lift. If we all help we can do this. Its hard to tell a resident to pee herself cause it makes our job easier. Some days are better than others and the day we had 5 people was a hard day for her.

you are right and that is why the family is looking for a new place that can offer her more than what assisted living does. However, until that is resolved we still have to take care of her the best that we can.

thank you everyone for the response. I have brough this to administrations attention. I dont agree with the comment of her pee'ing in her depends because of the difficult transfer. Last weekend right after the paramedics left she said I need to go to the restroom and I was so bummed but myself and her caregiver got her up. I am going to push this issue harder and stress why it is important to not handle it this way. oh yeah last week there was 5 of us trying to lift her prior to calling for help and some of the companions were complaing of back pain so its hard when you want to help this resident but also have to look out for the safety of your coworkers. Thanks again.

I need some feedback on this matter. I work at an assisted living facility and this resident is already known to be too much for assisted living and family is looking for a LTC facility. Here is the situation she is very immobile and VERY difficult with transfers. We have called paramedics/fire dept to help get her off the floor several times. She has good days and bad days with transfers. She alert and oriented and she is continent of bowel and bladder. She wears depends as a back up. She does have a small area of skin breakdown starting up. Well others have told her to just pee herself and they will change her then have to get her up to the bed side commade. In assisted living they do not have CNA's that learn about tranfers. We don't have a hoyer lift or anything like that. So the "companions" think it is easier to change her every 2 hours. I understand they are concerned about hurting themselves with transfers but I am also thinking about the resident because if she is continent then why make her pee herself? Can you please offer some advice/feedback? Thank You