Abuse Reporting

Troubleshooting

When abuse reporting does not go as expected, systematically review each step of the procedure. Check equipment calibration, verify technique, and repeat the measurement if results seem inconsistent with the clinical picture. Report discrepancies to the supervisor rather than guessing at the correct value.

Differential Diagnosis

When studying abuse reporting, carefully distinguish it from related but distinct concepts: resident rights, patient confidentiality. Exam questions often test your ability to select the most specific and appropriate answer when multiple options seem partially correct. Look for the option that most completely addresses the scenario presented.

Common Errors

Common nursing assistant errors with abuse reporting:

• Not applying proper body mechanics: use mechanical lifts for residents who cannot bear weight; tighten core muscles before lifting; push rather than pull when moving objects or residents
• Forgetting to identify the resident before providing care
• Not reporting changes in condition promptly to the nurse
• Performing tasks outside the CNA scope of practice

Safety Considerations

Safe practice of abuse reporting requires proper body mechanics and fall prevention:

• Wide base of support with feet shoulder-width apart, one foot slightly forward
• Pivot feet instead of twisting the spine
• Tighten core muscles before lifting
• Get help for residents over 35 lbs or who are combative
• Bend at the knees and hips, not at the waist
• Push rather than pull when moving objects or residents

Documentation

CNAs document abuse reporting findings by reporting to the nurse and recording in the medical record. Key observations to document:

• Fall risk factors: history of falls, medications (sedatives, diuretics), mobility impairment, cognitive decline
• Report to nurse: elevated temperature, blood pressure outside baseline, new pain, skin breakdown
• Behavioral changes: new confusion, agitation, refusing meals, sleep pattern changes
• Weight changes: report gain/loss of 2+ lbs in a day or 5+ lbs in a week