Who cleans the poo? - page 4

Providing hygiene care when a patient soil themselves is a given but what happens when poo appears in public areas or shared spaces? The other day, I had a patient lose control over their bowels... Read More

  1. by   leilo0
    Quote from annabanana2
    I agree with this. I think there's a big general idea of "it's okay, nursing will do it." Physio not available to walk the patient? Nursing will do it. The phlebotomist is backed up? Nursing will do it. No unit clerk available this afternoon? Nursing will put the charts together. Porter's on a break? Nursing will bring the patient down to x-ray. Everything, in the end, falls to nursing. I don't even work in acute care and I see this all the time. In a primary care office, the physician wants the client to be referred for dental work? That's tasked to nursing to figure that out. A client needs help getting to and from an appointment - task it to nursing. A client doesn't have a phone and needs a message sent to them from the doc? Ask the outreach nurses to run it over. I'm actually working hard in our office at the moment to push for non-nursing tasks to go to non-nurses, but it's hard, because our providers are very used to just asking nursing to do it.
    This is exactly what I'm getting at. It's the small things that culminate to a lot of things. The onus is always on the nurse and you're pulled away from doing your actual job. And so, in paper you are a nurse but a good part of the day, you're a porter, housekeeping, phlebotomist, PT etc on top of being a nurse. At the end of our shifts we wonder why we stay longer to finish up charting, didn't have adequate breaks, missed a critical lab value, making a med error OR handing over a non urgent treatment to oncoming shift, a good part of the reason is the never ending tasks. And to pay me to do portering duties on a nursing wage doesn't sound like a good business strategy either. As long as we accept these terms then we can complain about staffing and workload issues and nothing will change. Sadly, this is only the tip of the iceberg for our profession
  2. by   wondern
    Some of us would just do it quickly and move on because we hate politics and don't have time to play those sh*tt* little games. Not to mention we don't like turds just laying around.
  3. by   wondern
    Quote from Persephone Paige
    I have no problem cleaning up poop... The thought of formed stool randomly falling out of my rectum is horrible.
    Oh Persephone Paige I needed that laugh this morning! Thanks girl!

    Crap (sorry had to say it ) I worked with a waitress who had this happen with a regular customer, like 90, who'd come in with his son, like 70's. It, the formed stool, just fell right out of his pant leg onto the carpeted floor in the middle of the dining room. The experienced waitress, like 50's, just swooped down with a damp rag towel and picked it up from the carpet like it was nothing before his son even had a chance to be embarrassed, like a pro. Me, like 18 at the time, thought wow that was pretty impressive but I've got to get a better job with more money, hmm maybe nursing, I do like people.
  4. by   psu_213
    Quote from wondern
    Not to mention we don't like turds just laying around.
    I agree. I totally understand that frustration about housekeeping not able to clean up any bodily fluids...that does not make sense. I also agree with those questioning who is going to care for their patients while they clean up poo. I agree that too may things (removing a full trash bag, taking the red bag out of the bin, etc., etc.). However, I can't just walk away and wait for housekeeping while there are pieces of poo just laying the ground.

    Should everything be the nurses job? No. However, in this specific case, I think the nurse has to do the initial clean and not just let it sit there on the patient's floor.
  5. by   Paws2people
    Quote from Crush
    Oh wow. Now that is really ridiculous. Wow, just wow. Ok so if trash is too heavy, who then takes it out?
    You're gonna like this.. The nurses or aides have to separate the trash into another bag! That way each bag gets some of the weight.

    Meanwhile, the reason the trash is overflowing is due to the fact that Housekeeping has been sleeping all night, or on break the bulk of the shift, or smoking cigarettes or weed in the parking lot.
  6. by   Paws2people
    Quote from leilo0
    I've had gloves rip on me so yes, I feel the need to double glove. feces was all over the side rails so I gowned up just in case. I tried not to go into the poopy details but it wasn't just a matter of solid poop on the ground. It was on the bed, the patient, his clothes. The stools that were on the ground weren't rock hard stools that got picked up in one scoop. It was a happy trail on to the bathroom. We had to clean up the patient, toss his street clothes in the laundry, run wipes on his bed. siderails and bedside table. The patient ended up making more mess in the bathroom. I didn't emphasize this as I know it was my responsibility to clean up the patient and the bedside area but I wanted to ask what the common policy is when it happens somewhere other than the bedside.

    I'm not sure what didn't add up with this incident but I do love reading a conspiracy theory or two!
    So not only are you now cleaning up the patient, but you are also cleaning up the room as well. Amazing.