Re: POC for resident injury

[ELMRN4UA]

In this case, there is no way the facility could have predicted or foreseen something like this from happening, it is just one of the unfortunate accidents that can occur when different personalities and diagnosis live together in the nursing home population.    I also do not see how someone could predict this injury from happening again if the resident is mobile in the Broda chair, which she is.  Family can threaten to call state and some agencies may even cite you if the assessment for the broda chair use is not documented as to where and why it is in use and goal for use and care planned. (been there, done that, been IJ'd before).  So what the facility must do now, investigate the incident and show what information was gathered to come to your conclusion through the investigation process, witness statement, ect, then have assessment of what perhaps the resident could use, be mobile and not have to use handrails to pull the chair forward with, perhaps use of Merry Walker or other chair device.  Get your PT/OT involved to help find suitable devices, and you may still end up back to the broda for mobility, or if it is the only way, use the broada at certain times or periods of the day to increase supervision, and other times use geri-chair, Max chair or whatever.  Hope this helps.  Lynne Morgan RNC