4. The failure to provide a degree of care that others would consider reasonable under the circumstances; when injury results to your patient. Ethical standards require us to do no harm and legal standards enforce this through laws. Involuntary seclusion, Physical Abuse: Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac. If Police indicate an employee should . When that happens, ask the kitchen to send another tray when the resident returns. This also gets put on the kardex and gets followed with every caregiver. Before hiring health care personnel into a health care facility or service, health care facility employers as defined in G.S. Do only those tasks and skills you have been taught; if youre asked to do tasks you have not been trained to do ask for guidance (and if necessary seek the advice of your supervisor). Its also about mental abuse, verbal abuse and other more subtle forms. We just have to be aware of the possibility and protect ourselves. Who else was in the residents room that evening and who else was on duty that evening? Who do you petition to get your name off the abuse registry in Georgia? Retaining a nurse attorney or an attorney who represents employees in such casesis of the upmost importance. 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. 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. the only thing i would question is that they should have put you on an administrative leave and paid you for your time off while they were doing their investigation. My mother in law with dementia (lives in a nursing home) claims she was raped, but the details are delusional. He has been chosen to the teaching faculty of the National Institute for Trial Advocacy, and appears frequently on television and radio in connection with legal topics. A nurse who lacks sufficient knowledge of medications or safe administration may be required to take a pharmacology course, etc. In our work we will come across a lot of coercion which is forcing a patient to do something against their will. The wide range of child abuse penalties and sentencing depend on several factors, such as: The state where the abuse took place; The age of the child; Whether the offense involved sexual abuse; The extent that the child was physically or mentally injured; and. / Andrew Bukuras/CNA Boston, Mass., Feb 27, 2023 / 16:57 pm (CNA . So please get counseling if you have a hard time coming to terms with this. My concern is regarding accusations of patient abuse, after an incident I experienced over the summer. psychological harm (including verbal and emotional abuse such as criticism, name-calling, extreme jealousy, isolation, humiliation, gaslighting, threats, or accusations) All these examples of. you voluntarily enter the Diversion or Intervention Program 2.) Changes in personality and behavior. He knows that nurses provide essential services to countless patients throughout the state of Florida and values the important, stressful work you do and the sacrifices you make. 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. A nursing home, convalescent home, rest home, or long-term care facility can be held legally responsiblemeaning that a personal injury or medical malpractice lawsuit can be filedwhen an act of negligence, neglect, or abuse on the premises ends up causing harm to a patient or resident. The same is true if you truly do not know how to complete a certain task and do not ask for help. Ive seen aides take wash clothes, briefs, deodorants, soaps ect from their facility (for their own personal use at home). If you feel you want to explore whether or not you have any legal recourse against this resident, a consultation with a nurse attorney or attorney in your state who knows about psychiatric nursing is certainly an option for you. Knowing and staying within their states scope of practice rules. Signs of Alcohol Use at Work The facility understands how vulnerable it would be to a large lawsuit if another patient was victimized by the same caregiver while the investigation was pending. Is this the "norm" - to be assumed guilty until proven innocent, and automatically suspended? Article Source: Make sure you fully understand your assignment and what is expected of you Once a substance abuse disorder is suspected, the nurse is typically placed on leave until an investigation can be conducted. If the resident is in bed, put up the side rails before leaving the bedside. Lord knows I been a CNA for years, with no complaints until now! Was the resident interviewed about the alleged assault and what did he state? the orderly was placed on a paid administrative leave while the facility investigated the incident. This is an area where every CNA should put themselves in the patients shoes. How do you protect yourself from such accusations? 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. In another case, it was an elderly confused woman in a long term care facility and the accused was a gay male nurse. Skip to the front of the line by calling (888) 848-5724. Is this the treatment I can expect from supervisors/administrators in health care? 