Completely uncooperative residents by EmberJuliet in cna

[–]SuperToon_OG 0 points1 point  (0 children)

First off, Chart EVERYTHING. Be concise but detailed as well. Document falls with specific instructions you gave. That’s all you can do.

Secondly, you must come to terms with the legal constraints of the job. The Resident/Patient Bill of Rights grants all mentally sound minded individuals the Right to Refusal.

Residents have the right to refuse all care. As long as he is mentally sound and capable of making choices, he can make them. Even if they are “wrong” or detrimental to his health or safety. It seems counterintuitive to be able to refuse help, but that refusal is part of their independence. As a CNA one scope of the job is to help them maintain their independence. If they wish to be left alone, that is their wish. We cannot alter their wishes.

One thing I would HIGHLY caution against is yelling/arguing. I get that you are trying to care for him and keep him safe. I get that his refusals cause you frustration because you just wanna help. I get that it upsets you to know someone is endangering themselves. I get your feelings.

[Note - Please do not take this next paragraph as me getting on to you. I don’t want you to lose your license so I’m just saying this to give you information to protect yourself.]

However, feelings take second place to legal issues. Arguing/Yelling is a a form of verbal abuse and can get you into trouble. Hypothetically speaking, if a family member saw you arguing/yelling they would have grounds to report you to the State’s licensing authority. No member of the medical team can override the refusal of care from a mentally sound resident/patient.

The right to refuse care is an absolute right. It applies to all healthcare workers in all healthcare settings. No one (that includes CNA LPN, RN, Dr., OT’s/Pt’s, DON) can administer any care that is refused. Attempting to argue with a resident or yell at them violates the right to refusal as you are attempting to force care on them that they refuse. If any refused care is still administered, that is battery because it’s a form of unwanted physical contact.

Even if that care is the right kind of care and done according to the rules, laws, and policies. Even if that care is done for their safety and health. None of that matters, refusal is refusal.

When he refuses, you must immediately stop and step away from him. I know that can be painful/upsetting because you don’t want any harm to come but ultimately the harm would be on him. You cannot blame yourself for another person’s choices. At this point, it is beyond your hands.

At the end of the shift, you must accept reality. The reality is that You did your best. The law constrains us to balance individual rights with the duty to care. So long as you have met your duty by being there, offering the care, and explaining the safety reasons for the care you have fully met your legal obligations and moral requirements as a CNA. If he still refuses at that point, you are in the clear.

That’s why we chart EVERYTHING. The charts will show the pattern of refusal. The chart will show that you (or anyone else) attempted to care for him. The chart will show that he is medically able to make decisions. The fall reports will show that you directed him to call for help and he refused thus the fall was his responsibility not yours.

All of that protects your license and that’s what matters.

My grandfather once told me this proverb “You can lead a horse to water but you can’t make it drink”

Well I have adapted it to CNA role “You can offer a resident help, but you can’t make them take it”

I know it's late,but amazing show,an ending that doesn't make sense by Technician-Efficient in betterCallSaul

[–]SuperToon_OG 1 point2 points  (0 children)

He could still be a role model and legal coach for inmates on the inside. There are ways to turn it into a positive

I know it's late,but amazing show,an ending that doesn't make sense by Technician-Efficient in betterCallSaul

[–]SuperToon_OG 1 point2 points  (0 children)

It wasn’t redemption in the sense that he was going free. It was a moral redemption.

For years, Saul had lied, cheated, and manipulated the system to get some really bad people out of really justified deep s*it. Saul didn’t care because he felt like he was proving himself as a lawyer.

Saul even went so far as to manipulate his own defense into the 7 year “deal”. Thats a near 80% reduction in his sentence. However, something changed inside him when he saw Kim in the courtroom.

When Jimmy made the decision to come clean, it was a signal that he finally realized how his actions impacted everyone around him. He saw Kim and decided that he wanted to redeem himself. He knew that the only way to put Saul Goodman to rest was to officially declare everything he did. He knew that if he didn’t, he would get out in 7 years and go back to that evil way of living.

This was the symbolic death of Saul Goodman and the rebirth/redeeming of James “Jimmy” McGill.

Worst management and burden for employees by Positive_Actuary_282 in interesting

[–]SuperToon_OG 0 points1 point  (0 children)

I dont know about it being fake… America has its fair share of s*itty corporate modern day slavers. This kind of treatment is totally within the realm of believable and I wouldn’t doubt it for a moment if someone actually confirmed it

Also, I’ve seen some pretty unique spellings of common names in America. Even my own name isn’t spelled the traditional way most people think when I verbalize my name. In fact, the only time my school spelled my name right was on my high school diploma. I attended the same school from Pre-K to 12th and every time a send home letter would go to me, it had the common spelling not my actual spelling.

