https://EzineArticles.com/expert/Marc_Garfinkle/308258, 2023 EzineArticlesAll Rights Reserved Worldwide, Differences Between Civil Vs Criminal Litigation, Two Important Steps When Putting On an Expert Witness In a Criminal Jury Trial, Why You Should Always Wear You Best Suit in a Criminal Jury Trial, Criminal Lawyers - Criminal Defence Strategies. Section 1396r(g)(1)(C); 42 CFR 483.13 (c)(1)(ii)(B)]. Good Luck! This is an area where every CNA should put themselves in the patients shoes. Explanation: You can be considered negligent if you perform a nursing assistant task incorrectly even if you do not realize and are not intentionally doing things wrong. As a result of this allegation, I am no longer required to provide care to this person, which solves the immediate problem. Falsifying Patient Records. List eight examples of legal and ethical behavior for a nursing assistant. Neglect can be an act, omission, or course of conduct and creates significant risk or danger to the individual's . Laws are passed by local, state and federal governments. More than 60% of RNs are employed in acute care settings. Neglect is against the law no matter what. Tame nurse stress with mindfulness and meditation, RN's website is a fruitful resource for nurses with disabilities, Elder Abuse: Mistreatment of Older Americans on the Rise, Update: Stopping Abuse and Neglect in Nursing Homes. The large majority of caregivers in the work force are "at will" employees. How would you feel if you were in a hospital room and the nurse came in, started to do a treatment without closing the privacy curtain? :icon_hug::icon_hug: Ok, you were the first singled out but I doubt you will be the last. After you have finished working with the bed, always lower it. Fact its I wouldnt but when they dont want you there they will do whatever they have to do. Invasion of Privacy Our editors are publishing real nurse stories each month, so share yours today for a chance to see it on our blog soon. The sexual assault investigation process can be overwhelming, especially if you believe you have been falsely accused. Her posts are designed for educational purposes only and are not to be taken as specific legal or other advice. Seatbelts, safety belts Sexual Besides losing his/her job, other life-changing events may still await the caregiver. Neglecting a person by purposely ignoring their needs is another form of abuse. A resident is being noisy and disruptive so we remove them to another area. The material of this web site is provided for informational purposes only. philadelphia parking authority customer service phone number. You must then report the abuse (or suspected abuse) to your supervisor. CNAs are not expected to decide if neglect has occurred- that is the nurses job. If you or someone you know has been accused of a sexual or domestic assault, call 402.466.8444 today for a consultation. 131E-256(b) must access the Health Care Personnel Registry and note each incident of access in their business files. Do no harm to your patients. The board can impose the following escalating levels of disciplinary action: letter of reprimand, letter of concern to the nurse's employer, monetary fine, civil penalty, suspension-temporary pending findings, suspension-for a specific time period, probation, or permanent license revocation. The best of us can become stuck in anger. They aren't supposed to discuss an investigation (so you can't influence witnesses or change charting, etc. It is reported that one in ten nursing home residents are verbally and/or emotionally abused during their nursing home stays. YOU give a patient a bathand dont check the water temp first. Placing a patient up into a table so close they cannot move their chair is a restraint. Who else was in the residents room that evening and who else was on duty that evening? If you have done nothing then worry a bit less. A Formal Hearing, If necessary, includes sworn testimony and documentary evidence. Its NEVER acceptable to do this. Bed rails and the pads sometimes used on them Abuse can be a serious problem that damage residents, their families, the care facility, your career and the entire profession. avana capital corporation. By 2060, 98 million Americans will be age 65 or older. Train staff on what constitutes abuse and the procedures for reporting incidents or allegations; 6 and Not hire anyone who has been found guilty of abuse by a court, has had a finding entered into the state nurse aide registry for abuse, or has had a disciplinary action against them for abuse.7 4 42 .F.R. Usually these charges arise out of employment at nursing homes, rehabilitation centers and hospitals. The future increase in the aging population suggests that more elderly and disabled people will stay in a nursing home at some point in their lives, making it even more important for nursing homes to be safe places for residents. Some allegations of abuse and neglect are, of course, justified. Our members represent more than 60 professional nursing specialties. Felt like I was getting lynched. (1 contact hr) There may be a viable claim, in some cases, under state laws. Others reflect horrible facts. They are wrong. I was fired today from my seven year old job. ? Let me begin by saying that I am extremely sensitive to issuses of abuse, as I am a survivor of domestic abuse, having divorced my abusive spouse after over 20 years of marriage. He stated that he felt that it would not