lpnpasta

At the two personal care facilities I've been charge at, we don't have any lifts. When I only have 2 staff in the entire building and the resident is either confused or combative or weak, I'll always make a safe decision for the other staff and the resident. It's great to be able to call for a lift assist in the personal care setting, where the acuity of the residents is always increasing. In LTC where they have lifts and have 4x the staffing I have, that's a something I don't know the first thing about.

So from what you said I'm thinking you applied pressure to the insulin pen to insert the needle but didn't press the button to inject the insulin then realized. It happens. We're all human. You realized your error, reported it to the doctor, and proper action was taken to correct the incident. Don't doubt yourself, everyone makes mistakes. Most facilities have you fill out an incident report when a medication error occurs. So yeah, you'd want to tell your unit manager ASAP and fill out the report. At my facility we do call to update the POA when an error occurs. Also: be careful how you document a medication error in a patient's chart. I've been told not to say there was an error made in the chart. I've just documented what happened, and that you spoke to the doctor and any new orders the doctor gave. Also, I've been told not to mention incident reports in the resident's chart.

Document, Document, Document. You can't help if the person your reporting to is pushing everything off. Just document you told her. It's not your responsibility to make sure she does the reports and takes proper action.

I'm an LPN at an assisted living facility on a locked down dementia unit. I'm curious what other facilities do when a patient is aggressive. I don't mean, "Mrs. Jones stepped on my foot when transferring tonight." I mean, a patient running around a unit, trying to hurt anyone they can, including staff, other patient, administration, and visitors, unable to be redirected, family on the unit, all PRN's given, staff just trying to keep other patients from getting hurt and themselves. The psychiatrist has already quadrupled the doses of the two antipsychotics they're getting and the antianxiety medications. I read up on some of the posts here that EMS and the police are called. I'm just wondering what exactly is done at other places. I chart everything that happens. Bu what else should be done, as far as my license is concerned? I am genuinely worried that one of these times the staff may not be able to move a patient away from them and another resident could get very badly hurt. What exactly is done at other places in similar situations? Thank you so much for your time.