Resident Choice Not Honored During Dressing Change
Penalty
Summary
A cognitively intact resident with a history of cancer, malnutrition, frequent pain, rheumatoid arthritis, muscle weakness, and recent major surgeries involving nephrostomy tubes and a colostomy, was observed during a dressing change following a shower. The resident was lying in bed with their upper body exposed and was visibly shivering. When the resident verbalized feeling cold, a CNA offered to increase the room temperature, but the RN performing the dressing change declined, stating not to adjust the heat at that time. The RN was wearing PPE and commented on feeling hot and needing a shower after the procedure. The resident later confirmed in an interview that they were cold during the dressing change and would have preferred the heat be increased.