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One day while helping nurses aids feed nursing home residents their dinner,I saw that the aids were about to give the residents milk that was nine days past the experation date.
Posted by cmaley
Saturday, March 26, 2011 at 15:23:23 (EDT), IP Address: 2410216546
Maybe they need counseling, maybe they
are stressed out or something. Do you have EAP (Employee assistance
program) in your organization? Many organizations are giving stress
management lectures to their patients and staff. Hopefully they
will get some help. Hopefully your supervisors and colleagues will
become less stressed out themselves and become more focused on
taking care of themselves and patient care.
Saturday, June 01, 2002 at 08:33:13 (CDT)
There is alot of nepotism in my department.
We have an administrator who seems blind to substance use among
employees. We have two alcoholic/substance use therapists.The TR
department thinks their behavior is cute their use and abuse. Patients
who they treat know that they are abusing and have reported them
to the Board of Health.As one who is morally and ethnically obligated
to NCTRS standards and my own have annonomously reported them to
our agencies ethics committee. The sad thing about this is that
the ethics committee is defunct and the therapists continue to
come in drunk or high. Their behavior is both abusive and manipulative
toward patients and staff. One therapist seems so out of control
into everyones personal business most of the day. It is amazing
how administration can be blind to this. I have taken it annonomously
to higher authories for fear of retribution. Patients sadly enough
to say are so at risk.
Wednesday, May 29, 2002 at 17:45:52 (CDT)
I do all of our community
re-entry programs. We are fortunate to have our own 19 passenger
bus with a w/c lift, but unfortunately it is not the most reliable.
I had taken my patients to a late movie, and was going back to
the facility at about 10:30 p.m. on a Sunday night when the bus
broke down. We were broke down on the interstate with cars whizzing
by, and being so late at night it was really scary. I got out our
flares and attempted to flag down some assistance. On of my patients
with a, head injury, proceeded to "help" me, by trying
to flag down help in the middle of the interstate! He used to be
a "junior policeman" and he felt as though me knew what
he was doing. After many attempts to redirect this patient and
get him off the road, I had to resort to getting in his face and
telling him how things were going to happen! Fortunately he responded
reluctantly... We were very lucky that a man and his wife in a
conversion van stopped and loaded myself and 9 other patients into
their van and took us back to the facility. Out of this experience,
I insisted on getting a cellular phone for the bus, and this has
helped somewhat in alleviating the anxiety of taking our unreliable
vehicle. And believe it or not... after 2 years we are now getting
a brand new 1997 bus!! yeah... It should be here in January.
I have been struck several times
by people with dementia when trying to intervene and prevent
additional problems or injuries to others. The best thing to
do is to walk away if you can't get anywhere, possibly try
to reapproach, or have another staff member approach.
A camper drowned
while swimming in a lake with close supervision from a WSI.
Patient had a cerebral hemorrhage in the water and died.
Could have happened on land. Problem was, we had no procedure
for dealing with such an emergency and most staff were quite
young and wanted to panic. I learned that you can never tell
when such a thing will happen, but you should have at least
thought about what would happen in that case.
Gosh, I've had my
share of incidents.......runaways always make you feel bad.
One adolescent ran away and of course the police got him several
days later and he had pierced his eyebrow and got a tattoo
while on the run. Another adult runaway...was court ordered
and we had to notify 3 counties that he had escaped.
Wrecking the hospital
van is another minor incident. Only 2 people went to the emergency
room....the van was unharmed (bumper to bumper wreck). The
moral of the story....always have every patient in the vehicle
wearing their seatbelt. We now have signs posted and pretty
much say..buckle up and check to make sure they are buckled.
Believe it or not....patients will say they are buckled when
they aren't. Of course, these are the patients that complain
about being treated like babies. The incident was very stressful
and much paper work to do.
We also have started
to never take a patient out even on the grounds 1:1, male and
male staff or male and female staff or vice versa. Psych. patients
can make up the most believable stories about abuse by staff
always have the doctor's order to take patients out, take
additional staff with you, buckle up and check, keep together
in a group, and of course, have FUN!!
OK, this is funny but it really
isn't.... I had a group of adolescents on an night hike and
we build a campfire and roasted marshmallows. You know how
some people blow out the marshmallow when it catches on fire
and how others kind of shake the stick back and forth. Well
this one teen shook his back and forth a little too hard and
the burning marshmallow flew backwards about ten feet back
and HIT another kid in the eye. Needless to say, that kid got
a slight burn around his eyes. Trying to explain what happened
to staff and on the incident report form was not easy. I guess
we all have to be careful and be aware of UNEXPECTED incidents
in order to make it EXPECTED and take all precautions not to
let it happens.
Once, I took
a young man with Cerebral Palsy and a 14 year old boy on
a row boat on a small lake. I placed the client in the middle
of the boat with myself rowing. After a while, the client
asked if he could try rowing. I agreed. Unfortunately, as
the client began to row, the boat when in circles. As I attempted
to show him rowing techniques, he pulled on the oars too
hard, lost balance, and began to fall out of the boat. I
grabbed him by the back of his shirt. His head was under
water and the boat was dangerously leaning over. Fortunately,
the boy that was with us leaned the other way and kept us
from turning over. With all my strength, I was able to bring
the client back on board. He was wearing a life vest but
it would have been difficult to get him back on board if
he went completely overboard or over-turned the boat. What
did I learn? I was a young therapist at the time and hadn't
been taught much about risk management. I've learned that
I need to assess every activity, even if its Tidily Winks
(a young client can swallow it right!?) for risk factors.
other staff and helpers that if they feel unsafe, then it
is unsafe and they need to speak up loudly if its a safety
issue. I warn clients of all risk factors prior to starting
any activity. I place responsibility for safety onto each
client as well as myself and other staff. Safety is no joke.