Fall from Bed During Changing Results in Femur Fracture
Norris Square Femur Fracture. According to a report from the Minnesota Department of Health, the alleged perpetrator (AP), facility staff, neglected the resident when the AP failed to provide cares according to the resident’s care plan resulting in the resident falling out of bed while the AP was changing the residents brief. The resident sustained a femur fracture.
The Minnesota Department of Health determined neglect was substantiated. The AP was responsible for the maltreatment. The resident required the assistance of two staff for activities of daily living (ADL’s). The AP independently changed the resident’s brief. The AP repositioned the resident’s bed and failed to lock the bed brakes. When the AP turned away from the resident who was laying on her side in bed, the resident fell out of bed. The momentum of the resident’s fall [rolling out] pushed the bed further away from the wall and the resident fell all the way to the floor. The resident was hospitalized with a femur fracture.
The State Department of Health Substantiated Neglect
The Minnesota Department of Health determined neglect was substantiated.
According to the MDH report, during an interview, during interview the AP stated the resident required the assistance of two staff members for transfers, but one staff for other cares. The AP stated while changing the resident’s brief, she turned away from the resident, and suddenly the residents bed hit her. The AP turned around and saw the resident falling off the bed. The AP tried to pull the resident to prevent the resident from falling out of bed, but the bed moved preventing the AP from reaching the resident. The AP stated she must not have locked the brakes on the wheels for the bed after she moved the bed prior to changing the resident’s brief.
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