What can I do as a first-year nurse besides bedside nursing?

Can my nurse blame me for this?

  • Im a CNA in a nursing home and this am my nurse told me that a resident said she needed to be changed again(i had just gotten her dressed) and so i said OK i would change her, then the nurse asked if she was still red on her thighs from chaffing and i said yes, so she suggested that i put the cream on the resident after i changed her, she then put the cream on the bedside table. I was finishing up with another room of residents and when i finished, i came to assist the resident, it was then that i found the resident ate the cream (she is confused). Later the resident started throwing up. Can the nurse say it was my fault even though technically they are supposed to apply topical s and CNAs arent supposed to?

  • Answer:

    Technically the cream shouldn't have been left in the residents reach if there is some cognitive reason to believe it would cause them harm. Don't look for blame look for ways to prevent it from happening in the future.

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Your nurse can try to blame it on you, but if it's outside your scope of practice stick to your guns and say so. You won't make a lot of friends doing so but you're not allowed to provide more care than your license/certificate allows.

It depends! Regardless of who was supposed to apply topicals, it would be the nurse's fault for simply leaving the cream on the patient's bedside table, rather than placing it out of reach of the patient, or else handing it to you personally. If however you were actually in the patient's room at the time the nurse placed the cream on the bedside table, and you saw her do this, and yet you still left the room to attend to another patient, without taking the cream with you, or else placing it in a secure location, then what happened would be your fault. Having said that however, if there is a specific rule in your hospital or nursing home which states or implies that only nurses are to apply topicals, and yet this nurse asked you to do this, perhaps that is something you will need to take up directly with the hospital or nursing home administration. Also, if you knew this at the time you were asked to put on the cream, whey did you not address this issue of responsibility directly with the nurse at the time she asked you to do it?

Both of you are equally responsible. It is out of your scope of practice (don't know why for a topical cream, anyways) but you were also negligent to allow the patient to access the cream.

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