How should a CNA respond if a resident attempts to leave the facility unassisted?

• A. Use a calm, non-confrontational approach; follow facility roaming policy; notify the nurse and document; ensure resident safety.
• B. Physically restrain the resident immediately.
• C. Ignore the request and pretend you didn't notice.
• D. Call the resident's family to arrange a private outing.

Answer: (A)

When a resident attempts to leave unassisted, the primary goal is safety while respecting the resident’s rights and following the facility’s roaming policy. Approach the resident calmly and without confrontation, using a friendly, respectful tone. Acknowledge their request and show empathy, then redirect to a safe plan. This de-escalation helps prevent agitation and reduces the risk of wandering into danger.

Following the roaming policy is essential because it provides a clear, approved method for protecting residents who may be at risk of elopement. This often involves notifying the nurse, possibly locking or monitoring doors as required by the policy, and implementing a caregiver plan that keeps the resident safe while addressing their needs or desires.

Involving the nurse and documenting what happened, when, and what actions were taken is crucial. The nurse can reassess the resident’s condition, address safety concerns, adjust care plans if needed, and determine what level of supervision or interventions are appropriate. Documentation creates a record that supports continuity of care and legal protection.

Ultimately, ensuring safety while maintaining the resident’s dignity is the goal. If needed, offer alternatives to meet the resident’s needs—such as engaging activities, a supervised area for safe wandering, or a short, escorted walk within the facility—so they feel heard and keep them safe.

Restraining the resident or ignoring the request would not be appropriate. Immediate physical restraint requires medical orders and strict policy guidance and carries significant risk. Bypassing policy by calling a private outing with family also bypasses system safeguards and is not appropriate.