Witnessed unsterile procedure and feeling terrible about it - page 2
by cblake4293 14,842 Views | 106 Comments
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 cath a male without using... Read More
- 6Feb 13, '13 by leslie :-DQuote from cblake4293it may not be a big deal with this patient.Being a new nurse is really not fun! One of the hardest parts is differentiating between what you learn in school and the real world. So I guess your saying this is not a big deal and I should move on?
but then again, it may be.
do you want to take that chance?
if not this pt, another pt will be affected by nursing's (and all hcws involved in pt care) mediocrity.
i am not being dramatic, just look at the rate of secondary infections because of poor hand-washing or some other risky habit.
if you are in touch with any of your nsg instructors, you can always approach them...
or someone you trust as a mentor, if you have one.
best to you.
- 10Feb 13, '13 by Prairienurse1989I like your suggestion of an in service preferably mandatory. As for " stay out of it" That's not very sound advice, they pay you to advocate for, use and be held accountable to a standard, not look the other way, even if a patient wasn't harmed.
- 2Feb 13, '13 by kloneI would guess, like me, this LPN thought that for patients who self-cath at home, sterile procedure is not necessary. I knew that at home, clean technique was fine. I did not know there are different standards in that situation for in the hospital (I work in OB, don't see too many people who have to self-cath). It sounds like this is a good learning opportunity for the staff at large. Good luck to you!
- 5Feb 13, '13 by beekerQuote from leslie :-DThis is the kind of thing that new nurses get eaten for.I am not saying it is right, but she needs to look out for herself too. If the other nurse has been there for 30 years and gets in trouble, who do you think is going to be odd man out?really guys?
stay out of it???
sure why not.
we nurses needn't be accountable to anyone but ourselves, right?
let's look the other way, even if the pt becomes septic because we chose not to advocate for them.
grntea is 100% right.
in the hospital setting, sterile technique IS the standard of care, for the very reasons she cited.
it would be totally the nurse (who chose to remain silent) fault if pt became infected.
op, yes, you are in a tough, tough situation and it would eat at me too.
in the home setting, the same rules do not apply...
but in an acute setting such as the hospital, sterile technique should always (always, always!!) be done.
i suppose you could have asked this nurse (privately), why she chose not to use sterile gloves, and share your discomfort?
i really do sympathize with you, and i hope you always aspire to the highest standards of nursing care as long as you're a nurse.
you need to follow your heart and act accordingly.
nosocomial infections are disgustingly high, partly because of apathy and shabby habits.
and who pays for all this?
our pts of course, but in the larger picture, we all pay.
"stay out of it", imo, is dangerous and irresponsible...
and is a big problem in u.s. society in general.
so many people would be much better off, if bystanders were moved to respond proactively instead of indifferently.
God bless you, op...
and stay on the high road.
- 0Feb 13, '13 by cblake4293Thank you for your advice! I work at a nursing home not the hospital but UTIs are common and I would feel horrible if the patient got one or worse. I'm hoping I can talk to the nurse in charge of trainings in confidence and she can hold an inservice on it. I am definitely one to mind my own business so this is really hard for me. I have never been in a situation like this and I have learned an important lesson. Next time I will ask the person right away why they are doing something a certain way( in a nonconfrontational way).
- 4Feb 13, '13 by lilaclover6984Quote from cblake4293A nursing home is considered a "home" environment. Clean technique is all that is required though in my practice I do personally feel better using sterile technique...Thank you for your advice! I work at a nursing home not the hospital but UTIs are common and I would feel horrible if the patient got one or worse. I'm hoping I can talk to the nurse in charge of trainings in confidence and she can hold an inservice on it. I am definitely one to mind my own business so this is really hard for me. I have never been in a situation like this and I have learned an important lesson. Next time I will ask the person right away why they are doing something a certain way( in a nonconfrontational way).
I don't think ratting out a senior nurse for something this minor is a good way to get started nor is it a good way to improve things. Set an example with your high standards and hope others will follow. Running to the manager on this nurse is only gonna cause you problems and not likely change anything about her practice anyway. If it really bothers you just talk to her one on one.
- 5Feb 13, '13 by loriangel14 GuideI have a pt in the hospital that straight caths at home.When we help him it is just clean technique.I guess everyone will do it differently. I wouldn't report it if someone chose to do it clean instead of sterile.
- 8Feb 13, '13 by MJB2010 GuideI would ask the training nurse to clarify for you what is required, clean or sterile. In the hospital where I work sterile is required. But in the nursing home it may be different. Before telling on someone else, make certain you know the proper policy and what is required.