ellamazur

Hi all nurses Please join discussion and help me to understand how wrong can be right. Situation: Nursing home employed new manager, on her few shifts when she was nurse on duty she administered medication but not signed for them, not administered and not signed for them (this including antibiotics), signed as 'refused' but left medication in the blister packs (this home is dementia home, medication should be physically offered, I think). I reported my concerns to directors and was told this is fine and PCT and CQC aware of this. Next day I was asked by manager to give pain relief medication from medication trolley to one of the staff. I had twice to repeat - no. Stock of medication was transferred by manager from lockable cupboard to unlock-able. When I raised the issue, lock appeared on the treatment room door and nurse in charge was only one key holder. This would be fine but we had fire exit through the treatment room, so fire exit become unavailable unless nurse in charge would be around. After being off a week, I came back and found that lunch time medication weren't given to the patients for a week, including Metformin for diabetic patient. However I am wrong now because I raised issues. Please help me to understand what I am missing there because I just don't get it. Many thanks

Hi, I need your help. I am working with severe dementia clients in the nursing homes. On occasions I am have problems to use correct moving and handling with these patients. I'll give you one example and if could suggest how to deal with it. We have one lady who can be very uncompliant with moving and handling equipment, she is able partially weight bear. We were using standing aid hoist to move her. Sometimes she will not allow anyone with the sling near to her - biting, kicking, punching and etc. Only one thing she would comply is a "drag lift" when you holding her under arms she holds on you and managing slightly weight bear just enough for transfer. She thinks she is 20 years old and nothing wrong with her mobility, she is in the army and of course she doesn't need any equipments. She unable to understand what you are saying to her at the times. I did ask moving and handling trainer how would we deal with her, but he couldn't give me an answer, he suggested that she shouldn't be moved at all from the bed if she is uncompliant. But she trying to get out of bed if left to long and ending up on the floor. Some days she is compliant, so we can get her up, but later on the day she will be kicking off. We tried to leave her an come back later, but it doesn't work. She could be sitting ion the same chair for several days, swimming in her urine. What we can do without breaking moving and handling rules. Please share your ideas. Thanks