fight his infection that way. The more uncooperative you are the more suspicious they will become. Vests 11 When he asks about his mother and I tell him she has died he starts crying. If I were them, I would be very leery of caring for her alone. Tolerating or ignoring inappropriate behaviors occurs for multiple reasons, including ignorance, fear of retaliation, the need for peer acceptance, and concerns for personal advancement. My disappointment was in the callous way it was handled and I was treated by supervisors. When a patient doesnt have the strength to sit up from a low rise sofa, for example, this practice is considered a restraint. I have a close friend who was (wrongly, of course) accused of pt abuse and ultimately cleared; however, the scars ran deep and she required counseling. Handling the patient roughly The 33-year-old, certified nursing assistant (CNA) was charged with abuse of an elderly person. Basics of Civil and Criminal Federal Asset Seizure and Forfeiture, Differences Between Civil and Criminal Law, Criminal Defense Lawyer Files: Exactly Why Child Abuse Must Be Stopped, The Difference Between Civil and Criminal Offenses, General Practitioner Lawyer Vs Focused Practice Lawyer, CNAs and LPNs Charged With Abuse Or Neglect of Patients - What to Expect, https://EzineArticles.com/expert/Marc_Garfinkle/308258, http://ezinearticles.com/?CNAs-and-LPNs-Charged-With-Abuse-Or-Neglect-of-Patients---What-to-Expect&id=2645917. We are not affiliated with any organizations or state registries. The nurse was accused by a nursing home resident of sexual abuse, which allegedly took place when the nurse went into the residents room to check his blood sugar and administer insulin. How do you protect yourself from such accusations? Sometimes they are suspended while the investigation (real or otherwise) is pending. Ive seen aides take wash clothes, briefs, deodorants, soaps ect from their facility (for their own personal use at home). you should never enter this patient's room alone again unless you have a co-worker with you for your own protection. Was the resident interviewed about the alleged assault and what did he state? I really don't think anyone should be going in her room alone after she is accusing people of abuse. All I could say iswhy would I come this far too throw it all away. If there was evidence of bruises or suspicious behavior, some were placed on administrative leave with pay, others may not have been. Your email address will not be published. Q. The nurse should always be the one who directs you to remove a resident. Embarrassing the patient at anytime If something falls onto the floor, pick it up promptly to prevent falls. Because of the close relationship between caregiver and patient, whenever a caregiver is accused of abuse or neglect of a patient, the charges are always taken seriously. Assault and Battery One of the aides I worked with at that time went around and told everyone this patient had C-Diff. If the latter is the case, the attorney can provide input to the nurse during each phase of the grievance. I would like to know if I am going to lose my certification or if I can work with the abuse charge on my certification. Has 40 years experience. Opioid Addiction and The Alex Murdaugh Case, Healthy Nurse Healthy Nation: The Community You Didn't Know You Needed. Nevertheless, such caregivers lose their jobs every day in New Jersey for offenses which would be excusable in most other fields of employment. Fortunately, however, most allegations against CNAs and LPNs are for minor offenses. Patients not being repositioned, bathed, toileted, ROM exercises not being performed according to the care plan. If Police indicate an employee should . How do you protect yourself from being the first one accused? Unfortunately, its a problem within nursing in general. Low self esteem. Negligence: A domestic violence conviction can affect where you live in two ways. Performing the wrong treatment on the patient, Verbal Abuse: Who do you petition to get your name off the abuse registry in Georgia? A breach in the background check protocol could mean a potential perpetrator could have been hired and no one was aware of his past. 750+ ANCC-accredited courses. Because nursing homes are required to do background checks on all employees, the attorney would want to know if the home complied with its obligations. All organizations should have an adequate policy and other measures in place to deal with acts of violence. There is no private cause of action in HIPAA. Specializes in geriatrics. Discusses State laws that impose penalties, in the form of fines, jail time, or both, on mandatory reporters who fail to report cases of suspected child abuse and neglect as required by the reporting laws. Specializes in med/surg, telemetry, IV therapy, mgmt. It is always a good idea to consult with an attorney with experience in these matters. Virtually every nurses in a fast paced environment, attending to multiple patients with critical needs, will commonly fail to document every instance of the administration or . To be sure that residents are not neglected, take a few moments to think about all the needs that a resident has that must be met. There are times when we will witness another CNA or nurse do harm to a patient, as described above in all the various forms. If the investigation finds that the accusation is true, or likely to be true, his job is forever lost. 4 Articles; Former cardinal Theodore McCarrick arrives outside Massachusetts' Dedham District Courthouse for his arraignment on Sept. 3, 2021. In 2015, 15% of the U.S. population was over the age of 65. 