Witnessed unsterile procedure and feeling terrible about it - page 10

I am a new grad and have been working as an RN for 5 months. Everyone I work with is very experienced and I am definitely the newbie. Yesterday I witnessed an LPN with 30 yrs experience straight... Read More

  1. Visit  RNikkiF profile page
    0
    While I agree that a nurse deciding what is sterile or clean is not acceptable, sometimes you have no choice. I had a pt who had chronic, constant (I.e. steady STREAM) diarrhea who needed a foley inserted. She was a renal pt so not having a foley was not an option for her. I had to insert a foley while trying to keep stool at bay. I had three pairs of helping hands and was cleaning her over and over. My charge finally said "it isn't going to stop and I know it isn't ideal but you have to get it in any way you can". I kept the pt as clean as I could and kept the supplies as clean as I could and inserted it. It was not the way I wanted but there was no other choice in the matter. Circumstances matter. I routinely follow sterile procedure. This was the only case I've had in which I couldn't but it does happen. Sometimes you have to do what's necessary. Good job to the op for standing up though!
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  3. Visit  lilaclover6984 profile page
    0
    Quote from RNikkiF
    While I agree that a nurse deciding what is sterile or clean is not acceptable, sometimes you have no choice. I had a pt who had chronic, constant (I.e. steady STREAM) diarrhea who needed a foley inserted. She was a renal pt so not having a foley was not an option for her. I had to insert a foley while trying to keep stool at bay. I had three pairs of helping hands and was cleaning her over and over. My charge finally said "it isn't going to stop and I know it isn't ideal but you have to get it in any way you can". I kept the pt as clean as I could and kept the supplies as clean as I could and inserted it. It was not the way I wanted but there was no other choice in the matter. Circumstances matter. I routinely follow sterile procedure. This was the only case I've had in which I couldn't but it does happen. Sometimes you have to do what's necessary. Good job to the op for standing up though!
    I agree, people are not being completely realistic here. What about the extremely confused and aggressive dementia patient? Which on my unit makes up about 95% of the patient population. Ever try to put a catheter in someone who is kicking and biting and flailing around and maintain 100% sterile technique?
    This very situation happened with me last night. 3 of us holding the pt. down. I tried 3 times with no success. My coworker tried another 2 or 3 times and it wasn't happening. That "sterile field" was being kicked everywhere. Eventually we got it in but I can tell you without a doubt that it was no longer sterile technique. Sometimes ya gotta do what ya gotta do.
  4. Visit  PediatricRNTX profile page
    0
    Quote from Miiki✿

    What do you mean? What "u gotta do" is run to supply and grab a new kit.
    What I am saying is I have yet to see many nurses do things by the book. The goal is obviously to do it as best as possible. But no one is perfect.


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