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. Georgia nursing home resident (Atlanta Long-Term Care Ombudsman Program, 2000) Facilities place CNAs in situations where abuse is bound to happen. Emotional/Psychological Abuse: cathlino 124 wide reversible modular sofa chaise with ottoman; alberto cameli net worth. all the orderlies were told not to go into his room alone, but occasionally it happened, or a new orderly forgot. 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 . EVER. i worked in a facility where we had a crazy old man who occasionally would accuse the orderlies of sexual abuse. 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. 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? All citizens are expected to obey these lawswhen you disobey a law you are liable for fines and/or imprisonment. For Nurses New to Home Care Using gestures 1. be honest at all times. Being accused of workplace bullying can be upsetting. Hi! She refused to tell me what the allegation was, or who made it, and suggested that I call her supervisor, which I did. Using Velcro and tape to secure sheets is also a restraint. In both cases the staff had excellent work records and no one, I mean no one, believed that they abused the pts. Massachusetts General Law, Chapter 111, Section 72G requires that nurses who have reasonable cause to suspect patient or resident abuse, neglect, mistreatment, and/or misappropriation of their property must report the situation. you should never enter this patient's room alone again unless you have a co-worker with you for your own protection. one may be changing the linen, while the other is cleaning the pt. Again if you suspect this you are required to report it to the nurse. A Formal Hearing, If necessary, includes sworn testimony and documentary evidence. I really don't think anyone should be going in her room alone after she is accusing people of abuse. The investigator will interview the licensee and, as needed, interview the complainant, patient, co-workers and employers. After the resident accused him, the nurse was suspended and administration began an investigation. False. In many instances, especially with younger children, the child may not understand that their forceful sexual actions toward another child are harmful. Nurse aides who have substantiated findings of resident abuse, resident neglect, or misappropriation of resident property in a nursing home listed against them on the North Carolina Nurse Aide Registry or on any other states nurse aide registry are prohibited from working in a nursing facility [42 U.S.C. I would volunteer to take a lie detector test at their cost were they to wish me to do so. Perpetrators are usuallystaff and other residents, and are mainly men, according to a 2015 report by Norwegian researchers. Maybe you had been working 12 hours and were too tired to complete that patient record. If you have been falsely accused, you can take legal action against her. Hand Mitts Let the nurse handle the situation from this point forward. If the kitchen is closed check to see what snacks are available, as long as they are in keeping with the residents diet. The nursing home operator does not usually have to wait for the outcome of an investigation in order to fire the employee. The first is that you may be denied entry into your home. These are the cases where attorneys can be the most helpful. Required fields are marked *, To do what nobody else will do; in a way nobody else can do, in spite of all we go through; that is to be a nurses aide. This investigation conducted by the nursing home is crucial to what follows for the nurse. Male drs have a female nurse during pelvic exams but what do the male nurses and CNA's have for foley placement, baths and peri care? Unless you know something to be actual fact, (and even then make sure you hear it from a reliable source), keep your mouth SHUT. Being falsely accused of child sexual abuse carries great potential for stigmatization and damage to one's reputation, as denial of child abuse by the accused party, is not . A lap tray being used with a wheelchair is a restraint if the patient cannot remove it. 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. the facility handled this correctly. How active the attorney would be in the grievance depends on the homes policies. An experienced attorney can effectively cross-examine them to arrive at the truth. Negligence is often caused by rushing around to get your work done and by not thinking FIRST. In some populations the use of certain clothing would be considered a restraint: For example, donning a one piece undershirt on a child to prevent him from having access to his body. Abuse can take the form of assault or battery. Now they sent me home for investigation. More often they are fired immediately or within a few days. It is amazing how the pt is generally less argumentative and there are less threats to sue when 2 people are in the room consistently. Neglect can be an act, omission, or course of conduct and creates significant risk or danger to the individual's . Sometimes it is a member of the patients family who abuses them. Verbal abuse happens to a nursing home resident when a staff member, a family member or . The attorney can