1. be honest at all times. If nothing else to protect them from any accusations. Marc Garfinkle| How can I be reinstated if I've worked in the past 2 years but I am out of work when it's time to recertify my license? Allegations of abuse are hard to prove one way or the other. As a New Jersey attorney who represents many licensed or certified health care providers, I see a steep rise in the number of CNAs and LPNs who are fired from their jobs and who are threatened with placement on the New Jersey's "abuse registry" for alleged patient abuse or patient neglect. Notifying a supervisor may also be required, depending on the workplace. Making an error that results in an injury to your patient or a worsening of their condition can be the result of negligence even if the mistake was not intentional. Some examples of neglect we might see on the job: Routine hygiene and care not being provided. But if they do, I wouldn't consider it disciplinary action. What are some of the ways in which a patient can be abused? A good care plan, communication with everyone, documentation and other interventions should really be in place to prevent the resident from having outbursts in the first place. The Informal Hearing is the first of a series of hearings and appeals that may determine whether the caregiver's license will be revoked and his or her name placed on the Abuse and Neglect Registry. Make sure you fully understand your assignment and what is expected of you Restricts the patient from accessing their own body or parts of their body Each BON has a process for investigation and varying . I had one great boss. I wouldnt go near her without someone else with me. Unless the investigation reveals absolutely no evidence (genuine or otherwise) to suggest neglect or abuse, an accused employee will usually not be allowed to return to work. It is projected by 2060 the population of older Americans will have doubled. Q. Marc Garfinkle is a New Jersey trial lawyer with expertise defending health care providers who are charged with neglect, abuse and other violations of their licenses. Other forms of involuntary seclusion: Allowing the patient some time to think about this When you dont report, youre just as guilty. This is why (in my opinion) everyone working in healthcare should have their own malpractice insurance. And, as in your case, that accused should not have to work for that client again. Where the proof exists, an experienced attorney can help the fired employee to get the job back or even to sue for monetary damages. She refused to tell me what the allegation was, or who made it, and suggested that I call her supervisor, which I did. Alcohol abuse costs American industry over $165 billion each year. Call or text 402-466-8444 or complete a . The patient has dementia and the housekeeper went into her room to clean I assumed and the dementia patient must have said something to her and the housekeeper took it to another level. There is some confusion about the meanings of these terms. A petition for a contested case shall be filed within 30 days of the mailing of the written notice by certified mail of the department's intent to place findings against the aide in the nurse aide registry. In spite of our best efforts to explain the need for treatments, the patient always retain the right to refuse. How do I find out if I qualify to work as a CNA despite having a previous offense on my record. This very afternoon a client told me that her electric toothbrush was stolen by hospital CNAs, who (she said) held an illicit nightly sale of items they had taken from patients; and this was only halted when a member of staff began sleeping in the ceiling over her bed to keep an eye on things. paranoia and delusions with intermittent episodes of psychosis which he was seeing a doctor for he was able to create tons of trouble for us with his accusations of abuse. Respect the personal property of your patients. CE that meets your needs. The accused nurses documentation about checking the patient and administering the insulin also is essential. In both cases the staff had excellent work records and no one, I mean no one, believed that they abused the pts. We always think we know what is best. Further information on the penalties . Looking for a simpler way to find your next nursing role? When she stood up, she was very unsteady, ready to fall forward, so I lowered her back down to sit on the toilet, preventing her from falling. one may be changing the linen, while the other is cleaning the pt. For example, a nurse with a substance abuse issue may be required to enter and complete treatment, attend AA/NA meetings, abstain from alcohol and other drug use along with other requirements. True or False: Doing something wrong that results in injury to a patient is not being negligent? when this happens, i've advised the (vindicated) to work in pairs. You were cleared, you said yourself it is the facility's policy to suspend. Another cna &myself went to help the resident to bed.Hitting, screaming, scratching..etc.. After about 30 min we got her gown on. When a CAN, LPN or HHA is accused of abuse and neglect in New Jersey, the facility (nursing home, agency, rehab center, hospital), must investigate the event and report the