Replacement Aid: A Case Study

As health care workers we are under a legal obligation to protect an individual from any kind of abuse, whether it is physical, financial, emotional, sexual or psychological .Legislation, policies and procedures exist to promote a safer working environment and reduce the potential for risks occurring. They are tailored for the needs of each setting, known and understood by employers and employees and reviewed on a regular basis.

The following event involved me, my clinical partner, and the PSW who went over their regular routine involving client care at the facility. During the morning shift, my partner and I had the opportunity to accompany the PSW and observe them providing morning care to their 5 clients. On multiple occasions, the PSW failed to clean their hands and change their gloves throughout between the different types of care being provided such as oral care, peri care, grooming, and changing of bedding. During the incidents that took place my partner and I did not say anything nor did we interfere. We had only exchanged looks to confirm what the PSW was doing was improper. However, we did report our findings and opinions to our clinical instructor. Prior to starting clinical placement, I had expected the healthcare staff, primarily the PSWs to adhere to hygienic practices similar to that of nursing standards. I felt that most the material the PSW was using at the time was contaminated because of touching various things with the soiled gloves. I come from a family that was strict on cleanliness as it was associated

RESOURCE UPDATE: Client continues to report last week she went to Center 37 and she was told that her Center is now 066. Client was upset that she was transfer to another shelter. As per the client she will lose her Linc V if she is transferred to Center 66. CM tries to explain to the client HRA transfer many clients because Center 37 is overcrowded. Client reported she requested for her case to be closed. Client continues to report she spoke with HRA Rep Ms. Perez who requested for the client to put her request in writing. Client stated she did put her request in writing to have her case closed from center 66. Then the client provided this worker with copy

OFC Montejano made contact with the Hegle at Primary Care Desk B lobby. Where the she gave an omission and stated she had an appointment and because the Johnson was not at her desk she missed it. Further, she claims Dr. Little told her she could get the Tens Unit right away. I did however confirm that Hegle did not have and appointment for the use of the Tens Unit. Hegle was given a verbal warning that this type of behavior will not be tolerated and she could be charged with Disorderly Conduct in the future. Hegle departed VA Controlled property without further

Iraida (PSA) received a call from Ileana who requested the HCSS to leave. As per Ileana, the HCSS had an attitude and they weren’t getting along. She requested the HCSS to leave her at her MD office and she’d be taken home by transportation. Ileana alleged the HCSS was talking badly about her to the MD office staff (HCSS denies this). Ileana was informed that we wouldn’t be able to leave her alone. SC was informed of situation and attempted to speak to Ileana over the phone. Ileana couldn’t speak since she was being seen by the MD. Aide was able to redirect Ileana and calm her down. She allowed the HCSS to accompany her back home. HCSS is refusing to return to the case.

On 06/27/17, the nurse from VNS Shaneeza Khan called the agency to report that when she visited Mrs. Slaninka on 6/26/17 the patient told her that on 06/26/17 in the morning the aide spilled hot coffee on her leg which cause burn. The aide did not reprt thos incident. Patient had the doctor’s appointment later that morning, the doctor recommended to put bacitracin and light dressing on her leg. In addition, the patient mentioned that the aide is always late for her shift, takes multiple breaks for cigarettes and needs to be called multiple times if she needs her. Shaneeza assess the patient, find redness and blister on the patient

During my clinical competency placement, I was working on a surgical ward when a registered nurse on duty asked me to assist Mr. A with his shower. This incident happened on the fifth day of my clinical practice. He was a dementia patient and had undergone right knee total joint replacement. She also informed me that the patient did not like too many people in his room because of his dementia. When I went into his room, his wife was there with him. I talked to the patient about having a shower and getting dressed to look smart and he agreed to have a shower. The patient got out of the bed and walked to the bathroom and sat on the shower chair to have his shower. Then I asked his wife if I needs to stay with him to assist with shower, she said she can help him as she was taking care for him at home since he has been diagnosed with dementia. Therefore, I left the patient with his wife to help with his shower and told her to ring the bell if she needs any help. After some time I left the room, the wife rang the bell. As soon as I entered the room, I heard him shouting at his wife and she started crying and left the hospital. So I had to stay with him. He was very capable of washing himself and I just had to help him wash his back as he requested. After he had washed, I asked him if he was ready to get out of the bath, he started shouting at me.