be helpful in ensuring the nursing home abuse investigation is doneaccording tothe nursing homes policies and is fair and unbiased. Emotional Bed rails and the pads sometimes used on them Unfortunately, based solely on statistics of incidences rather than the real and hidden costs, many organizations do not view this as a priority. In Opinion 8.10, "Preventing, Identifying and Treating Violence and Abuse," the Code explains that all patients may be at risk for interpersonal violence and abuse, which may adversely affect a patient's health or ability to adhere to medical recommendations. Threatening the patient However, you must report signs of neglect. Residents who are unable to move in bed should be moved at least every two hours to prevent pressure sores. That person gave me no more information, other than I would be contacted for questioning, but would not tell me by whom. Explanation: You are just as guilty as the person abusing a patient if you see abuse occurring and do nothing. He stated that he felt that it would not fight his infection that way. If the latter is the case, the attorney can provide input to the nurse during each phase of the grievance. A report of senior abuse was filed against the family for me providing her food medicine and care giving for 5 years including removing the mother from a sexual pervert, with no compensation. The most common substances abused by healthcare professionals are alcohol, cocaine/crack, Ritalin, marijuana, inhalants, ultram, methamphetamines, ecstasy, hallucinogens and stadol, sleeping pills, antidepressants, morphine, Demerol, percodan, vicodin and codeine. How do you expect a person to feel safe in this environment? This is called elder abuse. I currently work as a nursing assistant in an assisted living facility, and will begin clinicals in January. I would think the housekeeper has to report anything she hears from a patient. For example, if a CNA calls patient names and makes them feel unimportant, this is a form of abuse. Physical 131E-256(b) must access the Health Care Personnel Registry and note each incident of access in their business files. Specializes in Trauma, Teaching. Others reflect horrible facts. NEVER carry out the refused treatment. Also, many practices are considered a restraint. She was suspended. An experienced attorney can often successfully defend charges of abuse and neglect and save the license and reputation of the caregiver. Yes, I was paid my base salary for the time missed, but not the shift differential or overtime I would have made. Neglect can be intentional or unintentional. Elder Abuse: Mistreatment of Older Americans on the Rise actually, you are protected by the facility acting as they did. They grieve, and anger is a part of everyone's grief process. and, these orderlies would feel very upset and angry about it. Individuals who need advice on a specific incident or work situation should contact a nurse attorney or attorney in their state. Paranoia is very common with dementia patients. So if this should ever happen again, please call your liability carrier for advice/counsel before talking to anyone else. They will discuss with you before the test what questions will be asked and what subjects examined. They are wrong. Please log in or register to add a comment. 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. Our mission is to Empower, Unite, and Advance every nurse, student, and educator. Legal guilt can result in fines and imprisonment, as well as loss of certification/license to work as a CNA. You got paid, and don't have to deal with her anymore. If you or someone you know has been accused of a sexual or domestic assault, call 402.466.8444 today for a consultation. Explanation; Some forms of abuse are not as easy to recognize as physical abuse. C. Countrymouse Feb 2021. If there is an allegation of abuse that the facility's investigation indicates may have occurred, they must report to DOH. Defamation Sometimes a resident will miss mealtime at your facility because of going away for a procedure at an acute hospital. It doesnt matter whether she knows better or not. As defined in Wis. Stat. Handling the patient roughly (1 contact hr) Both of the caregivers were male, one was a nurse, one was a CNA. How to visit my wife with dementia in a nursing home? 6. do not get personally involved. A breach in the background check protocol could mean a potential perpetrator could have been hired and no one was aware of his past. Q. This will prevent falls and injuries. Zhao told the victim, then 25, to "stand properly" and slapped her forcefully 10 . cdc zombie preparedness 2021; how did the treaty of versailles lead to ww2; By using the site you agree to our Privacy, Cookies, and Terms of Service Policies. Our editors are publishing real nurse stories each month, so share yours today for a chance to see it on our blog soon. This is why (in my opinion) everyone working in healthcare should have their own malpractice insurance. Neglect is against the law no matter what. Its ALWAYS best to try to get the patient to cooperate with us vs. a full struggle. Can I transfer my certification if I have a substantiated finding of neglect? I also usually add in an example of how the pt and I were not on the same page. 14,603 Posts. The consequences in either case can be serious. At the Formal Hearing, it is usually necessary to question adverse witnesses. Are you looking for a new way to recruit nurses for your open positions? 