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VÄRNAMO KOMMUN | Klockan var 13.30 på dagen och mannen hade ännu inte fått lämna sängen.
Nu anmäls händelsen enligt Lex Sarah och två undersköterskor pekas ut som ansvariga.
Klockan var 13.30 den 20 maj i år när en sjuksköterska kom in till en äldre man i hans rum på ett äldreboende i kommunen. Synen som mötte henne har nu resulterat i att omsorgsnämnden valt att göra en anmälan enligt Lex Sarah. För förutom att den äldre mannen fortfarande låg kvar i sängen efter natten, så var sängkläderna smutsiga, det fanns matrester på golvet och urinuppsamlingspåsen från katetern var sprängfylld. Dessutom var soppåsarna överfulla och hade hunnit börja lukta, på toaletten saknades det tvål och handdukar och vid kateterns igång saknades en skyddande kompress.
En av de båda utpekade undersköterskorna är full med ursäkter för varför det blivit som det blivit. Att papperskorgen inte blivit tömd anser hon vara sjuksköterskans ansvar eftersom det är hon som fyller den. Klockan 07.45 den morgonen hade hon känt på katetern och konstaterat att den inte var full och hon kände inte till att det var undersköterskans ansvar att sätta en kompress till katetern, utan trodde att det var sjuksköterskans sak att göra när hon spolade den varje dag och att mannen låg kvar i sängen var hans eget val. Både frukost och lunch hade han fått serverat vid sängen.
Den aktuella undersköterskan var så sent som för några månader sedan berörd av en annan Lex Sarah-anmälan, vilket förstås anses extra graverande. På utredarens fråga om undersköterskan anser sig vara lämplig för sitt jobb svarar hon ”jag gör så gott jag kan”.
I utredningen som gjorts med anledning av anmälan så pekar utredaren på en rad brister, bland annat det faktum att de två rapporterade undersköterskorna inte känner till vad som står i omsorgsförvaltningens genomförandeplan, att en av dem inte känner till vilka arbetsuppgifter undersköterskor fått genom delegation, att personalen inte vet varför de gör som de gör samt att den vikarierande undersköterskan inte vill säga till en kollega eftersom hon vill undvika bråk.
– Ja, det här är allvarligt men det är också därför vi har beslutat att skicka detta till Socialstyrelsen, säger utredaren Rigmor Åstrand-Broberg.
Internt har man beslutat om, förutom att göra en Lex Sarah-anmälan, att göra en handlingsplan för de medarbetare som inte följer beslutade handlingsplaner och att låta områdeschefen avgöra om det kan vara aktuellt med arbetsrättsliga åtgärder, exempelvis en skriftlig varning.

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