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Hi all, I have a couple of concerns and I am wondering what seems to be the best way to handle them. First off though, apologies if the topic I selected doesn't really match- I wasn't quite sure how what these concerns fall under the list presented. Secondly, I posted about my grandma months ago, and I want to say thank you to those who responded – it gave me some perspective and I feel a little more at peace. Also, I want to share that she had a long hospital stay for pneumonia months ago, and she never seemed to bounce back to being independent and able to walk with a walker but remained bedridden when she returned from the hospital. Because of that and some weight loss, the doctor who sees her at the facility suggested she go on hospice so she is on hospice now.
Anyway, one of the concerns I have is every now and then my grandma’s call light is out of her reach. I am not sure what the reason for that is – staff forgetting to put it near her after changing her bedding, etc, or if they think she is clicking it too much… It seems to be the same 2 people who do it. One of those people seemed to have removed her phone as well in the past, but it stopped after I brought it up with them. I’m thinking about bringing it up with them again, but since it seems like there is another person who does it and I’m not sure who exactly, I’m thinking about bringing it up to the nurse manager. The staff do seem to change her and clean her up fine, but she is understandably upset when the call light is not in reach of her. I wanted to share this with you all though to see if there were any different ways I should approach this and what exactly I should say if I should bring this up.
My last concern is that I witnessed some inappropriate sexual jokes and touching among 2 staff… One of them is actually the person who I mentioned above about removing my grandma's phone and not keeping the call light in reach of her. I’ve noticed that he screams and runs around sometimes which feels chaotic and a little unprofessional, but I look past that since he does his job fine. But after witnessing him and another staff make these inappropriate jokes and touching, it just put a bad taste in my mouth and seemed disrespectful since I was walking by and they knew that and didn’t seem to care. Honestly, I think I’m more offended that they decided to joke like that as I walked by and didn’t consider me, but feels like something to report... If so, to who and how should I explain it? Thank you so much.

If your talking to the CNAs you should be talking to their boss. When my daughter was an LPN she was over the aides, the RN over the LPN and the DON over them all. Talk to the Director of Nursing about the call button and what you saw.
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Yes, this concern should be addressed with the facility.
Your grandmother may be on Q15" checks as part of her careplan.
The call light should still remain in reach at all times.
Your other concerns involving staff interaction ALSO is something to privately be addressed in great detail with the administration of the facility. I hope they're responsive to your concerns.
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Take your concerns to the director of the facility and be sure to include the items you believe are going well, using the names of particularly helpful staff. Tempering concerns with something positive will help portray you as not just a complainer and hopefully get your concerns handled
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