Cant believe the nurse did..... - page 8

by Daisy_08 | 27,689 Views | 126 Comments

A few threads latley have had tittles that got me all excited to read the juicy "gossip", only to be very disappointed or think the OP was a little on the the nutty side. So I thought we could share our juicy "I can't believe the... Read More


  1. 2
    Quote from OnlybyHisgraceRN
    Agreed. Now looking back, it probably wasn't what he said but how he said it. I worked in ICU and there were times when it was such a hassle for the patient and nurse for patient to get to the commode. A couple patients did "go" in bed, and it wasn't the end of world. We cleaned up any incontinence right away and provided as much dignity as we could.
    Well my question is, if the incontinence is able to be "cleaned up right away," why can't the patient go to the bathroom "right away?" All signs point to a resident sitting in their incontinence until med pass is over, or until the aide figures out the resident has soiled themselves.

    No, I don't work in long term care, so can't judge too much. Just an observation that when we're too busy to toilet, we're too busy to clean up too. Happens in the hospital as well.
    Libitina and gummi bear like this.
  2. 1
    Quote from redhead_NURSE98!
    Well my question is, if the incontinence is able to be "cleaned up right away," why can't the patient go to the bathroom "right away?" All signs point to a resident sitting in their incontinence until med pass is over, or until the aide figures out the resident has soiled themselves.

    No, I don't work in long term care, so can't judge too much. Just an observation that when we're too busy to toilet, we're too busy to clean up too. Happens in the hospital as well.
    generally, one person can deal with the clean up (9/10 times it takes x1 to roll/clean) but to hoist somebody, it takes at least 2 staff.
    Last edit by JDZ344 on May 20, '14
    lillymom likes this.
  3. 1
    Quote from redhead_NURSE98!

    Well my question is, if the incontinence is able to be "cleaned up right away," why can't the patient go to the bathroom "right away?" All signs point to a resident sitting in their incontinence until med pass is over, or until the aide figures out the resident has soiled themselves.

    No, I don't work in long term care, so can't judge too much. Just an observation that when we're too busy to toilet, we're too busy to clean up too. Happens in the hospital as well.
    I think it is more of an issue of needing assist of two to the commode or toilet versus being able to clean the resident up by yourself.

    Things are not perfect in LTC. The majority of the time we do okay, but sometimes if a person needs AX2 to the bathroom and the aides aren't available, I'll say "I can get you on the bedpan myself or I can get someone to help me get you to the commode but it might be a few minutes."
    Fiona59 likes this.
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    I don't have any funny stories to add, but I just wanted to comment that I have appreciated many of BrandonLPN's posts over time, and he strikes me as a conscientious nurse that I would be happy to have taking care of my loved ones. One LPN and 3 aides to 49 residents is so inadequate that it is not humanly possible to give those residents the care they deserve, and I can only express my sincere admiration for those that try anyway. Thank you for what you do, BrandonLPN.
    rubato, PRICHARILLAisMISSED, noyesno, and 13 others like this.
  5. 22
    Well, thanks to everyone who understood where I'm coming from. I appreciate it. Everyone who doesn't, well, Im sorry if you were offended by my candor.

    I want to say, that's it's not as bad where I work as it perhaps sounded. The fact is the vast majority of my residents either can't or won't tell if they need to go. Most simply go in their briefs and are changed during rounds. There's
    only a few residents who can tell when they need to go but are time consuming to get up. Usually we get them up in time. We know what we're doing (mostly). The aides have a toileting schedule for these residents. But sometimes no one is available and the resident has to be told "your aide is busy, but I'll let her know. If you don't make it, we will clean you up ASAP." that has to be said sometimes in LTC. Not all the time, but sometimes. Usually things go more smoothly.


    As for people who think I should stop my med pass and hunt down staff to help with a lift.... well, no, I don't let myself be interrupted unless it's emergent. It's not about the inconvenience (my entire job is inconvenient) it's about safety. If a nurse stops the med pass between every resident errors happen. I don't care how organized you are, with a med pass that size, constant interruptions WILL lead to errors. And I have a "no interruptions" policy that is stricter than most. A CNA reports a change in condition? A call with lab or x Ray results? Yes
    I'll stop and address it. But most everything else will wait. I've been at loggerheads with management because I refuse to talk to Resident's family when they call
    during my med pass. You need to know how Mom is doing or have a question about her care? Ok, take a message and I'll call back later. It can and will wait. Oh, unit coordinator, you have some new
    policy I need to read and sign or some pharmacy audit or something? Ok, but I'm not gonna even look at it till med pass is done. I do NOT stop med pass for anything non emergent and I don't apologize for that. Too many potential errors.
    Fiona59, uRNmyway, brown eyed girl, and 19 others like this.
  6. 0
    Quote from redhead_NURSE98!
    Well my question is, if the incontinence is able to be "cleaned up right away," why can't the patient go to the bathroom "right away?" All signs point to a resident sitting in their incontinence until med pass is over, or until the aide figures out the resident has soiled themselves.

    No, I don't work in long term care, so can't judge too much. Just an observation that when we're too busy to toilet, we're too busy to clean up too. Happens in the hospital as well.
    Because the patient is 350lbs and it will take less time, people and resources to hoyer them to the toilet.
  7. 13
    I'm a CNA in LTC and this happens. There are more people than you would imagine that claim that they cannot use a bedpan but can in a bed. Sounds crazy but it's true.

    Our facility has 2 hoyers for appx. 90-110 residents. It can take up to 10 minutes alone just to find and get a hoyer if both of them are being used. Aside from that if it happens to be the CNA's break time there is only one CNA on the hall and one nurse. The CNA is not allowed leave the hall so the nurse has to go in search of the hoyer. A bsc is not used because these residents that I am referring to will not use a sliding board at all and cannot sit up properly without assistance.

    Real life a resident will have to wait at minimum 20 minutes. I have to find the lift, find a lift sling - different pt needs a different clean sling, finding an available employee, putting the sling under pt. and hooking them up. It takes a lot longer than people realize and what if a 1 assist person calls needing to go to the bathroom at the same time?

    There is no solution really except for better staffing and management is fully aware of this but if the company does not allow for it then that's the way it is. It's not that anyone is being a bad nurse or CNA it's more like being able to do what you can and prioritizing what you can do.

    I tell patients that if you can wait I will be happy to help you but if you cannot I will clean you up promptly and apologize that a better option does not exist.
    Fiona59, brown eyed girl, Esme12, and 10 others like this.
  8. 1
    Well said, lillymom.
    lillymom likes this.
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    Brandon - I certainly didn't mean to beat up on you either. As others have said, I've read many of your posts and always find you to be a upstanding nurse that shows genuine care/compassion for your residents. I agree with your posts more than 90% of the time (which is a better % than I agree with my own husband ). I do get where you were going with the comment and I agree with you when you said maybe you just didn't use the right wording.

    Thought of sending you a PM to say all of this but wanted it to be a public display of support. Peace my friend.
    Peepsaretasty, Esme12, Orange Tree, and 2 others like this.
  10. 3
    yes, looking back, maybe my early posts here gave the impression I was defending the nurse who said "just *** in the bed". Not what I meant. If I had said what I meant as clearly as lillymom there, this thread probably wouldn't be at 8 pages.
    Last edit by Esme12 on Jan 5, '13


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