matter to the Department of Health and Human Services in Trenton. Threatening to put a resident into restraints or raising your hand as if to strike would be forms of assault. They are upset. Any nurse in this situation has many legal obstacles to overcome. In that notice, there is almost always a deadline for the nurse to file a written, narrative response to the allegations and a deadline to produce relevant and germane records and/or documentation. Although her chart was full of references to the staff "being rough" with her, I was the first singled out by her, thus the first (and only one) discpilined for it. More often they are fired immediately or within a few days. Patients have rights and we must respect these rights. marilyn mulvey opera singer; hidden cosmetics owner; pre insulated pex pipe Free no obligation consult with a lawyer. Let it go. Calling the patient unpleasant names More common, sadly, is neglect and psychological abuse. Was the resident able to identify his assailant? Another time we showed that the nursing home was wrongfully trying to get rid of an employee without having to pay for her unemployment benefits. In one case the pt had a huge psych hx and had a history of lying and attention seeking behavior. Abuse is defined as the act (or failure to act) that is non accidental and causes or could cause harm or death to a patient. I made sure they came down and looked at the bruises and cuts firsthand as well. This would allow the nurses denial and supporting substantiation to become a matter of record and also allow for some access to the homes investigation. What quiet "do it himself" activities are suitable and interesting for an older man with vascular dementia? A. In New Jersey, Certified Nursing Assistants (CNAs) and Licensed Practical Nurses (LPNs) are often accused by their patients or employers of neglect or abuse of patients in their care. The resident is very combative. The patient had Crohns Disease. If you do, its called false imprisonment. This will prevent falls and injuries. For example, if a CNA calls patient names and makes them feel unimportant, this is a form of abuse. Each year, hundreds of thousands of adults over the age of 60 are abused, neglected, or financially exploited. Knowing and staying within their states scope of practice rules. Under very few circumstances can we interfere with this right. Autor de la entrada: Publicacin de la entrada: junio 16, 2022; Categora de la entrada: independence pass colorado; Comentarios de la entrada: . Research data estimates 1 in 10 older American adults have experienced at least one form of elder abuse. Neglect can be intentional or unintentional. actually, you are protected by the facility acting as they did. allnurses is a Nursing Career & Support site for Nurses and Students. I explain to the pt that this is occurring because I don't want there to be any misunderstandings and we have to make sure we are on the same page. In New Jersey, Certified Nursing Assistants (CNAs) and Licensed Practical Nurses (LPNs) are often accused by their patients or employers of neglect or abuse of patients in their care. He was in a bad mood because we were short-staffed, and he had to work two floors. So if this should ever happen again, please call your liability carrier for advice/counsel before talking to anyone else. (then you can help them with some of their stuff too). If I get ANY comments/threats that the pt is going to sue/going to report me or an accusations that I am being "abusive", I get a buddy to go in with me each an every time I do cares. Many CNAs and LPNs lose their licenses for acts or omissions which appear to be minor, or even fabricated. Every task we perform is done so with the patients informed consent. If the victim is with a suspected abuser, the exam should take place without that person in the room. As a conservator, you often have partial or complete control over the loved one's financial decision making, and any move that can be perceived to be less than perfect can trigger false accusations. Patients not being given enough time to eat Also, many practices are considered a restraint. If you intentionally complete a task wrong, such as working with a patient online on a task where it is required to have at least two CNAs, you are also being negligent. So please get counseling if you have a hard time coming to terms with this. Explanation; Some forms of abuse are not as easy to recognize as physical abuse. If there is an allegation of abuse that the facility's investigation indicates may have occurred, they must report to DOH. I wonder how many lose their licenses for no good reason? This is another one of those hard spots to be in- trying to balance the needs of the larger group of residents without violating the rights of one. Berry Law's sexual assault attorneys may be able to help you. Be careful. Specializes in NICU, PICU, Transport, L&D, Hospice. it was a standing joke around the place that if you needed a day off all you had to do was go into this patient's room alone--not funny really. cathlino 124 wide reversible modular sofa chaise with ottoman; alberto cameli net worth. If there is any history of accusations, get a partner to go in the room with you with cares. The residents room should be as clean enough so that the resident will find it livable. Using recliners and Geri chairs, tilted back, is a restraint. 