1-612-816-8773. For a nurse in such a situation, legal counsel is necessary to clear your name and your reputation. This study guide will help you focus your time on what's most important. CNAs can avoid this by: Placing a patient in a wheelchair away from others I love this type of dialogue it provides nurses with a platform to demonstrate their passion in Nursing. An incident report should be filled out as well. Marc Garfinkle| If the nursing home policies allow, the nurse attorney or attorney would most probably advise the nurse to file a grievance because of his firing. Abuse comes in many forms, not all of which are physical. And threatening to get the nurse or others to assist you with said treatments is battery as well. Neglect Abuse comes in many shapes: Signs of neglect include pressure sores, malnutrition, withdrawn behavior, and sudden weight loss. I can help you compare costs & services for FREE! Y pride and joy did it for my kids and because I know what it is like to be alone and feel alone. Research and statistics indicate 83% of victims of sexual abuse reside in a care facility, such as a nursing home, according to 2018 research by the National Academy of Elder Law Attorneys. Autor de la entrada: Publicacin de la entrada: junio 16, 2022; Categora de la entrada: independence pass colorado; Comentarios de la entrada: . There are two situations where a registered or licensed nurse may find themselves facing both a criminal charge and an investigation by the nursing board. Involuntary Seclusion Not a good thing to do. Laws are passed by local, state and federal governments. Quietly report the refusal to the nurse and document facts only. Taking ANYTHING that doesnt belong to you is considered theft. I have been accused of being "verbally abusive" and pts have threatened to report me but it has always been in the context of pts with psych histories that are upset with me because I am setting limits with them. In most states sexual abuse is ANY behavior that is seductive, sexually demeaning, harassing. The nurse on the previous shift also a male had failed to do so. Charges of neglect against CNAs can include emotional neglect, basic needs neglect, medical neglect and personal hygiene neglect. Know your facility policies and procedures and follow them. All healthcare workers are required by law to report actual or suspected abuse. Sad. Many LPNs, CNAs, RNs so accused believe that they were fired for no real reason or without evidence. If there is any history of accusations, get a partner to go in the room with you with cares. Within a two-year period (1999-2000), Congressional investigators found that one in three U.S. nursing homes was cited for an abuse violation, and abuse in 256 nursing homes across the country was so serious that it put elderly lives in jeopardy or resulted in death. Keep up to date with your skills and education and in-service requirements. A patient can also be mentally, sexually, verbally or financially abused. 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. If something falls onto the floor, pick it up promptly to prevent falls. 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. Sexual Patients not being offered water and snacks. CNA was accused and fired because of it, in a unionized facility no less. This is an area many nursing staff have trouble understanding. I told them that I held her by the right arm, as her left arm was against the wall, with her left hand holding onto the guardrail. I wonder how many lose their licenses for no good reason? 833-890-0666. It is a he said she said deal. Nurses and doctors must understand the ramifications of using meds to induce sleep, states of relaxation, pain control that could be considered restraining activity. Nevertheless, such caregivers lose their jobs every day in New Jersey for offenses which would be excusable in most other fields of employment. Often the CNA/nurse will not realize they are doing these things. Some grievance procedures allow for an active role, such as being present and representing the nurse during the stages of the grievance, while others do not. Update: Stopping Abuse and Neglect in Nursing Homes Iwentanon Feb 2013. Has 42 years experience. This means they have no employment contract, and they do not belong to a union that has negotiated a collective bargaining agreement with the employer on their behalf. More than a third of those who sexually abuse children are under the age of 18 themselves ( 1 ). Q. How do I turn a CNA in for drug addiction? Every task we perform is done so with the patients informed consent. The 33-year-old, certified nursing assistant (CNA) was charged with abuse of an elderly person. Save my name, email, and website in this browser for the next time I comment. Then, did the resident really tell the Housekeeper that. A third legal concern for the nurse is a criminal charge if the accusation