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Should RNs do housekeeping job or is it our job?



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  #1  
Old Jul 01, 2004, 03:57 PM
Registered User
Join Date: Jun 2004
Should RNs do housekeeping job or is it our job?

Wanted to ask if anyone experienced similar situation and how the issue was handled. 1st of all let me mention that I work for a huge hospital that is considered to be one of the top hospitals in the nation, but it seems like there are some holes in the system that no one seem to notice. The issue I have is with the hospital’s housekeeping. It appears to me that they make up their own policies. Last weekend I had a really sick patient who had vomited approximately 2.5-3 liters of green bile emesis all over floor and his bed. I had never seen anything like that! He was the 1st patient I saw coming on my shift. I Helped pt get washed and called housekeeping. Well when housekeeping came they refused to clean the room. Making it very clear that they don’t clean up messes like that-it’s nurses job to clean. What they can do is wipe the floor when it’s clean, so it will be disinfected. I spend at least an hour on my knees and used up almost half of our supply of pink pads and towels to dry everything up. It was only after pt had 2 more of episodes of projectile vomiting each approximately 1-2 liters of emesis that the MD gave me an ok to put in NGT. My point is having 8 very sick patients that night and spending all shift cleaning up messes and with no help from anyone else, should it be our job to clean up? I am not talking a little mess here-that takes few seconds to clean up, but a time consuming accidents. I had a similar episode maybe a year ago, when a pt had diarrhea and missed the toilet. The diarrhea explosion was all over the floor and bathtub. I was 9 mo pregnant at that time and was told I have to clean it up myself. I brought that up with management last time and was told its not housekeeping job, but ours. Also we don’t have any cleaning supply on the floor and must use pt’s bed linen like pink pads and towels to clean up. Anyone had similar situations? I don’t think it’s fair that other pts have to miss out on hours of care and get their meds hours late because their nurse is cleaning someone’s room. Any input is welcome! Thank you.

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  #2  
Old Jul 01, 2004, 04:11 PM
Marie_LPN, RN's Avatar
Marie_LPN, RN (Female)
The Black Sheep
Join Date: Jun 2003

http://allnurses.com/forums/showthre...t=taking+trash


A link to a housekeeping-related discussion.


Most places i've worked at, the nurse got rid of the bulk, and housekeeping did the disinfecting. The rationale was that housekeeing didn't know what all germs the pt. had.

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  #3  
Old Jul 01, 2004, 04:12 PM
Tweety's Avatar
Tweety (Male)
Admin Team
Join Date: Oct 2002

It took you an hour???? Yikes.

I'm afraid it's our policy here too that nursing cleans up the mess, housekeeping comes in to sanitize. Sucks doesn't it? I've never had an hour's worth of mess to clean up, but my friend I've cleaned up lots and lots of messes. The first time I had to clean up a mess my reaction was much like yours..........you mean housekeeping doesn't clean????

Can't believe no coworkers were there for you, but that's another issue.

I had a patient pull out her IV the other day and I missed a few drops of blood the other day. Literally only a few drops of blood. The housekeeper refused to clean it up until someone came and wiped of those couple of drops of blood.

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  #4  
Old Jul 01, 2004, 04:30 PM
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Join Date: Jul 2000

Housekeeping generally did it all where I came from. They are trained to be able to clean up the gross stuff, and infection control just doesn't like nurses crawling around on the ground.

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  #5  
Old Jul 01, 2004, 04:34 PM
Registered User
Join Date: Jun 2004

In a word...


NO

It's housekeeping's job. I would not under any circumstances do this for them. If it meant not working in that facility again, so be it. If it is an "exposure" thing, why is it OK for us to be exposed and not them? We all go through the same OSHA required training. The gloves fit everyone...they come in different sizes...HELLLOOO. Did they not expect to come into contact with infectious materials when they decided to work IN A HOSPITAL?????

This is the most ridiculous thing I have ever heard!


When I hear things like this, I just thank God that I do not care for adults. If one of my patients loses more than a 5-10 cc of any body fluid, I'm worried about their circulating volume...

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  #6  
Old Jul 01, 2004, 04:39 PM
ceecel.dee's Avatar
Sunshine seeking member
Join Date: Apr 2002

Should we have to...no.

Do we have to...usually.

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  #7  
Old Jul 01, 2004, 04:41 PM
Registered User
Join Date: Jun 2004

Originally Posted by fergus51
Housekeeping generally did it all where I came from. They are trained to be able to clean up the gross stuff, and infection control just doesn't like nurses crawling around on the ground.
Fergus, that is my experience as well. I have never heard of such nonsense as housekeeping not cleaning. Infection control and quality management would stroke out if they saw nurses cleaning up this stuff
IC - RNs should not be crawling around in body fluids and then going to care for other patients. Nosocomial infection anyone?
QM - RN's are expensive, darn it, it's a waste of hospital money for RNs to do the housekeeper's job...not to mention the patients who are having to wait to be cared for - there goes the Press Gainey satisfaction score. I knew those things had to be good for something. LOL

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  #8  
Old Jul 01, 2004, 04:44 PM
Registered User
Join Date: Sep 2002

Our housekeeping does a pretty poor job of cleaning when there isn't anything particularly nasty on the floor. Can't imagine what would happen if we left it to them to clean up the really big messes. We also have the "one drop of blood and housekeeping takes off" problem at our facility. But we usually all pull together and get it taken care of quickly.

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  #9  
Old Jul 01, 2004, 06:06 PM
Registered User
Join Date: Jun 2004

I certainly am not putting my effort into becoming a nurse so that I can play the role of housekeeper. Sure, I'll help out in a bind, but that's not what I'm going to school for. Just my 2 cents worth.
...Jennifer...

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  #10  
Old Jul 01, 2004, 06:15 PM
Marie_LPN, RN's Avatar
Marie_LPN, RN (Female)
The Black Sheep
Join Date: Jun 2003

Originally Posted by RN4NICU
In a word...


NO

It's housekeeping's job. I would not under any circumstances do this for them. If it meant not working in that facility again, so be it. If it is an "exposure" thing, why is it OK for us to be exposed and not them? We all go through the same OSHA required training. The gloves fit everyone...they come in different sizes...HELLLOOO. Did they not expect to come into contact with infectious materials when they decided to work IN A HOSPITAL?????

This is the most ridiculous thing I have ever heard!


When I hear things like this, I just thank God that I do not care for adults. If one of my patients loses more than a 5-10 cc of any body fluid, I'm worried about their circulating volume...
It's not the housekeepers themselves who choose not to clean it sometimes, a lot of times its facility policy for them not to touch it first.

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Should RNs do housekeeping job or is it our job?

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