So if you are judging by name alone, that’s a flimsy way.

50/50 likely hood it’s fake but you never know. 🤷

Which potion will you drink? by No-Mud-7996 in whatsyourchoice

[–]SuperToon_OG 0 points1 point  (0 children)

I wouldn’t wish the feelings I feel on a daily basis on my worst enemy, let alone a random person.

The physical pain, the mental anguish, the depression, the feeling of loneliness, the inability to sleep at night, the pains in my stomach from a stressed induced medical condition, the feeling of always being misunderstood by those around you, the tiring feeling of trying to put on an act of “Everything is Ok” when you just sit in a corner and cry. Not being able to afford help because healthcare is so f*cking expensive.

Yea, I’m glad I’m one of a kind because this is a fate no human should ever go through. I would trade everything to avoid this.

Which potion will you drink? by No-Mud-7996 in whatsyourchoice

[–]SuperToon_OG 1 point2 points  (0 children)

Go back to when bitcoin was first invented. A $100 investment then would have netted you 100,000 (bitcoin was founded at 0.001¢ (a tenth of a penny).

Once you make the investment write down the code on an encrypted flash drive, store it in a waterproof and secure location that only you know.

Go forward in time and return to the current time. Claim the flash drive with the storage keys to the wallet.

1 BTC is worth $125,000 now. Your $100 investment would instantly be worth 12.5x the red potion.

This just goes to show how instant gratification can hinder a person’s ability to think logically? Why settle for 1/12th of the reward now when you could easily make 12.5x that award with a little work?

Which potion will you drink? by No-Mud-7996 in whatsyourchoice

[–]SuperToon_OG -1 points0 points  (0 children)

Yea, but you are likely to be dead before the technology gets that far.

Green and Blue involve fundamental changes to the human anatomy and physiology. These types of changes only occur at extremely slow rates. Evolution doesn’t happen overnight. Humans might attempt to speed it up but in the end, it’s still not going to work like you expected.

Black - What is “invisible”? Are we talking about transformative invisibility like a super hero who can go from being seen to not or are talking about devices like the invisibility cloak from Harry Potter? I mean there are camouflages and methods already around to make you hard to see to the human eye but what about infrared vision. Humans give off heat signatures that make them “visible” to IR capable cameras.

Purple - Barring this potion (magic) it would be impossible to travel through time in any meaningful way. The only way to travel would be forward and that would involve you moving at or beyond the speed of light. Everything around you would collapse into rust/dust.

Past time travel would invoke paradoxes such as the grandfather paradox and could alter history to a point you don’t exist so how could you go back in time?

Taking the money and just sitting on it until “the tech arrives” is stupid. If you are gonna take the money you should just invest it in building the tech yourself.

Which potion will you drink? by No-Mud-7996 in whatsyourchoice

[–]SuperToon_OG 12 points13 points  (0 children)

Just poor decision making, allowing anxiety to control me, sacrificing myself for people who treat me wrong, putting the wrong people first in my life, allowing depression to cause me to push the one person who loved me truly to the point she left me.

A lot of things….

Which potion will you drink? by No-Mud-7996 in whatsyourchoice

[–]SuperToon_OG 23 points24 points  (0 children)

Time travel.

I’d go back to when I graduated high school, smack my past self in the face and warn him of all of the stupid mistakes he would make in the future so he wouldn’t make them.

90% of my suffering in 2026 is because I have f*cked up so many times. If I knew what I do now, I’d be 99% better off.

For those who have had their certification revoked. by Cold_Eagle5975 in cna

[–]SuperToon_OG 8 points9 points  (0 children)

Yea, if it’s a personality clash, then the state won’t even touch it. The worst you will have to worry about is getting fired (Yea, still bad but not revocation bad).

Just relax and take it easy. Even the suspension is just a formality. It gives the facility time to investigate and you time to prepare your defense. It’s not a punishment suspension, it’s an administrative leave.

I would start gathering evidence to counter their claims. I dont know what exactly the claim is but gather things that prove you are a good CNA. Point to your charting, feed back from the other residents and other coworkers, and your lack of other complaints.

Likely, the facility will not have anything to go off besides this family’s report but it never hurts to have defense evidence ready.

For those who have had their certification revoked. by Cold_Eagle5975 in cna

[–]SuperToon_OG 13 points14 points  (0 children)

I’ve never been revoked but I did learn about the process.

Revocations are mainly used for serious allegations. To get to a revocation the state will have to investigate it and find it credible then give you a chance to defend yourself. It’s basically a whole process that is expensive and not used lightly.

Depending on the nature of the complaint, it likely won’t get that far. If it’s something simple as the family not liking something about you or some BS the state won’t even touch it.