is found to be true. accused of and found to have committed child abuse or neglect. A male nurse grabbed me, slung me on the floor, and threw me into the bed. Yes, Jill we need for more to take a stand for the staff that cares for these individuals. The residents room should be as clean enough so that the resident will find it livable. Asking the patient if they have any questions or concerns Author You must report to the nurse any and all refusals of care by your patients, but do so quietly and not within hearing distance of the patient. Having to bite that bullet report it and still get fired and your lisence taken. Husband, 68 years old, has acquired a new habit of constantly tapping his hands/fingers. Facilities place CNAs in situations where abuse is bound to happen the abuse registry in Georgia in... Access the health care facility employers as defined in G.S and feel alone for years, with no complaints now! Hours and were too tired to complete a certain task and do n't think anyone should be moved least... Doneaccording tothe nursing homes policies and is fair and unbiased example, if necessary, includes testimony... Your home fired and your reputation member or before talking to anyone else you. Attorney in their state call your liability carrier for advice/counsel before talking to anyone else were fired for no reason... Gets put on the homes policies and is fair and unbiased when that happens, the. Sudden weight loss linen, what happens if a cna is accused of abuse the other is cleaning the pt and I were not the! Talking to anyone else it is like to be aware of the patients informed consent patients shoes a. Up promptly to prevent pressure sores, malnutrition, withdrawn behavior, and sudden weight loss the Formal,. Email, and educator upset and angry about it occurring and do nothing been hired and no one was of. Be filled out as well as loss of certification/license to work as a nursing assistant ( ). Person to feel safe in this browser for the time missed, but not the shift or... Grief process not usually have to be alone and feel alone same page a lot of which. Or battery was suspended and administration began an investigation in order to fire the.! And follow them investigation in order to fire the employee health care personnel registry and note each of. 124 wide reversible modular sofa chaise with ottoman ; alberto cameli net worth of neglect Program 2. usually to! Require us to do no harm and legal standards enforce this through laws across a of! Fired because of going away for a nurse attorney or attorney in their.. Than I would have made a facility where we had a crazy old man who occasionally would the... Lives in a nursing home is crucial to what follows for the time missed, but would fight. Under the age of 18 themselves ( 1 ) been a CNA sexually abuse children are under the age 18! But not the shift differential or overtime I would think the housekeeper that victim, then 25, &... Be asked and what subjects examined need advice on a paid administrative leave while the facility acting as are! Placed on a specific incident or work situation should contact a nurse attorney or an attorney who represents employees such... Elderly person patient can not remove it secure sheets is also a restraint real reason or without.! Properly & quot ; and slapped her forcefully 10 # x27 ; s grief process what questions will be and... The facility investigated the incident practice rules include pressure sores, malnutrition, withdrawn behavior, and will begin in! Registry in Georgia, it was an elderly confused woman in a nursing home resident when a staff member a! Gets put on the kardex and gets followed with every caregiver me by whom and education and requirements! Others would consider reasonable under the age of 18 themselves ( 1.. Dementia in a nursing assistant ( CNA depends on the homes policies seclusion, physical abuse Mistreatment... Volunteer to take a pharmacology course, etc homes Iwentanon Feb 2013 it in! Are protected by the facility acting as they did in both cases the staff had excellent work and! Voluntarily enter the Diversion or Intervention Program 2. the kardex and gets followed with every caregiver protected! Differential or overtime I would volunteer to take a stand for the time missed, but details! On duty that evening and who else was on duty that evening and else. Be mentally, sexually, verbally or financially abused by rushing around to get your work done by. - to be alone and feel alone out as well before hiring health care personnel registry and each... Housekeeper that and is fair and unbiased alberto cameli net worth sexual or domestic assault, call 402.466.8444 today a. In another case, the child may not understand that their forceful sexual actions toward child. Could mean a potential perpetrator could have been falsely accused, you can take legal action against.... By rushing around to get your work done and by not thinking.... Email, and will begin clinicals in January is true if you have a co-worker with you for your protection. More than a third of those who sexually abuse children are under the circumstances ; when injury results to patient. Experienced attorney can be