Witnessed unsterile procedure and feeling terrible about it - page 5

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  pookyp profile page
    0
    Quote from lilaclover6984
    Sterile technique?

    "Ain't nobody got time for that"

    <img src="http://allnurses.com/attachment.php?attachmentid=12293"/>

    Lol I'm kidding btw
    Lmao!!!
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  3. Visit  Still Standing profile page
    1
    Your concern is why you are a nurse and a good one, more people like you are needed in the field, if it's not right it's not right I don't care who is who and how long they been where or who is going to look at me wrong, I'm not there for them I'm there for me and the patient, I would rather go to sleep at night peacefully than to be worrying about someone that I was in care for could possibly get sicker or actually gets sicker than they already are because I didn't stand up for them and do what was right. If State was in the building she would've put on those gloves. Personally I would've stopped her and provided her with the sterile gloves. People get too wrapped up in worrying about how someone is going to treat them or if they are going to talk about them. So What, they talked about Jesus. If you lose your job or they try to slander you they have layers for that, but trust and believe you will find something bigger and better.
    GadgetRN71 likes this.
  4. Visit  mariebailey profile page
    1
    LTC residents are already at higher risk for UTIs d/t their age & immune status; UTIs are one of the most common infections among LTC residents. If someone wants to complain a/b the cost of using sterile gloves for each straight cath, think of the potential cost savings from preventing UTIs & unnecessary antibiotic use.
    I think you should not stay out of it; it needs to be addressed because it affects patient care.
    GrnTea likes this.
  5. Visit  cindjo717 profile page
    2
    Can you find out what the statistics are for your facility pertaining to HAI? Also how long has this LPN worked there - it would seem to me if she has worked there for years, and does a lot of caths... they would have been on to her by now.
    nursel56 and GrnTea like this.
  6. Visit  cindjo717 profile page
    0
    Also nursing homes are much different than hospitals.. I did my clinicals at nursing homes, and it is a chore just to find sterile gloves! They did not perform sterile technique to my knowlege.
  7. Visit  GrnTea profile page
    6
    Quote from NewbieNeedsHelp
    I can't tell you how many times I've seen caths inserted like 5 times, in the wrong hole or meeting resistance etc etc only to have them pushed right back in after they have coiled up in the vagina. I've done it in exasperation and it's not right when it comes down to it.
    Time to reprint my handy-dandy, never-fail, no-vaginal-contamination Foley-insertion trick.

    When you are prepping the woman, tuck the last betadine-soaked cotton ball into the introitus. Not deep, just enough so it blocks the vagina. Then when you are trying for insertion and you miss, the cath only hits the sterile cotton ball and you can keep trying (ask for a cough and look for the "wink" or a little urine output) because it isn't contaminated. Retrieve the cotton ball when all is secure and cleaned up.

    I never went vaginal with a Foley again after learning that. Works every time.
    jmll1765, mazy, AnonRNC, and 3 others like this.
  8. Visit  brithoover profile page
    0
    If you report every nurse for not doing it the way you were taught in school you are going to have a very long career..
  9. Visit  imintrouble profile page
    1
    Quote from GrnTea
    Time to reprint my handy-dandy, never-fail, no-vaginal-contamination Foley-insertion trick.

    When you are prepping the woman, tuck the last betadine-soaked cotton ball into the introitus. Not deep, just enough so it blocks the vagina. Then when you are trying for insertion and you miss, the cath only hits the sterile cotton ball and you can keep trying (ask for a cough and look for the "wink" or a little urine output) because it isn't contaminated. Retrieve the cotton ball when all is secure and cleaned up.

    I never went vaginal with a Foley again after learning that. Works every time.
    Thanks for the reprint. Wish I'd known that a week ago.
    GrnTea likes this.
  10. Visit  GadgetRN71 profile page
    0
    This will sound snarky, but I've found there's a good number of floor nurses with horrendous sterile technique while putting in Foleys. Ditto for some Pacu nurses as well. I would have said something, but I have a big mouth and I'm not a new grad anymore.
  11. Visit  mariebailey profile page
    0
    Since you're new to the organization, you can play dumb and act like you have this novel idea that is best practice and will decrease the rates of UTIs among cathed residents to avoid rocking the boat & becoming a target:

    http://people.westminstercollege.edu...pc_ch27-05.pdf

    Just ask someone the policy b/c people may be getting sick there that shouldn't.
  12. Visit  SarahLeeRN profile page
    0
    I'm just going to add- don't forget that there are differences in people's intents....as a new nurse it takes a while to pick up on how some people practice nursing. Some people are genuinely trying to do the best they can and have picked up some 'short cut's' over the years-maybe wrong short cuts-but ones they have never had pointed out to them are wrong. They are not trying to practice sloppy, they just might be and not realize it. Other people just practice nursing sloppily, period.
    Watch how she cares for other patients and you might have a better understanding of the person that she is. Give her the benefit of the doubt, maybe she has just picked up a bad habit.
    My opinion still is that a catheter is always a foreign body entering into a bodily cavity. And a cavity highly prone to infection. Most cath kits have the sterile gloves with them....so why not use them?
    All other suggestions about facility P and P are good also. However, it's not hard and doesn't take long to use sterile gloves. I think it should have been done. But I don't think the LPN should be faulted for not doing it...unless there is a pattern of shoddy practice.
    Not to devalue this but at least it wasn't something crazy like a K+ push.....there is bad practice and then there is serious bad practice....:P
  13. Visit  joanna73 profile page
    1
    Honestly, it shouldn't be a chore to find sterile gloves. If you don't have a box handy, then use a catheter kit. Sterile gloves come inside the kit, and nursing homes have those. Aside from that, you should definitely speak with the coworker first. We worked with someone who often felt the need to go to management without saying a word to the person involved. Not fun, because no one likes to feel blindsided.
    BrandonLPN likes this.
  14. Visit  grad2012RN profile page
    1
    Quote from GrnTea
    Time to reprint my handy-dandy, never-fail, no-vaginal-contamination Foley-insertion trick.

    When you are prepping the woman, tuck the last betadine-soaked cotton ball into the introitus. Not deep, just enough so it blocks the vagina. Then when you are trying for insertion and you miss, the cath only hits the sterile cotton ball and you can keep trying (ask for a cough and look for the "wink" or a little urine output) because it isn't contaminated. Retrieve the cotton ball when all is secure and cleaned up.

    I never went vaginal with a Foley again after learning that. Works every time.


    Thanks for this great info, will do this when I start my residency position soon. GrnTea, you're awesome!
    GrnTea likes this.


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