Webcams in Nursing Homes?

As our population ages, our older and frailer population increases too. What's a family to do to ensure their family members are cared for in a compassionate and caring manner? Nurses Headlines News

What happens when your parents get older and can no longer care for themselves? What happens if a catastrophic event occurs? They fall, break a hip and can't go back to their previous living arrangement? Yikes! What do you do?

Okay, so you have decided or already have a family member living at a nursing home. You've looked at several nursing homes and chosen one and have moved in. How do you make sure that they are safe even when you can't be there?

Families are resorting to the use of webcams to watch when they can't be present. Here's a story from Minnesota about one women's fight to ensure that she KNEW what was going on with her Mom. When her Mother developed a blister that no one knew about and when she saw a puddle of urine below her Mom's wheelchair, the daughter took action and installed a webcam in her room. "To her surprise, staff at the nursing home objected — even covering the camera with a towel on some occasions or unplugging it. Eventually the family filed a complaint with the Minnesota Department of Health, and even though the home said it tried to resolve the dispute, the agency last week issued a far-reaching ruling in favor of the family.

The maltreatment finding is significant because it is considered the first of its kind to affirm, in clear language, the right of a Minnesota senior home resident to use a camera in a private room without fear of harassment."

Other families in Minnesota report they have faced intimidation and objections from nursing home staff when webcams are installed. "State law is murky on the matter, even as hidden camera footage has become increasingly useful for law enforcement officers and regulators investigating allegations of criminal abuse." In one instance the resident was asked each time a staff member came into the room to turn off the webcam. However, the resident made it clear that it made her feel safe and she declined to deactivate it. They would then state to her that they would have to move her to a different room. State investigators found that after the webcam was installed, staff entered her room less often and engages in less conversation when compared to before the camera was installed.

So, is this a violation of staff rights? Apparently not as the state sided with the family. What if this is a semi-private room and a roommate is accidentally filmed? What rights do they have?

Why do families feel the need to install webcams? Would more staffing and more open and honest communication resolve issues before this became necessary?

According to the National Center on Elder Abuse; "As of 2017, Illinois, New Mexico, Oklahoma, Texas, and Washington have laws that permit the installation of cameras in residents’ rooms, if the resident and roommate have consented. Each state law addresses issues including consent, and who can provide it; notice requirements, including who must be notified of the camera in use and placement of notices; assumption of costs associated with the cameras; penalties for obstruction or tampering with the cameras; and access to the recordings. While not having a law in place, Maryland has issued guidelines for the use of cameras in nursing home residents’ rooms; and New Jersey’s Office of Attorney General will loan camera equipment to families who want to monitor their loved one’s care."

Do you have experience with webcams in healthcare settings? As staff? As a concerned family member?

Specializes in Hospice.

Like several other posters, my concerns lie in ensuring patient dignity (in some cases both the targeted patient and the roommate) and how the video footage would be used/ who has access to it.

This is yet another area where technology has progressed faster than regulations and legalities can be addressed/ implemented. So many different aspects - both positive and negative. It will be interesting to see what the future brings in this area.

3 Votes
21 hours ago, JKL33 said:

I see this two ways. A room in these facilities constitutes a person's home. To the extent that they can have a camera on themselves without violating other residents' rights in their homes, they should be allowed to do so.

OTOH, I do have a problem with the idea of filming the work of the employees when so very much of what they are able to do or not do is dictated by someone else. Even the amount of time that they have to spend with a resident is dictated by constraints that are far, far out of their control. If the argument is that their work directly affects the residents and therefore is "fair game," then the conference and board rooms could also be fair game--with far greater effect toward the overall good. I honestly don't know why we don't wise up as a society and start demanding serious accountability from the people who control the resources, instead of attempting to pick apart individual people who look like the problem but are not the problem--those who have zero control over the resources.

I have never understood this line of thinking. It just isn't reality. If it were, no one would ever have a story made up about them or a lie told or a misperception reported or an exaggerated complaint leveled. That isn't even to mention the human factor and the idea that people are not perfect and essentially no one deserves to have their non-abusive/non-problematic imperfections scrutinized for someone else's heavy-handed purposes.

I might feel differently if LTC workers had adequate power/resources to work through (defend) relatively minor complaints leveled against them instead of just preparing to be terminated -- but they have no power so it's completely moot.

Patients with cognitive deficits have absolutely no power.

2 Votes
On 9/24/2019 at 4:48 PM, brownbook said:

My grandson is special needs and has care givers. His mom mentioned the idea of a web cam in their home. She said if you don't trust the care givers, think you need a web cam, you need to hire different care givers.

I understand that, but we see horrible videos on the Internet of abuses!

I don't know what I'd do.

I do private duty nursing. You simply can never know who you can trust. I WANT a camera *recording* in a patient's home, with our knowledge, not hidden. I believe that protects the employees as well from unfounded accusations, which happens more frequently than I care to think about, unfortunately.

5 Votes
1 hour ago, Queen Tiye said:

Patients with cognitive deficits have absolutely no power.

No disagreement there. I trust you understood my point anyway. There are diminishing returns associated with picking the least powerful employees out of a large power structure and pretending that those people are the ones who must make good from others' wrongs, or that they are the main problem when things go wrong.

What sense does it make to film workers (such as bedside caregivers) when someone else has already made the decisions that dictate every other thing that happens?

But the point I was getting at even more is that this "if you aren't doing anything wrong" line of thinking is nonsensical when applied to people who are starting from a position of such serious disadvantage. They cannot come close to doing everything right for everyone all the time. They can do their best, but someone is bound to not be happy with that.

