2 LPNs charged with felony for not providing wound care for 2 days in SC

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allantois

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Wasn't sure where to post this. I guess now people are going to be criminally charged and held at gun point to provide healthcare

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Wasn't sure where to post this. I guess now people are going to be criminally charged and held at gun point to provide healthcare
If you work at a nursing home and aren't doing the ordered dressing changes and this results in significant harm to those patients, what do you think should happen to you?
 
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If you work at a nursing home and aren't doing the ordered dressing changes and this results in significant harm to those patients, what do you think should happen to you?
Did this result in significant harm? Should this be a criminal matter? Shouldn't the board of nursing/medicine/accrediting agency be the one to investigate? Should they charge the facility admin for understaffing if that was the underlying issue? Shouldn't they shut down the facility?
 
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Did this result in significant harm? Should this be a criminal matter? Shouldn't the board of nursing/medicine/accrediting agency be the one to investigate? Should they charge the facility admin for understaffing if that was the underlying issue? Shouldn't they shut down the facility?
"Investigators said both women intentionally failed to change the victims’ wound dressings, causing their wounds to increase in size, resulting in both victims suffering unnecessary harm and risk to their physical health.

The victims were classified as vulnerable adults under South Carolina law based on their residence in the skilled nursing facility.

Neglect of a vulnerable adult is a felony."

The bold is the key. How you would prove that I have no idea, but if they can it seems different than usual malpractice type stuff.

Medicaid did investigate the facility. Maybe fines are coming on that score, or maybe they aren't understaffed.
 
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"Investigators said both women intentionally failed to change the victims’ wound dressings, causing their wounds to increase in size, resulting in both victims suffering unnecessary harm and risk to their physical health.

The victims were classified as vulnerable adults under South Carolina law based on their residence in the skilled nursing facility.

Neglect of a vulnerable adult is a felony."

The bold is the key. How you would prove that I have no idea, but if they can it seems different than usual malpractice type stuff.

Medicaid did investigate the facility. Maybe fines are coming on that score, or maybe they aren't understaffed.

Every headline needs to lead with this or all it does is increase animosity and defensive charting from nurses.
 
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"Investigators said both women intentionally failed to change the victims’ wound dressings, causing their wounds to increase in size, resulting in both victims suffering unnecessary harm and risk to their physical health.

The victims were classified as vulnerable adults under South Carolina law based on their residence in the skilled nursing facility.

Neglect of a vulnerable adult is a felony."

The bold is the key. How you would prove that I have no idea, but if they can it seems different than usual malpractice type stuff.

Medicaid did investigate the facility. Maybe fines are coming on that score, or maybe they aren't understaffed.
That and the fact that these were dependent people. It's not criminal for me to not feed my adult neighbor. It is criminal for me to not feed my kids.
 
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I don’t think we know all of the details. I also don’t necessarily condone the actions of the individuals in this case. I do though think we overly criminalize people in this country leading to excessive incarceration. This is a cost to society and doesn’t always lead to the benefit that we’d hope for. I think this probably should be more so under the purview of licensing agencies and malpractice than in the criminal justice system based upon the snippet provided.
 
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That and the fact that these were dependent people. It's not criminal for me to not feed my adult neighbor. It is criminal for me to not feed my kids.
But these people aren’t their kids if these patients were morbidly obese and it was difficult to change the wounds I would just quit since it’s likely these nurses did other things like giving meds
 
this makes no freaking sense to me. If their intent was to harm the individual(s) with wound changes, surely there are better avenues for that. Also, nursing is a 24/7 operation - how did they decide to charge those 2??

The criminal Justice system is the biggest joke; why don’t they focus on locking up actual criminals
 
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this makes no freaking sense to me. If their intent was to harm the individual(s) with wound changes, surely there are better avenues for that. Also, nursing is a 24/7 operation - how did they decide to charge those 2??

The criminal Justice system is the biggest joke; why don’t they focus on locking up actual criminals
I'm from South Carolina, and in fact this happened in my hometown. We are not an arrest happy state for stuff like this. I can almost guarantee there is more to the story than the four paragraph news story relates.
 