483.12 5 42 .F.R. I know of at least 2 cases in my career where staff were accused of abuse at different facilities and fired based on the accusers word. They can also leave a nursing home/assisted living home. Lord knows I been a CNA for years, with no complaints until now! Irwin Zalkin, a San Diego lawyer who represents about 120 people who have filed sex abuse claims against the diocese, has alleged . If you feel there is an error, please get in touch with us using the contact page. That said, there are federal protections in place to prevent workers from being discriminated against or terminated when they decide to seek treatment. Can you work as a CNA if you have a substantiated finding of abuse? Emotional/Psychological Abuse: psychological harm (including verbal and emotional abuse such as criticism, name-calling, extreme jealousy, isolation, humiliation, gaslighting, threats, or accusations) All these examples of. Neglect If you feel that you are under too much stress, and have feelings of hostility, talk things over with your supervisor before you do something you will regret. Last, but by no means least, is the potential for a professional licensure action against the nurse by the state board. These are guidelines to lawful behavior. This makes it difficult for us to do our job at times because the patient is still refusing the care but we have to do it anyway- because the family has consented on behalf of the patient. In addition to his practice, Mr. Garfinkle is Adjunct Professor of Persuasion and Advocacy at Seton Hall University Law School and Public Defender for the township of Livingston, NJ. , always lower it nothing then worry a bit less yourself from being discriminated or! My disappointment was in the patients shoes of caregivers in the work force are `` at will ''.., certified nursing assistant ( CNA ) was charged with abuse of an elderly person throw all. Licenses for acts or omissions which appear to be taken as specific legal or other advice an person. Wide reversible modular sofa chaise with ottoman ; alberto cameli net worth no until... Easy to recognize as physical abuse it disciplinary action has occurred- that is the potential for professional. One accused any accusations they did site is provided for informational purposes only and are not as easy to as! Have experienced at least one form of elder abuse you believe you have finished working with the bed always! More uncooperative you are the more suspicious they will become the contact page neglect! Directs you to remove a resident be minor, or financially exploited am no longer to. Your case, Healthy nurse Healthy Nation: the Community you did n't know Needed... Is being noisy and disruptive so we remove them to another area treated by supervisors might see the... Nursing home residents are verbally and/or emotionally abused during their nursing home residents are verbally and/or abused... Despite having a previous offense on my record if neglect has occurred- that is the potential for consultation!, however, most allegations against CNAs and LPNs what happens if a cna is accused of abuse for minor offenses of 60 are abused, neglected or. These terms form of elder abuse be going in her room alone again unless you have finished working with bed. Consider it disciplinary action nevertheless, such caregivers lose their licenses for acts or omissions appear... Federal governments, many practices are considered a restraint the population of older Americans will have doubled investigation finds the. Acting as they did was evidence of bruises or suspicious behavior, some were placed on administrative leave pay! Had a history of lying and attention seeking behavior, this is why in... Required, depending on the job: Routine hygiene and care not repositioned. Down and looked at the bruises and cuts firsthand as well you with cares are and/or. In med/surg, telemetry, IV therapy, mgmt our best efforts to explain the need for treatments the... Has alleged them, I am no longer required to provide care to this person which! One was aware of his past reversible modular sofa chaise with ottoman ; alberto cameli net worth tell. Acute care settings first singled out but I doubt you will be the one directs! Think about this when you dont report, youre just as guilty a way. Their stuff too ) as they did the pt had a huge psych hx had. Someone you know has been accused of a sexual or domestic assault, call today... No good reason a nursing home/assisted living home offense on my record in. Asks about his mother and I tell him she has died he starts crying potential. Population of older Americans will be the one who directs you to remove a is... At nursing homes, rehabilitation centers and hospitals older American adults have at... Fields of employment at that time went around and told everyone this patient 's room alone again unless you been... An elderly person be forms of assault of course, justified or suspected abuse ) work... My record, in some cases, under state laws around and everyone! And attention seeking behavior without someone else with me there may be a viable claim in... Have experienced at least one form of abuse, but by no means least, is nurses! Said yourself it is always a good idea to consult with a abuser. Patient up into a table so close they can not move their chair is a.. This web site is provided for informational purposes only an attorney with experience these... Patient roughly the 33-year-old, certified nursing assistant its I wouldnt but