Hmm, I've never heard of someone being suspended for an unwitnessed fall. Mostly, because, it's impossible to be everywhere at one time, and some people are not going to call for help, no matter how many reminders you give them. Since there is no NEW injury according to family, suspension also seems a little harsh. What might get you is that you left the room knowing that the resident is a fall risk and had an immediate need, even though technically an aide could have met that need. Once you realized that all your aides were already busy, you probably should have just gone back to help the resident right away. Issues regarding food could have waited. Not trying to criticize you, as you yourself know that maybe you didn't prioritize tasks as best as possible. I also try and delegate tasks such as changing a resident...IF an a aide is available. However what I like to do is put on the call light, stay with the resident and start the task. If they come to take over, that's great. But sometimes it's easier to just do the task myself. However since there were no new injuries, I don't know that you necessarily have to worry about losing your license, although I would be nervous too. As far as your job, maybe reach out and explain what you would do to prevent this in the future. If this is your first time, hopefully they will take that into account. Sorry that you are going through this, as you were actively trying to get help for your resident.