muleboy

by prn i mean our facility protocol for apap,immodium, tussin dm, mom, or bisacodyl. our order from the md is to call family and ask first. nobody has a good report with this family. at one point we weren't allowed to change his foley because the family only wanted the don or adon to do it. the order even went so far as to say if no output send to er. well we did that a couple of times when resident was agitated and pulled on his foley. the local hosp er wasn't too happy about that but we told em it wasn't us it was the family. funny you should ask about the care plan meeting...they just did it yesterday..thatwhere the i wanna be in the room everytime there is a treatment done came from. along witha list of complaints about staff that they observed while they were here. it was amazing what they saw or heard being as they were only in his room. what they don't see is that as long as we have had this resident he has been bedfast and he has not had any skin breakdown. i don't even work that side unless they short and i cover down but somehow they complained about my ipc skills and i haven't covered down in 3 months. go figure

the resident is not able to communicate his needs and wants. only one family member has POA and is responsible party however we have his other children and spouse throwing in their two cents. they get him agitated with their constant pestering and then want you to do something when he cusses at them and tries to hit them. i am confident in my skills to be able to do wound care in front of anyone. my thing is this family is not looking out for the resident's best interest. they are just looking for ways to micromanage. cmon i hafta to call them to ask family is it is ok to give prn. these people think just cuz they have internet access they can google any med resident has and then come in and be like i wanna change this or i think he should n't get this. the MD doesn't even bother with them anymore he just agrees to what they want so they don't bother him. again can i say family wait outside while i do wound care and if they don't refuse to do it?

I work in a LTCF and we have a resident whose family is terrible. These people are never satisfied and blame staff for any and everything wrong with resident. This family attempts to micromanage everything. We have MD orders that tell us to call family and ask them if it is ok to give prn meds. Now this family wants to be present any time a treatment is done on their family member. My question is do I have the right to ask these family members to step out while Im doing the treatment?