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Hospital or care facility? I suppose there must be a shortage of help. Plus COVID has slowed down everything.

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In my thoughts, unless the patient or resident is known for repeatedly and needlessly pressing the call button, there is no good reason for no answer within an hour. Even another staff member checking to see what the issue is, to let the patient or resident know that they’ve been heard and help will be coming is often sufficient. Ignoring is not
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Malfunction would be the most likely reason I can think of. Even if it is a person known to overuse the call light this would fall in the realm of the unusual. Back in the old days of tile floors and metal urinals I used to advise people to throw things against the wall if the light isn't answered. We were often so badly staffed that I had to know they had a way to alert me they weren't calling only for a glass of water.
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Some nursing home patients repeatedly tell their families the nurses don’t come for an hour. They lose their concept of time and how long they’ve been waiting. If you have witnessed this happening, report to the Director of Nursing or Administrator.
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