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The patient was sitting in a recliner chair bedside with a chair alarm and call bell on/with patient.Nurse rounded on patient who declined any needs at that time.When the nurse made it out to the nurse desk she heard the chair alarm.She immediately returned to the room and found the patient sliding over the left arm of recliner to the floor.The patient was attempting to get up off the floor.The fall response team was called but there was no response as the time of day had no staff to cover (approx.0630).The patient was assisted to the bed but was insisting on going to the bathroom.The nurse reported that the patient was assisted to the bathroom as he had refused to use the urinal several times during her shift and he continued to refuse to use it.Patient returned from bathroom and nurse attempted to place him in bed but patient refused and was placed back into the chair.Chair alarm was placed on patient again and he was given call bell.At this time nurse found that call bell was not working, nurse claims call bell had been working when he was initially assisted into chair.Engineering was made aware of faulty call bell.
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