33 minutes ago, Orion81RN said:

I believe that protects the employees as well from unfounded accusations, which happens more frequently than I care to think about, unfortunately.

I do think that was true for awhile. I knew a manager who would use data from staff tracking devices to refute patient complaints about how they "didn't see a nurse the entire time I was there," etc. But now everyone is so reticent to contradict a customer that facts matter very little way too much of the time, and we're left with the ways these things are actually used, which is as efficiency trackers and the like.

So what about situations where the complaint (seen on camera) is that "no one has been in mom's room for ____ hours." These types of negligence complaints are directly tied to help and resources. Yes, there could be a lazy worker who doesn't go in the room...but there could also be an excellent worker who literally cannot do the amount of work assigned - - and the employee has no way to really prove which of those two they are: They are what the boss makes them out to be when the [] hits the fan.

2 Votes
Specializes in Dialysis.
7 hours ago, Orion81RN said:

I believe that protects the employees as well from unfounded accusations, which happens more frequently than I care to think about, unfortunately.

Too many accusations of abuse, which later turn out to be unfounded. I think this could help

2 Votes

I honestly don't feel that my cognitively impaired grandson's parents need one in their home. It's a case by case issue.

Webcams, and cell phones, have caught so many incidents involving workers in fast food restaurants, police interactions, criminal activity, nursing home abuses, etc.

Webcams might help improve patient care and provide proof if allegations are made against staff.

Prominent signs where there is a camera should be mandatory.

It's kind of scary, gives meaning to It's A Brave New World.

22 hours ago, vampiregirl said:

Like several other posters, my concerns lie in ensuring patient dignity (in some cases both the targeted patient and the roommate) and how the video footage would be used/ who has access to it.

This is yet another area where technology has progressed faster than regulations and legalities can be addressed/ implemented. So many different aspects - both positive and negative. It will be interesting to see what the future brings in this area.

2 Votes
Specializes in Nephrology, Cardiology, ER, ICU.
On 9/25/2019 at 7:44 AM, NICU Guy said:

We have NICview available for 75% of our patients (NICU environment, not SNF). Parents who sign up get a computer generated username (color animal number, ex. PurplePanda16)) and a password. Camera is always on, except during patient care. It reduces the frequencies of phone calls about the status of their baby, but there are the occasional "the pacifier is out of his mouth, can you put it back in". Camera is focused exclusively on the baby and not the environment.

What a great option for parents who can't visit too. I live near a tertiary medical center with many "feeder hospitals" in very rural areas where there is no transportation. If the parents can't be present frequently, this would provide at least some interaction.

3 Votes
Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

I don't have a problem with working with a cam in the room. But I also believe staff definitely need to be informed of use of such tools. I do nothing that would be trouble, caught on camera. But people have the right to know when they are being recorded.

3 Votes
Specializes in Transitional Nursing.

If this were common practice they'd eventually have to provide us with appropriate staffing, which will be fought tooth and nail.

4 Votes
1 hour ago, Glycerine82 said:

If this were common practice they'd eventually have to provide us with appropriate staffing, which will be fought tooth and nail.

I was thinking/hoping the same. Cameras will prove how difficult basic daily patient care is, especially in understaffed skilled nursing facilities. Local and state governments and agencies won't be able to claim they had no idea how bad it was.

"Some say I'm a dreamer" ?.

1 Votes
Specializes in Nephrology, Cardiology, ER, ICU.
On 9/30/2019 at 9:50 PM, SmilingBluEyes said:

I don't have a problem with working with a cam in the room. But I also believe staff definitely need to be informed of use of such tools. I do nothing that would be trouble, caught on camera. But people have the right to know when they are being recorded.

Exactly. I have had patients and families want to record me and while I have no issue with this if they let me know, its an invasion of my privacy to record me without my knowledge. To clarify - this is in a clinic where there would be the opportunity to overhear other pt/provider interactions. If they wish to record a conversation with me, I would want it to be private so that I could ensure other pts' privacy

3 Votes
On 9/27/2019 at 9:03 AM, JKL33 said:

No disagreement there. I trust you understood my point anyway. There are diminishing returns associated with picking the least powerful employees out of a large power structure and pretending that those people are the ones who must make good from others' wrongs, or that they are the main problem when things go wrong.

What sense does it make to film workers (such as bedside caregivers) when someone else has already made the decisions that dictate every other thing that happens?

But the point I was getting at even more is that this "if you aren't doing anything wrong" line of thinking is nonsensical when applied to people who are starting from a position of such serious disadvantage. They cannot come close to doing everything right for everyone all the time. They can do their best, but someone is bound to not be happy with that.

I do think that was true for awhile. I knew a manager who would use data from staff tracking devices to refute patient complaints about how they "didn't see a nurse the entire time I was there," etc. But now everyone is so reticent to contradict a customer that facts matter very little way too much of the time, and we're left with the ways these things are actually used, which is as efficiency trackers and the like.

So what about situations where the complaint (seen on camera) is that "no one has been in mom's room for ____ hours." These types of negligence complaints are directly tied to help and resources. Yes, there could be a lazy worker who doesn't go in the room...but there could also be an excellent worker who literally cannot do the amount of work assigned - - and the employee has no way to really prove which of those two they are: They are what the boss makes them out to be when the [] hits the fan.

A nurse I talked to recently said she had one aide for 30 patients, many of which were incontinent. How do you keep 16 or so people clean and dry or feed 10? Someone will be getting cold food or sit in urine for awhile. That is a sad reality.

1 Votes