State mandated elder abuse
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I work at an adult foster home with dementia pts and two bed bound pt. I heard recently that the state inspectors are going to be making us do fire drills. They did this recently at another adult foster home. They made a nurse who is a bit aged herself lower her pt's off of the roof into 37 degree weather and rain. She suffered a severe spinal injury as a result. When she complained about the damage to both herself and her pts the inspector stated that it could be worse since they might do it at night.
Now I as the night staff and weekend caregiver am faced with an ethical dilemma. Do I take my dementias pt out of their warm beds and into the pouring rain and cold in the middle of the night? Do I actually lower my bed bound 102 year old pt with severe osteoporosis onto the floor and drag her out into the rain and cold? I told my manager I would not do this because the potential risks were so high, heck this pt perceives gentle pressure to be painful.
I have no problem with fire drills for my pt's who are oriented and can safely navigate outside, although I do worry about the freezing temps. I have no problem having a plan of action which we are already mandated to have. We have all equipment ready to go in case of a fire and we do simulated drills all the time.
Fortunately for my other bed bound pt we have a letter signed by the doc and POA that forbids anyone from doing this unless the emergency is real.
The risk of psychological and physical damage from this drill in my opinion far outweighs the benefits of practicing for a hypothetical situation that may not happen.
I would love to hear other's thoughts on this issue because right now I am so :angryfire.