Social Service Director and Housekeeping Supervisor's Ideas About Resident Rights...

Specialties Geriatric

Published

We had our annual resident rights inservice last Friday. The comment was made that making the resident's wait for something that they want or need is a violation of those rights. I always understood that making them wait an unreasonable amount of time for no reason could be a violation, but they example that they presented is just off the wall! In their scenario...one resident wants their toenails to be trimmed because they hurt when she puts on her new shoes (she is diabetic, so only a nurse can do it and there is only one nurse in the building)...another resident is in respiratory distress and needs suctioning (again only one nurse in the building). So...is it a violation of the resident's rights to have to wait to have her toenails trimmed? Her foot pain is just as distressing to her as the other resident's inability to breathe. :icon_roll

I argued that life threats come before anything else...while someone else may be in extreme pain and they may feel like they are going to die, obvious life threats should always prevail. They argued that even though life threats are more important, the other resident's rights are still being violated and there could be grounds for legal or disciplinary action. I think the Social Service Director needs to repeat his training and the Housekeeping Supervisor needs to review the policy manual or something.

The day that my judgement is questioned for correcting a life threat rather than providing a simple comfort measure and the day that a Housekeeping Supervisor questions my nursing judgement is the day I will resign and go to work at Piggly Wiggly.

Specializes in LTC, Memory loss, PDN.

I would thank the social services director for reporting this to me and then explain that I only trim toe nails after they have been soaking in warm water for twenty minutes or at least had warm moist towels wrapped around the feet. I would inform the SW that I have to look after another resident right now, but for her to go ahead and get the soak started. If it's that urgent or critical, department heads or admin are not above

performing a service for a resident.

Specializes in ER, education, mgmt.

could not help but respond...

why is it a violation of their "rights" to have to wait?? We all have to wait for something at some point. You mean all this time, I have been waiting in line at the Piggly Wiggly for like 20 minutes, my rights were being violated!!??

Specializes in LTC, Memory loss, PDN.

It's not a violation of residents rights, it's a violation of thinking before speaking by whoever brought this up during the inservice. This is a typical scenario chosen by non nursing staff. That's why I would just toss the ball right back in a real life situation. During the inservice, I might have asked if it was appropriate to trim the nails first while the fire alarm was going off.

Specializes in LTC, Memory loss, PDN.

Oh, btw, someone thought Piggly Wigglys are in the south, but I've seen them in Wisconsin as well.

I'd look them in the eye and ask about life threatening priorities, and keep pinning them down until they get it.

On a similar note----

The place I worked at, Housekeeping and laundry was the same department, and I would also have asked them "What about the residents right to wear their own clothes?"

"Just how hard is it to look at labels and put their clothes in the right drawers and closets?"

Specializes in LTC, Memory loss, PDN.

"What about the residents right to wear their own clothes?"

:yeah:

Specializes in Gerontology, Med surg, Home Health.

We have a family counsel meeting which is run by the SW and the activities person. They don't like nursing so all the minutes are basically disses about the nursing department. I told them NOT to answer for my department in the future. If a family member has a complaint, they need to come see ME.

It reminds me of my first job as a nurse manager. 42 bed sub acute unit with some long terms mixed in. I had been there for 2 days. I got 3 admissions, 2 planned discharges, and 3 people sent our rescue with sirens wailing. At the end of the day, instead of being thanked or given an atta girl! for keeping everything calm and everyone alive, I was told by the social worker that one of the residents was upset because she was 15 minutes late for the hairdresser...and the DON backed her up! Get a real life.

This reminds me of what was happening at my facility when both the DON and administrator left around the same time. The temp administrator was rather easily pushed around and very dated. Everyone and their sister and brother started coming out with new policies that put tons of new requirements on the charge nurses to do their jobs. The physical therapist added two pages of this, the dietician added that, the social worker added this. All the papers were lined up next to each other, taped on the cubbyholes at the nurses station. We would discuss the latest at shift change and the consensus for shift report, "I'm not doing this bs, I'm quitting in three days, when are you quitting?"

At least housekeeping/ laundry and maintance keeps out of our nursing. We only have the SW, PT and the ADM (she went to LPN school and never passed) insist that they know more about nursing. LOL.

I had a SW a few yrs ago try to tell me about how often to suction a resident and how often they should be getting the neb tx.....Yes, I look young and this one didn't know me as a nurse (I came back from maternity leave...have been a nurse for about 10yrs at that point) and he even had a thing for the education level of the nurse (AD vs BSN, etc).....Unfortutantly for him....my hormones were still out of wack and I wasn't letting MR SW intimidate me in front of staff and family. I basically told him that when he went to Resp school or nursing school he could give me advice and then went on to "educate" him on resp care, meds, risks and benefits of the meds and suctioning, evidance based practice, assessing the resident and then about my nursing experinece and education (not that it mattered, but I am a BSN) Wow......you should have seen the looks from him, families and staff. Needless to say...no one respected him and he didn't last long.

Bottom line....you are the nurse, you know the ABCs. I'm the one responsible for the resident.

I would have told them to go soak the feet too. LOL

Specializes in LTC, Hospice, Case Management.
I would have told them to go soak the feet too. LOL

LOL... maybe they need to soak their head too! Sorry to them, but when I get drug into a court of law and have to explain what I did/did not do, the jury is going to go nuts when they find out I followed the housekeepers expectations!

Specializes in acute care and geriatric.

I agree with the SW, everyones needs should be met immediately... by their private duty nurse, cause if youre balancing 30-40 pts needs , you cant do this alone!!!!

Even the ER treats pts one at a time, by triaging!!!

Theoretically the SW is right, but pactically, you are one person and can only do one thing at a time!

Regarding drinking at the nursing station, my DON is constantly frowning when I drink there, and I am careful, but if I dont, I will dehydrate. She needs me too much to fire me for it, but I know she disaproves.

Specializes in Gerontology, Med surg, Home Health.

Do you work in the desert? Most people don't really need all that water all the time. A drink or two in the ladies' room is probably more than enough....but I digress.:twocents:

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