"Nurses, case managers, and upper management should be aware of which kids refuse to take shower, but then again, other staff members force them so you may be seen as a person who just can't get them to shower."
"Except for the time a month or so ago when an alert and oriented 17 year old rehab resident refused his shower because he felt sick to his stomach and just wanted to lie down...and after the nurse hounded both of us for 3 hours and he still refused, she WROTE ME UP."
Thank you for the responses everyone, and the quotes above helps explain things much better. Yes, one reason I was confused since few nurses at my facility would respond the same way and tell me to just do my job. Then I am thinking, I can't force them, what do I do.
I've talked to my DON with a similar issue (changing clothes and diaper refusal) and she has told me to keep trying to influence and I do have the right to hold the patient. I am in a subacute so it is more like LTC here. Parents do come in and some has been fired for "forcing" the kids (which I know isn't right).
Thanks for the detailed info. I am sure that the protocol you explained is how it is everywhere, and I will just let the nurse know she/he will have to help me if all my convincing fails. It seems like hospitals are very organized and orients you well.
Again thanks for the advice everyone!
P.S. One more question, yousoldtheworld, when she wrote you up what happened? I am lucky to have few nurses that are like this. I try my best to let the nurse know that I am there to help her as much as I can, but sometimes they just are grumpy in personality.