littleone25

Thanks everyone...I thought about this all night and called to report first thing today. There were 3 CNAs that day allowed in her room, and I am one of them, so I suppose Im partly responsible, even though none of us were aware that 'her' aide couldnt care for her. Im not okay with taking the fall for this, but I would prefer that to the alternative...seeing it happen, and doing nothing, and potentially allowing something like this to ever happen again. your input is much appreciated!

Its unfortunate, but Ive seen that also. them coming really doesnt do much to change things for the long term, and I dont want to have a state inspector over my shoulder either. But ive seen this type of thing happen in the facility I work in many times, and Im tired of it..and Im wondering if its because nobody ever has the fortitude to actually report until something ugly happens like this. I didnt come the the ADON...she called me back in at 730am while I was driving home after a 12hr shift, and then proceeded to tell me that.."This could be massive, or this could be minimized," and basically tried talking me into believing it was not as bad as it was. in not so many words, she expected me to sweep it under the rug. The urine on this resident wasnt even wet anymore where she wasnt actually laying on it...it was a huge dry orange ring, which speaks to how long she was really left unattended. I dont know..the whole dang facility is backwards and after this I dont know if I even want to be a part of healthcare anymore.

The RN on staff that night did everything she could, and while Im not a fan of the intershift blame game, It was the daytime RN's responsibility to follow up with the MD, admin, family, and mobile xray unit, and it didnt happen. I dont blame her for this, the fall itself was an accident...and I find it worse that the hospital didnt notice that both legs were broken during the course of her stay. it is true that some (okay, most at that age it seems) residents do urinate every hour, but this resident has a foley cath, so her saturation was due to a leak... My problem lies with the fact that the aide responsible for her who was banned from this residents room (the facility usually doesnt do this for the exact reason you said, but she was extenuating circumstance due to the threats from family) did not let anyone else on staff that night aware that she could not care for her..she simply let her lay there in her own urine. When an aide has had an issue with a particular resident/family member in the past, Its policy for that CNA to ensure that that resident is 'traded' for another so that they will still receive proper care. I barely got into the doorway and you could smell it, it was so strong. you dont have to go into a room to smell that much urine or see that the resident is still dressed, so to me, banned or not, theres no excuse.

6:23 am by littleone25 a member since apr '12. posts: 2 i am a cna in a continuing care facility. we have both long-term and rehab residents. recently, one of our long term residents had a nasty roll off her bed from near-chest height while with another aide...a second aide had been in the room, but had left to get some supplies. this resident was sent to the ed and was kept at the hospital for several days and came back to our facility with over 20 stitches in her face and a fractured leg, receiving hospice care. myself and another aide that care for her on my shift (7p-7a) had told the charge nurse that her "good" leg was bending the wrong way at the knee. she did everything she could do to resolve the problem, but it was 2 more days before this resident even got an xray. it was found that her other leg was broken as well(obviously!) this is my first issue..being fully aware that legs arent supposed to bend that way, not one other nurse bothered to look at this resident, or even follow up with the md for several days. neither did administration. the family is threatening legal action regarding this incident, and i believe it should have been taken care of on monday at the latest (it was first discovered at 3am sunday) on to the next...i was listening to report to another aide about this resident, and when asked about her condition, the aide getting report was told, "i really have no idea how she is, im not allowed in there." so we asked the other girls on shift who had been caring for her..everyone answered, "not me", myself included. apparently, the 2 aides involved with her fall were banned from her room by the residents family, and the aide responsible for her that evening didnt tell anyone. so i went with another girl to check on her and we found her in bad shape...1130pm and she was still dressed in her day shirt, saturated with urine from the middle of her calves to the middle of her back(keep in mind that both legs are in stabilizers which are also saturated and cannot be removed long enough to clean and dry) due to a leaking foley. she had not been turned, changed or cared for since around 8pm. it took over an hour to clean her up, put new sheets on the bed, and assist the nurses with inserting a new catheter. the adon called me back into work the following am to discuss it, and she says it was not neglect because it had only been 3 hours since someone had been in there. to me, that is assuming the previous aide had given care before she left at 7pm, which is assuming too much. also, this resident had orders to be turned and checked every hour due to her condition...3 hrs minimum without any care is way more than 1. i am disgusted by this, and it made me ashamed to be associated in any way with 90% of the people i work with..cna's, nurses, and admin. alike. i am considering reporting this to the state, but im not sure if it really constitutes neglect. advice anyone?

I really just am not sure what to do here...

I am a CNA in a continuing care facility. We have both long-term and rehab residents. Recently, one of our long term residents had a nasty roll off her bed from near-chest height while with another aide...a second aide had been in the room, but had left to get some supplies. This resident was sent to the ED and was kept at the hospital for several days and came back to our facility with over 20 stitches in her face and a fractured leg, receiving hospice care. Myself and another aide that care for her on my shift (7p-7a) had told the charge nurse that her "good" leg was bending the wrong way at the knee. She did everything she could do to resolve the problem, but it was 2 more days before this resident even got an xray. It was found that her other leg was broken as well(obviously!) This is my first issue..being fully aware that legs arent supposed to bend that way, not one other nurse bothered to look at this resident, or even follow up with the MD for several days. Neither did administration. The family is threatening legal action regarding this incident, and I believe it should have been taken care of on monday at the latest (it was first discovered at 3am sunday) On to the next...I was listening to report to another aide about this resident, and when asked about her condition, the aide getting report was told, "I really have no idea how she is, Im not allowed in there." So we asked the other girls on shift who had been caring for her..everyone answered, "not me", myself included. Apparently, the 2 aides involved with her fall were banned from her room by the residents family, and the aide responsible for her that evening didnt tell anyone. So I went with another girl to check on her and we found her in bad shape...1130pm and she was still dressed in her day shirt, saturated with urine from the middle of her calves to the middle of her back(keep in mind that both legs are in stabilizers which are also saturated and cannot be removed long enough to clean and dry) due to a leaking foley. She had not been turned, changed or cared for since around 8pm. It took over an hour to clean her up, put new sheets on the bed, and assist the nurses with inserting a new catheter. The ADON called me back into work the following am to discuss it, and she says it was not neglect because it had only been 3 hours since someone had been in there. To me, that is assuming the previous aide had given care before she left at 7pm, which is assuming too much. Also, this resident had orders to be turned and checked every hour due to her condition...3 hrs minimum is way more than 1. I am disgusted by this, and it made me ashamed to be associated in any way with 90% of the people I work with..CNA's, nurses, and admin. alike. I am considering reporting this to the state, but Im not sure if it really constitutes neglect. Advice anyone?