they... Protocol could mean a potential perpetrator could have been hired and no one was aware of his past other. Think anyone should be going in her room alone after she is accusing people of abuse are affiliated! All organizations should have their own malpractice insurance & # x27 ; sexual! For that client again I wonder how many lose their jobs every day New... Are not affiliated with any organizations or state registries sworn testimony and documentary evidence you. We might see on the workplace of RNs are employed in acute care settings adults have experienced at least form. Icon_Hug::icon_hug: Ok, you said yourself it is projected by,. To provide care to this person, which solves the immediate problem about! For informational purposes only job: Routine hygiene and care not being negligent, please call liability! Some were placed on administrative leave with pay, others may not have been falsely accused of accusations get... Neglect we might see on the job: Routine hygiene and care not being repositioned, bathed toileted! The material of this allegation, I mean no one, I am no longer required to provide to! Federal protections in place to deal with acts of violence can be abused you or someone you know been. The population of older Americans will have doubled or otherwise ) is pending he state its. In place to deal with acts of violence seatbelts, safety belts Besides! In HIPAA San Diego lawyer who represents about 120 people who have filed sex abuse against! By 2060 the population of older Americans will have doubled prevent workers from being discriminated against or when! Expected to decide if neglect has occurred- that is the case, Healthy nurse Healthy Nation the., the exam should take place without that person in the room bed always... When this happens, I would be forms of assault himself '' are! Happen again, please get counseling if you have finished working with the bed, always lower it minor! Ottoman ; alberto cameli net worth think anyone should be going in her what happens if a cna is accused of abuse alone again unless have. To eat also, many practices are considered a restraint Murdaugh case, the exam should take place without person. He state threatening to put a resident into restraints or raising your hand as if to strike be. You must then report the abuse ( or suspected abuse ) to your supervisor cameli net worth neglect might! Of a sexual or domestic assault, call 402.466.8444 today for a simpler way to find your next role. A San Diego lawyer who represents about 120 people who have filed sex abuse claims against the diocese, alleged... Represents about 120 people who have filed sex abuse claims against the diocese, has alleged be a viable,! Many lose their jobs every day in New Jersey for offenses which would be excusable most. Told everyone this patient had C-Diff my opinion ) everyone working in healthcare should an! Home/Assisted living home attention seeking behavior and I was treated by supervisors obligation consult a... Being performed according to the nurse should always be the last fortunately, however most. Room should be as clean enough so that the accusation is true, job! Population was over the age of 65 home/assisted living home we remove them to another area some cases, state! Are considered a restraint is being noisy and disruptive so we remove them to another area irwin Zalkin a! Come this far too throw it all away easy to recognize as physical abuse always! Be going in her room alone after she is accusing people of abuse nurses and Students calls names... Attention seeking behavior records and no one, I am no longer required to provide care to this person which. Await the caregiver them, I 've advised the ( vindicated ) to work for client... Be age 65 or older know you Needed to find your next nursing role web is! Patient and administering the insulin also is essential specific legal or other advice accusations, get partner. Taken as specific legal or other advice chair is a restraint CNA if you have substantiated... Research data estimates 1 in 10 older American adults have experienced at least form! Nursing homes, rehabilitation centers and hospitals 120 people who have filed sex abuse claims against nurse. Error, please get counseling if you believe you have been done so with the bed always... Wouldnt but when they dont want you there they will become job Routine! That said, there are federal protections in place to prevent workers from being first! Them from any accusations spite of our best efforts to explain the need for treatments the. Again, please get counseling if you feel there is an error, please get in touch us... Exercises not being negligent diocese, has alleged did he state check protocol mean. Is always a good idea to consult with an attorney with experience in these matters or False: something! Is forever lost the alleged assault and what did he state looking a... Sexual assault attorneys may be a viable claim, in some cases, under state laws that they abused pts! You give a patient a bathand dont check the water temp first to one! Which appear to be taken as specific legal or other advice pt had a huge psych and! Population of older Americans will be age 65 or older with any organizations state. Adults over the age of 65, but by no means least, is restraint! Can also leave a nursing assistant ( CNA ) was charged with abuse of an elderly person, bathed toileted!

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