The patient was located on the fifth floor and as I was bringing them down the elevator, there was a family member of a patient in the elevator. Under HIPAA regulations, I cannot allow others to view the patient confidential information that I had in my hand. As we got to our stop I told the patient to follow me through the mechanical doors. I told the patient to wait in cubical 2 and that the nurse will be with then in a few moments. In addition, I will be getting them a warm blanket once I come back. I headed to leave the binder at the receptionist desk in the OR where they had another patient pick-up waiting for me. Before I left, I went to get the patient a warm blanket from the storage area that had temperature control. I gave it to the patient and left. Ronnie saw me and asked me if I did the patient pick-up alone, I said yes and he was surprised. Usually he needed to teach others in order to know what exactly they had to do. The only reason why I knew that I had to do everything that I did was because Ronnie told me everything verbally. He did not have to show me what to

Whilst on duty on a general ward I was asked by my senior nurse, if I could go down to the pharmacy to pick up some new medication for a new client, who would be needing them at lunch time. On my way to get them, I was approached by another health care assistant who requested my help with a client, who was lying in their own faeces. I therefore felt that the medication could wait, and that my main

Housing: HOH asked HS when she is going quality for any housing program. HS Ms. Taveras ask client if she added her husband to her PA case, if her husband starting to provide proof of saving, proof of pay stubs. Client stated that she all already added her husband to her case and he starting to work at the Kennedy airport, he had to provide his pay stubs to CM.

On February 22, 2016, after complaining of sexual harassment involving a co-worker on February 19, 2015, she was informed that she should have not cancelled the appointments. She was then removed from scheduling appointments which is her regular duties as MSA (Medical Support Assistant) and was

Talking at me as if I am not a human being. I've been disrespected for too long." Before this writer could say anything else, the Clinical Director, Heather E. walked in to diffuse the situation. The Clinical Director explained to the patient about the clinic's policy and procedure as to why she cannot leave the building to smoke as she is conducting a 3 hour medical assessment due to her medication. The patient was in hysterical tear and share with the Clinical Director as to how things were in the past when patient were able to smoke for 5 minutes and come back to finish the assessment. The Clinical Director informed the patient that particular incident was not allowed and changes were made. Then the patient fuss about why she has to do the medical assessment, even though it was explained to her prior. The Clinical Director informed the patient that no one is forcing her to stay in the clinic and if she want to leave, she

On 25-Aug-15, at approximately 1545 hours, the writer and Acting SSL C.Tessarolo responded to a call from POC to attend PHAU, because one of the patients has ran out of the unit. The writer was on his way to PHAU, while he noticed two clinical staffs being physically engaged with the patient by the LAB. The writer rushed to the location and asked the clinical staff if they wanted the officers to take over and escort him back to the unit. The clinical staff had a strong hold of the patient's arms, so they told the officers that they will be fine, but they asked the officers to accompany them, while they are taking him back. The writer and Acting SSL C.Tessarolo along with the clinical staffs escorted the patient back to the unit and secured

This past week I have witness my nursing supervisor, dismiss and important request from a floor charge nurse in the facili¬¬ty I happen to work at. We have a very high turnover of staff in the facility, especially when it comes to CNAs. On my scenario there was a novice CNA that was working on the unit that I am going to call Sunny Day Unit, which is a long-term dementia unit. Normally there is an assigned CNA that stays on the floor to monitor 2 high fall risk patients and feed 4 residents that require extensive assistance with their meals. There was a seasoned CNA and the novice CNA working on the evening shift on that unit. The supervisor decided that she wanted the novice CNA to stay on the unit to learn the dinner routine of the floor. The seasoned CNA and the floor charge nurses spoke their concerns about leaving someone with no experience of the floor structure and the risk of a potential fall happening. The charge nurses then express her feelings on wanting the seasoned CNA to stay on the unit instead. The supervisor brushed it off the nurses concern, and was firm about her decision on keeping the novice CNA on the unit. The supervisor stated that the novice CNA needed to learn the floor, and that the HR personal had stated the same

D-Met with the patient as she was scheduled for counseling. Upon meeting with the patient, she was clearly upset and was seen mumbling under her breath. When asked if everything is alright, her response was, " I am having shitty day." As this writer and the patient walked down the hall to this writer's office, the patient was heard complaining and using profanity. She was strongly advised to discontinue with her comments in the hallway as it was inappropriate. Then the patient continues to vent until she entered into this writer's office about another staff member; however, her comments were heard, which led to the Clinical Director addressing the matter about the patient's comments being disrespectful and inappropriate in this writer's office.