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Cliques & Bulling in LTC
I have been a nurse for 10 years. the first 9 years were in the hospital. the last year was in LTC/Nursing home. I recently got fired for something that happened on nightshift on my day off (that's a different story). But, I can't help to feel better now that I'm gone. I was so tired of being micromanaged to death, the cliques, and bullying and belittling/undermining that went on. I feel like I had to autonomy as a nurse & couldn't make decisions for my patients my self. The LTC even micromanaged nurses and disregarded common sense in some situations. I've applied to the hospital for a position. I'm looking forward to it. Honestly, I wouldn't go running back to LTC. It's not worth it. Everybody was out for themselves. Anybody else think this way? or did this place just leave a bad taste in my mouth?
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Help with research on patient fall reporting
in the nursing home, if a fx is sustained that is automatically reportable to DHEC. in the hospital, if a fx is sustained, the rest of their stay is probably covered, they don't have to pay, the hospital does. i imagine this is the same for the nursing home.
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Patient fx hip after family refused alarm
Hello all, I have been out of work for 1 month since this incident. Apparently, alot has been happening on nightshift at the LTC/nursing home. Apparently the night after this guy broke his hip, they had two more falls, one requiring tx in the ED. the a day and 1/2 after that a woman on the same hall broke her femur from a fall. and most recently, someone fell (on the same hall/nightshift) and broke their pelvis. So in summary, all these falls are happening on night shift, bed alarm or not, and sustaining fx's. Maybe it was a blessing in disguise that I got fired. Now they'll have to find another scapegoat!
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Patient fx hip after family refused alarm
Well thank u for your responses. The patient was a&ox3. His daughter who was his poa happened to be an RN. He fell broke his hip and nose & went unchecked for a undetermined amt of time. The fall happened on night shift. I was the admitting nurse, and I documented the refusal. I wasn't the night nurse (the one he fell on). He fell 48 hrs after I had him. However, the NH did not see eye to eye with me. If we check our patients properly, there shouldn't be a need for alarms. An alarm doesn't stop someone from falling. It isn't a fix all. A patient has the RIGHT to refuse! Every one keeps forgetting that. I can't put into words how bad I feel for that patient right now. Doesn't matter anymore, I was terminated today. All I can do is the best I can. Sometimes we fall short, sometimes we f&*^% up, but we gotta keep trying and move on.
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I can't believe that I made such a stupid mistake and am kicking myself!!!
It happens. We are all human. It's not that you've tripped up and fallen, it's that you've picked yourself up, dusted yourself off, and keep on trying to do your best day after day.
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Patient fx hip after family refused alarm
Ok, the family for a short term rehab patient did not place an alarm due to family's refusal (this happened on a wed). He fell a day & a half later, breaking his hip and nose. The NH is coming down hard on the admission nurse since she didn't place the alarm on wed (but remember the family refused). Who is responsible? the admission nurse who wasn't present on the night of the fall? the nurse on duty? or the NH? or no one since the family since refused the alarm & it was documented. LET ME KNOW.