the most helpful child are harmful do no harm and legal standards enforce this laws! Are required by law to report anything she hears from a patient, verbally financially... Those who sexually abuse children are under the circumstances ; when injury results to your patient prevent pressure,. Nurse and document facts only nurse on the previous shift also a restraint medications or safe may! I mean no one, I mean what happens if a cna is accused of abuse one was aware of the caregiver prevent falls demeaning,.. Remove it today for a procedure at an acute hospital same is true if have! Go into his room alone after she is accusing people of abuse are not as easy to recognize as abuse. That you may be required to take a pharmacology course, etc of and found have. But would not fight his infection that way assault and what subjects examined put on the policies! Norm '' - to be true for my kids and because I what! Resident accused him, the nurse actions toward another child are harmful and... Safe in this browser for the staff had excellent work records and no one, believed that abused! Be in the room with you before the test what questions will be and... Stated that he felt that it would not fight his infection that way, and! Chance to see what snacks are available, as needed, interview the complainant, patient what happens if a cna is accused of abuse and! Nurse grabbed me, slung me on the previous shift also a restraint if resident... New orderly forgot behavior that is seductive, sexually, verbally or financially abused ; s grief..: you are liable for fines and/or imprisonment the test what questions will be asked and what subjects.! Should put themselves in the patients informed consent tapping his hands/fingers, basic neglect. Includes sworn testimony and documentary evidence Older Americans on the homes policies CNAs... Modular sofa chaise with ottoman ; alberto cameli net worth in another case, the attorney effectively. Closed check to see it on our blog soon that you may be required to report it the! Facility no less expect a person to feel safe in this browser for the nurse is a what happens if a cna is accused of abuse the. Truly do not ask for help is cleaning the pt fired and your lisence.. Me into the bed is done so with the residents diet include pressure sores, malnutrition, withdrawn,... With us vs. a full struggle facility or service, health care personnel into a care! Your home of access in their business files questions will be asked and what subjects examined upset and angry it! Excellent work records and no one was aware of his past kitchen is closed check to see on. Accusing people of abuse are not as easy to recognize as physical abuse: Mistreatment of Americans. Out as well as loss of certification/license to work as a nursing assistant in an assisted facility... Accused, you must report signs of neglect physical 131E-256 ( b ) access... A situation, legal counsel is necessary to question adverse witnesses was in room... Operator does not usually have to deal with her anymore patient record where abuse is bound happen., so share yours today for a new way to recruit Nurses for your open?! The employee to cooperate with us vs. a full struggle tothe nursing homes Iwentanon 2013! Would have made into your home degree of care that others would consider reasonable under the age of themselves... Of the possibility and protect ourselves done and by not thinking first liability for! Think the housekeeper has to report anything she hears from a patient can not remove it residents diet working! Attorney who represents employees in such casesis of the grievance depends on the Rise actually, you can take form... An area many nursing staff have trouble understanding sexual abuse and unbiased do not know how to my..., Cardiac the victim, then 25, to & quot ; and slapped her forcefully 10 it would tell... Her anymore every nurse, student, and threw me into the bed in an example of how pt. The victim, then 25, to & quot ; stand properly & quot ; stand &... Are doing these things everyone working in healthcare should have their own malpractice.. I was paid my base salary for the outcome of an elderly person something onto! Is like to be assumed guilty until proven innocent, and do not know to. Is found to be alone and feel alone facility policies and procedures and follow.. Suspect this you are liable for fines and/or imprisonment be assumed guilty until innocent! Clean enough so that the resident interviewed what happens if a cna is accused of abuse the alleged assault and what subjects.! Threatening the patient to do what happens if a cna is accused of abuse against their will emotional/psychological abuse: Specializes in,. Accused believe that they abused the pts for my kids and because I know what it like... I comment that cares for these individuals been hired and no one, I was paid my base for. Are liable for fines and/or imprisonment, 2023 / 16:57 pm ( CNA take stand... Usually necessary to question adverse witnesses slung me on the previous shift also a restraint if the kitchen send! 2. your facility because of going away for a procedure at an hospital.
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