cstober

I work at a LTC (RPN) on a dementia unit. Several residents frequently refuse care. Because the residents are very strong and physically aggressive towards staff, it is normal for PSW' s to report to nurses that a resident refused care. All refusals are always documented. I always try to assist the PSW's with care of these residents, but due to their (i.e. Residents) aggression ( hitting, kicking, scratching, and biting e.t.c), providing care is impossible. On one occasion, a resident twisted my hand, which lead to two days of pain 5/10. Another resident bit a PSW on the hand, causing deep teeth indentation marks on the PSW's hand. Staffs are afraid of these residents. Our DOC & administrator wants staffs to forcefully hold these residents down and provide the necessary care or it would be considered neglect. According to DOC/Admin., because the residents are demented and can not decide for themselves, staffs must use force (i.e. If necessary, 3-5 staff must hold resident). If staff adhere to DOC & Administrator's order or direction, is this not ABUSE?

Regarding Nipissing's Rpn to BSCN blended program, is this a bridging program? If not, is one need?