Question

Melvin Good is 52-year-old, 480 pounds and a diabetic. He is being seen in the wound clinic for pressure ulcers on both heels and his left lower leg around the ankle. He is brought to the clinic in a non-ambulance transport vehicle on a bariatric stretcher. At registration, he asks for a bariatric wheelchair. Staff find a stretcher, but not a bariatric stretcher. Mr. Good insists he needs a bariatric wheelchair or even an immobile chair that is made to withstand his weight. He explains he doesn’t want to break a chair and end up on the floor. Because staff cannot accommodate his chair request, they take him back to exam/treatment room so he can be moved over to a clinic table. The door way to the exam/treatment room will not accommodate the bariatric stretcher. In the back hall of the clinic, he is assisted off the stretcher with the help of 4 clinic staff. He is examined and treated on the clinic table. The Clinic Manager calls the administrator to report a complaint received from Mr. Good concerning the clinic’s inability to accommodate him, failing to provide equipment safe for use with him and failing to provide for his privacy when he was forced to move from the stretcher in the middle of the hall. The Manager also reports 2 work comp claims from staff who assisted Mr. Good.

The Administrator’s best response is

Refer the manager to the patient advocate for assistance in responding to Mr. Good’s complaint.

Ask the Environment of Care/Construction Team to survey the clinic for ADA compliance

Advise the manager to not reply to Mr. Good and that will refer to lability insurer if he makes a formal charge.

Work with Employee Health for data regarding number of work comp claims involving assisting bariatric patients.

A, B and C

A, C and D

A, B and D

Answer 1

ANSWER

     * The administrator's best response is A,B and D.

   A. Refer the manager to patient advocate for assistance in responding to mr. goods complaint.

    B. Ask the environment of care/construction team to survey the clinic for ADA compliance.

    D. Work with employee health for data regarding number of work comp claims involving assisting

         bariatric patients.