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"Investigators said both women intentionally failed to change the victims’ wound dressings, causing their wounds to increase in size, resulting in both victims suffering unnecessary harm and risk to their physical health.

The victims were classified as vulnerable adults under South Carolina law based on their residence in the skilled nursing facility.

Neglect of a vulnerable adult is a felony."

The bold is the key. How you would prove that I have no idea, but if they can it seems different than usual malpractice type stuff.

Medicaid did investigate the facility. Maybe fines are coming on that score, or maybe they aren't understaffed.
I intentionally don’t look at wounds allllll the time , guess I should get my affairs in order
 
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I intentionally don’t look at wounds allllll the time , guess I should get my affairs in order
How do you hide a hundred dollar bill from an IM doc? Put it under a dressing.


Thankfully wound care isn't my job.
 
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How do you hide a hundred dollar bill from an IM doc? Put it under a dressing.


Thankfully wound care isn't my job.

How many jokes can be said like that one. What would it be for ER docs?

How do you hide a hundred dollar bill from an ER doc?
 
General comment which may/may not be applicable in this case: a bit ironic that our society can on the one hand deem certain individuals as high risk and “vulnerable” (and potentially impose harsher than normal punishments against those involved with their wellbeing) yet not provide reasonable resources/conditions/compensation to actually take care of said individuals.
 
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General comment which may/may not be applicable in this case: a bit ironic that our society can on the one hand deem certain individuals as high risk and “vulnerable” (and potentially impose harsher than normal punishments against those involved with their wellbeing) yet not provide reasonable resources/conditions/compensation to actually take care of said individuals.
We think an individualistic culture where kids don't wanna take care of their adult parents is gonna be solved by creating harsher laws. I bet the alleged victim(s) in the case have a relative in the state attorney's office
 
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How many jokes can be said like that one. What would it be for ER docs?

How do you hide a hundred dollar bill from an ER doc?
ER doc: tape it to the patient they got sign out on
NSGY: tape it to their kids face
Ortho: tape it to their stethoscope
Rads: tape it to literally any of their patients
Neuro: bring it to a party
Peds: don't worry, they don't know what a $100 bill looks like
Plastics/derm: trick question, not possible.
 
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I can see a few scenarios here:

a) nurses are overworked (likely due to intentional understaffing by facility) leading to these two purposefully (or not) neglecting to change the dressings (or whatever they are actually accused of doing)

b) nurses are lazy and purposefully neglect to change the dressings

c) these two nurses have it in for these particular patients for whatever reason (maybe they're fat and unpleasant, maybe they're mean, old and demented, maybe it's cause they're black, maybe they're relatives of another clan that they're still in a feud with) and vindictively don't provide care

In (a), I'd say the facility should get fined and have to make appropriate changes (haha), (b) the nurses should get fired and lose their licenses, but I could see charges being merited in (c). Although it certainly depends on what they're actually accused of doing (eg, I'm not sure that neglecting to change a dressing for 2 days is worth criminal charges even if vindictive.)
 
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ER doc: tape it to the patient they got sign out on
NSGY: tape it to their kids face
Ortho: tape it to their stethoscope
Rads: tape it to literally any of their patients
Neuro: bring it to a party
Peds: don't worry, they don't know what a $100 bill looks like
Plastics/derm: trick question, not possible.

We all know these punchlines.
We can do better than that for EPs.

Hmm.
 
The linked article is quite skimpy on details. Prosecutors will have to prove much more than them being a little late and lazy with dressing changes, to get a conviction.
 
They must have misread “wet to dry dressing” as “veruronium”
 
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How many jokes can be said like that one. What would it be for ER docs?

How do you hide a hundred dollar bill from an ER doc?
Put in in a discharge summary.
 
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We all know these punchlines.
We can do better than that for EPs.

Hmm.
How do you hide a $100 bill from a palliative care doc?

Tape it to the code cart.
 
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What do you call 2 orthopedic surgeons looking at an EKG?

A double blind study
 
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Put it in the pelvic cart

Haven't done a pelvic exam in 2 years
 
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How do you hide a dollar from an orthopedic surgeon? Put it in a book.

