RNs, Bedbaths, I&O & Linen Changes

  1. as an rn, how often do you give bedbaths, measure i & o (including urine in catheter bags) and/or changing bed linen for your patients?
    does your hospital staff nursing assistants for these tasks, or have these duties become a standard part of your daily job? i'm trying to get a realistic picture of what my life as a rn will be when i get my first job after graduation.

    thanks for the input!
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  2. 21 Comments

  3. by   Tweety
    We have aides at our institution do that. But we work together. Some patients are too heavy for the cna to bath or linen change alone.

    The cna communicates with the nurse to get the iv intakes and other intakes, and we keep an i&o sheet in the room.

    As the RN, you are in charge of managing your patient, making sure their bath is done, linens changed, and knowing what the i&o and vitals are. So communicate with those CNAs and techs as to what you need for your patient!

    When I first started work the RNs did total care, did everything for their patient and had less patients. Sometimes I miss those days. With the shortage and the greater use of unlicensed persons, and higher patient loads, the RN can't be expected to all for the patient. But you must be aware of what is happening to your patient. Am I making sense here?
  4. by   zambezi
    If you work in critical care, you will do these things yourself (at least at my hosptial).
  5. by   ImaStork
    At my hospital on the night shift in Women's Services you will do it yourself. We had the choice of another licensed personel or an aide we chose licensed. At my hospital an FTE is an FTE.
  6. by   Marie_LPN, RN
    My thanks and appreciation goes out to any nurse who helps the cna with these things.
  7. by   Gator,SN
    When I worked as an NA on Med/surg, these duties were mine and it was rare to find a nurse helping out. Now I'm in CCU and I do it every shift. We have CNA's in my unit but usually only one per shift so I do these tasks myself. I feel fortunate when I have time to give a bed bath because it gives me some time to get to know my patient. We talk about all kinds of things and it takes their mind off of it if they are shy. It is also a good way to assess skin, chest excursion, any SOB etc.
    Gator
  8. by   memphispanda
    We have MAs that do most of those things, but they can't be everywhere at once. On nights there are only 2 of them, and they have 22 pts each, not to mention the ones they work together on because they are too heavy or unstable for one person. I empty foleys, urinals, etc at least several times every shift. I do much fewer linen changes because it's nights and we rarely change sheets unless they get dirty. If I'm in the room, I'll change them if I am able. Baths...very rare on nights. The only people that bathe at night are ones able to do it themselves unless someone just gets in an awful mess. Then whoever can help usually chips in to get it done as quickly as possible.
  9. by   gwenith
    Much the same here in Aust. We do not have the level of "assitive personnel" some places seem to have - here we are the original dog's body we do nearly everything. However many places still have Wardmen/OSO/PCA'a who are hired to primarily help with turning and moving patients.

    It is different in Nursing homes/LTC where there is a higher proportion of certified and enrolled personnel.

    Hope that gives you an insight into what to expect if you ever come to this part of the woods:spin:
  10. by   Agnus
    It is, as you can see from the above post, a mixed bag. Always be prepared to do these tasks. Even where you have aids that do them there will be times that you will need to do them. Some places you will do it all.
    In anycase you are ultimately responsible to insure this is all done for the patient.
  11. by   Rocknurse
    On my own, every shift!
  12. by   dizzejan
    i do everything from the rooter to the tooter!!
  13. by   adrienurse
    I do it, I share the work. I work in a team and being in a team doesn't just count when people are helping you. You have to help them, much better way to make sure things are done right.
  14. by   Kim44
    I work oncology, we are staffed with RNs only. We do it all.

    And even when I worked med/surg, we all shared these tasks.

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