Back in the day...... - page 3

by meanmaryjean 17,184 Views | 131 Comments

I was regaling a new grad the other night as to how things have changed in the 35+ years since I became a nurse. She was appalled to hear that: Gloves were for surgery. Only. Yes, we cleaned up messes and changed... Read More


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    Quote from DoGoodThenGo
    Those basins used for patient bed baths have been found to be a major source of infection. Basically they are filth buckets that with each use not only can transfer potentially HAI to patients but lays down a new layer of biofilm that promotes further bacteria growth. Bath Basins as a Source of Hospital-Associated Infections

    http://nursing.ouhsc.edu/research/do...illVallier.pdf

    Just think about it, would you take a bath in a tub that was used previously without cleaning/scrubbing it out first? When those basins are reused for an entire patient's stay that is pretty much what is happening. If the same basin is used for cleaning after a BM it adds even more "fun" stuff.

    Usually such basins aren't thoroughly cleaned and disinfected before reuse, merely emptied and often just rinsed out.
    This is one of the reasons behind "waterless" bed baths and or using disposable wet wipes and or several towels with water and cleanser.
    Probably all true, but I'd rather have a bath in a cleaned out basin than a so-called "bath" of wet wipes
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    Under NO circumstances does ANYONE say ANYTHING to the nurse assigned to pass meds.

    Orderlies ONLY cared for male patients.

    Private rooms were for the well-off.

    There was a charge to be paid to have the TV turned on in the room.

    Report was given by the charge nurses only; everybody else just gathered around and listened. At the end of the report, the charge nurse used her bandage scissors to cut up the report sheet and handed us our assignments.

    We could count the number of male nurses (both of them), in the entire hospital.

    Do not punch the time clock if you don't have your nursing cap.

    Hibiclenz was the modern day hand sanitizer.

    MRSA? What's MRSA?

    Penicillin was the antibiotic of choice for practically everything.

    IVs were started with stainless steel needles, no plastic to remain after retraction.
  3. 2
    Quote from beckyboo1
    Probably all true, but I'd rather have a bath in a cleaned out basin than a so-called "bath" of wet wipes
    I'd rather have a wet-wipe "bath" then get C.Diff/E.Coli from a cleaned out basin...
    poppycat and aachavez like this.
  4. 1
    Quote from DoGoodThenGo
    Those basins used for patient bed baths have been found to be a major source of infection. Basically they are filth buckets that with each use not only can transfer potentially HAI to patients but lays down a new layer of biofilm that promotes further bacteria growth. Bath Basins as a Source of Hospital-Associated Infections

    http://nursing.ouhsc.edu/research/do...illVallier.pdf

    Just think about it, would you take a bath in a tub that was used previously without cleaning/scrubbing it out first? When those basins are reused for an entire patient's stay that is pretty much what is happening. If the same basin is used for cleaning after a BM it adds even more "fun" stuff.

    Usually such basins aren't thoroughly cleaned and disinfected before reuse, merely emptied and often just rinsed out.
    This is one of the reasons behind "waterless" bed baths and or using disposable wet wipes and or several towels with water and cleanser.
    So many places (I don't know of any facilities that do waterless baths) still use basins I don't think that it's a "back in the day" kind of thing. Maybe in another 5 years.

    It's not like the basins are used from patient to patient. I have taken baths after other people and sometimes used their old water too but that was my own family. I'm thinking I'll wipe down basins with those sanitizer wipes after each use now. Thanks for the info!
    sallyrnrrt likes this.
  5. 0
    Quote from SuperMeghan91
    So many places (I don't know of any facilities that do waterless baths) still use basins I don't think that it's a "back in the day" kind of thing. Maybe in another 5 years.

    It's not like the basins are used from patient to patient. I have taken baths after other people and sometimes used their old water too but that was my own family. I'm thinking I'll wipe down basins with those sanitizer wipes after each use now. Thanks for the info!
    Quite honestly between shorter inpatient stays and lack of staff you'd be surprised how many patients aren't bathed at all, and of those that do a majority are often those able to do so on their own.

    Yes, bad baths have been part of the nursing arts for ages with the only major difference is today plastic basins are used instead of enameled porcelain. One huge difference today is nursing is no longer purely a task driven profession. That is you don't do something the exact way you were taught just because that is the way you are supposed to, rather at the bedside EBP allows doing what is best for the patient.

    With HAI rates ever increasing everything that is done to the patient and or they are exposed to must be examined. Even if a basin is used for one patient only (as it should) there are many ways it can be colonized with bacteria. Even if the bed bath involve several changes of water one highly doubts the thing is "scrubbed out" or otherwise cleaned before being filled with fresh water, that just adds more time to what is already a time consuming task. Rather dirty water is dumped out, container is rinsed (maybe) and filled with fresh water. However this does not remove all the filth from previous use, thus whatever is in there lives on and can be transferred to the patient.

    Friend of mine uses a new plastic basin each time a change of water is required for a bed bath.
  6. 0
    Quote from sallyrnrrt
    oh and let us not forget metal bedpans, that were cleansed and sanituzed in the bed pan hopper
    I did clinicals THIS YEAR in a facility that had metal bedpans and re-used those plastic bins for other patients after Central Supply "sanitized" them.
  7. 0
    We still pass out basins for baths for the stay. I encourage anyone that can to get to the sink/shower. We have disposable wipes and for my patients that can't get up I use those heated + clean towels. I want to use the basins cause I feel instinctively that its cleaner but with the evidence mounting I've switched to the wipes. They are easier. My patients get bathed daily and I think it's crazy that this doesn't happen everywhere, tough if you've got an 8 patient assignment and 3 of those patients are pretty unstable I can see why. It's sad.

    I can't believe how much has changed in the last 5 years.
  8. 0
    Work in the NHS! We still have some of this stuff! The "Fat notes" can be really heavy!
    Last edit by JDZ344 on Aug 3, '14
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    Instead of pt stickers to put on pages, we had metal plates with the name and number punch typed in; really noisy machine in admissions. You put the metal plate in a credit card type roller, and ran the inker over it to mark the page, the lab slips, everything. Smeared and unreadable sometimes, you had to practice to get good at clear impressions consistently.
  10. 0
    Quote from JBudd
    Instead of pt stickers to put on pages, we had metal plates with the name and number punch typed in; really noisy machine in admissions. You put the metal plate in a credit card type roller, and ran the inker over it to mark the page, the lab slips, everything. Smeared and unreadable sometimes, you had to practice to get good at clear impressions consistently.
    We still use that, but much fewer sheets since we only do a page or two in case of a computer downtime.


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