How do you hide a $100 bill from an orthopedic surgeon? Put it in a book with no pictures!

How do you find the orthopods's car in the parking lot? It's the Jag with the comic book on the seat!
 
Put in in a discharge summary.
? I'm generally thrilled when the patient has one of these on file. It's a beautifully condensed recent medical history. Assuming they were actually discharged from a medical and not surgical service anyway. Seriously, I feel like dc summaries are a place where IM docs really shine.
 
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ER doc: tape it to the patient they got sign out on
NSGY: tape it to their kids face
Ortho: tape it to their stethoscope
Rads: tape it to literally any of their patients
Neuro: bring it to a party
Peds: don't worry, they don't know what a $100 bill looks like
Plastics/derm: trick question, not possible.
General surgery: put it in the chart.

Primary care: trick question, they don’t know what it looks like.
 
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Nah, cause we can't avoid them.

Place it in the O.R. ?
I avoid them!
I work nights
Clipboarders are not there at night
It’s one of the best things about working nights
Our trauma coordinator comes in at 5am, but we are not a trauma center so I’m not even really sure why we have one and she is harmless lol
 
I avoid them!
I work nights
Clipboarders are not there at night
It’s one of the best things about working nights
Our trauma coordinator comes in at 5am, but we are not a trauma center so I’m not even really sure why we have one and she is harmless lol

Fellow night ranger here.
I rarely see them, but for the joke to work it has to apply broadly and contain some truth.
 
Fellow night ranger here.
I rarely see them, but for the joke to work it has to apply broadly and contain some truth.
I thought about it when the topic came up .. I think we actually have such varied interests and side gigs and practice environments that the joke fails for EPs.
Go us!
 
Yeah; but we actually read these - and I'll argue quite often with the high number of bouncebacks after inpatient discharge.
Not saying mine was any better; mine was pretty lamesauce.

? I'm generally thrilled when the patient has one of these on file. It's a beautifully condensed recent medical history. Assuming they were actually discharged from a medical and not surgical service anyway. Seriously, I feel like dc summaries are a place where IM docs really shine.
I agree, and it's a joke, so I probably shouldn't explain it, but here goes anyway...

As an ER Doc, I'm concerned with getting the patient upstairs without dying. I might follow up the next day to see if the cath report confirms my ECG interpretation, but by the time the patient I admitted has a discharge summary...I've long since moved on.

Basically, I felt like I needed to come up with punchlines for the ER Doc and the Palliative Doc so that I could keep telling the joke to med students.
 
I agree, and it's a joke, so I probably shouldn't explain it, but here goes anyway...

As an ER Doc, I'm concerned with getting the patient upstairs without dying. I might follow up the next day to see if the cath report confirms my ECG interpretation, but by the time the patient I admitted has a discharge summary...I've long since moved on.

Basically, I felt like I needed to come up with punchlines for the ER Doc and the Palliative Doc so that I could keep telling the joke to med students.

I mean, I applaud your efforts.
I feel like we do a lot of ******* stuff in the name of moving the meat that there's a good joke in here somewhere.
 
How do you hide a $100 bill from an ER doc?

It's only gifted after they ask the 4th question of any patient encounter.
 
Put it in the pelvic cart

Haven't done a pelvic exam in 2 years
I was right there with you, until one of my colleagues accepted a transfer (!!!!) for FB removal, then left before the patient arrived. . I’ve worked at the other place, so I know the issue is not equipment, pelvic cart, etc … 🙄
 
What pray tell, was the indication for transfer?
“Inadequate staffing for sedation” (patient developmentally delayed) so the plan was for us to hold or admit for Gyn to see 🙄
I’ve had the same place transfer for rectal FB “to see surgery” (then I just remove and sent them home)
They are all BCEM, sometimes it literally seems like they just don’t feel like trying that day
We have a soft auto accept with them, so if they have a reason the patient needs a specialist they don’t have, we have to take it, seems to get stretched at times.
 
How many jokes can be said like that one. What would it be for ER docs?

How do you hide a hundred dollar bill from an ER doc?
Idk ask the corporate groups. They hide lots of hundred dollar bills from me.
 
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