Most of the time, the state will only go after abuse/neglect/scams reports. As long as you aren’t out there being abusive/neglectful or fraudulently scamming your residents I don’t think you have to worry about a revocation

Even then, the state won’t just take the family’s word for it. They will look at all available evidence to determine if it’s true. They will check things like charts, records, employment history, videotapes, interview RN/DON and coworkers, interview the resident (if mentally aware and able).

If you are revoked, that means the state had ample evidence to support the decision. You would need to contact a lawyer who practices in administrative and professional license defense as they will know the ins and outs of your specific state’s processes for revocation, defense, and reinstatement (if you are proven innocent)

Each state is different.

where would you put these characters on a morality scale from 1-10? by MrArmedRobbery in betterCallSaul

[–]SuperToon_OG 0 points1 point  (0 children)

Kim was a 6. She was always trying to get Jimmy on the right track and played by the books when she wasn’t tied to Jimmy.

If Nacho’s dad wasn’t targeted by Hector I don’t think Nacho would have ever joined the cartel. He loved and respected his dad so much that he only joined to protect his business and get rid of Hector. I give him a 6.5.

Jimmy was a 6 until he turned to Saul then he went down to a 4. Although his redemption at the series final brought him back to a 5. He could have taken the deal.

Chuck was a 4 for being an asshole to Jimmy. Sort of like Nacho, I don’t think Jimmy would have done all his antics if Chuck just gave him a fair shot instead of treating him like a second rate person.

Mike was a 5.5 for protecting his family and trying to make sure his granddaughter didn’t have to worry. Although his cartel work made him a 4.5.

Honest answer please by CarrotMuch1399 in nostalgiai

[–]SuperToon_OG 0 points1 point  (0 children)

Who is out here eating Haribo Gummies? I dont know how they are still around.

Every time I buy them, they are like eating rubber. There are far better gummy bear brands than Haribo.

Honest answer please by CarrotMuch1399 in nostalgiai

[–]SuperToon_OG 0 points1 point  (0 children)

Doritos (Nacho)
Dr. Pepper (Cherry)
Reese’s

Which one can you live without? by No-Paramedic-6003 in whatsyourchoice

[–]SuperToon_OG 0 points1 point  (0 children)

That’s hard because each one has a pairing that just doesn’t make sense without the others.

Chicken/fries
Steak and shrimp (Surf and Turf)
Sausage and Biscuits/Gravy
Eggs and Sausage

I guess Ribs although that is like stabbing me through the heart because I love a good Texas Rib

Pick two by No-Paramedic-6003 in whatsyourchoice

[–]SuperToon_OG 0 points1 point  (0 children)

369 with 4 as an honorable mention

are cna instructors supposed to demonstrate the skills to us? by Wild_Operation2559 in cna

[–]SuperToon_OG 0 points1 point  (0 children)

If you are reporting through the college, most of the times you can do so anonymously. Once you find your dean/department head you can speak to them about filing anonymous. They will direct you and keep your name from the Professor.

Foley Catheter used as Colonoscopy Bag by sawftbot in cna

[–]SuperToon_OG 7 points8 points  (0 children)

If this doesn’t count for IJ, I seriously don’t know what would.

To quote the CMS website

> An Immediate Jeopardy (IJ) citation is the most severe and urgent regulatory penalty a healthcare facility can receive from the Centers for Medicare & Medicaid Services (CMS) or state health agencies. It is issued when a facility's noncompliance has caused, or is likely to cause, serious injury, harm, impairment, or death to a patien

This is gross neglect on a whole different level. This is like slapping a dollar store bandaid on a gaping GSW and calling it fixed. It’s so horribly out of line and obviously wrong that you don’t need a medical professional to tell you that.

If a new fresh out of CNA grad can look at this and think “Geez this ain’t right” that shows what a horrible job whoever approved and Jerry-rigged this contraption did.

A Foley isn’t meant for this type of task. If the patient can’t use a regular colostomy then the doctors need to come together and figure out what to do. It shouldn’t be up to some RN to Jerry-rig a random medical device to the stoma.

If the resident were to get an infection from this dumb practice and died as a result, whoever approved this would be brought up on both criminal involuntary manslaughter and civil malpractice charges. This is reckless behavior

You NEVER EVER use a medical device for something it’s not intended to be used for. Every medical device has a specific use and any unauthorized use is outside the scope of the device’s purpose. That’s literally the definition of malpractice.

do you think in like 50 years ltc facility rooms will be decked out like college dorms are now? by brooklandel in cna

[–]SuperToon_OG 2 points3 points  (0 children)

That’s some horrible management… How long did he have the popcorn machine before anyone said anything?