Witnessed unsterile procedure and feeling terrible about it - page 9

by cblake4293 14,635 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


  1. 1
    i'm glad the situation is resolved, glad procedure should be sterile (phew!), and no one got in trouble.

    you may want to post this in your original thread since it is not getting the attention it deserves.

    best of everything and good job, op.

    leslie
    Liddle Noodnik likes this.
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    Quote from cblake4293
    Some nurses I have developed a good relationship and we often txt outside of work asking how pts are or bouncing things off each other...
    Next on your inservice list should be the above
  3. 1
    Suffice it to say, that each of our realities are not the same.
    Kudos to all of you who have never found yourself working where they don't even have alcohol preps.
    May you never have to.
    leslie :-D likes this.
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    Thank you to all who responded to my post about the unsterile cath I witnessed. After a couple of sleepless nights, I did what I felt I could live with. Talking with the nurse directly was not an option for me. I was not going to see her for another week and I felt that too much time had passed. She is somewhat confrontational and I predict it would not have gone well. I should have said something in the moment but you know what they say about hindsight. Lesson learned. Some nurses I have developed a good relationship and we often txt outside of work asking how pts are or bouncing things off each other. I would have definitely gone to one of these nurses if they had done it. So....I went to the nurse educator and asked her about the facility policy and if there were any exceptions. She said no. Straight cath is always sterile. I told her what happened and suggested an inservice without pointing anyone out. I also said we dont have kits which would have made the gloves readily available. She didnt realize we were out of kits . The end result is she is ordering kits, attaching a memo about correct technique and has no plans to single this nurse out in any way and my name stays out of it! To those who talked about being a tattle tale....yes I do feel like one! But this is about safety, and if this is how she always caths someone is going to get sick and I wouldnt want it to be my grandmother. I see shortcuts taken everyday at work, we have to somehow get a million things done in 8 hrs! I had clinical instructors say "this is how we do it in school but this is how its done in the real world". Loved those clinical instructors! Trust me I get it...
  5. 0
    Threads merged for continuity.

    Glad to see you have an amicable resolution.
  6. 2
    That's good news. She wasn't singled out and everyone will learn the proper technique. I didn't feel like you were a tattle tail. When it comes to patient safety you need to speak up.

    Even though I'm a middle aged burnt out nurse I still make patient safety a top priority.

    Sent from my iPhone using allnurses.com
    leslie :-D and mariebailey like this.
  7. 0
    Quote from cblake4293
    Thank you to all who responded to my post about the unsterile cath I witnessed. After a couple of sleepless nights, I did what I felt I could live with. Talking with the nurse directly was not an option for me. I was not going to see her for another week and I felt that too much time had passed. She is somewhat confrontational and I predict it would not have gone well. I should have said something in the moment but you know what they say about hindsight. Lesson learned. Some nurses I have developed a good relationship and we often txt outside of work asking how pts are or bouncing things off each other. I would have definitely gone to one of these nurses if they had done it. So....I went to the nurse educator and asked her about the facility policy and if there were any exceptions. She said no. Straight cath is always sterile. I told her what happened and suggested an inservice without pointing anyone out. I also said we dont have kits which would have made the gloves readily available. She didnt realize we were out of kits . The end result is she is ordering kits, attaching a memo about correct technique and has no plans to single this nurse out in any way and my name stays out of it! To those who talked about being a tattle tale....yes I do feel like one! But this is about safety, and if this is how she always caths someone is going to get sick and I wouldnt want it to be my grandmother. I see shortcuts taken everyday at work, we have to somehow get a million things done in 8 hrs! I had clinical instructors say "this is how we do it in school but this is how its done in the real world". Loved those clinical instructors! Trust me I get it...
    What en excellent outcome for such a tricky situation... You did a great job and sound like a fabulous nurse!
  8. 0
    Quote from imintrouble
    Suffice it to say, that each of our realities are not the same.
    Kudos to all of you who have never found yourself working where they don't even have alcohol preps.
    May you never have to.
    that's pretty bad imin ...

    Quote from cblake4293
    ... The end result is she is ordering kits, attaching a memo about correct technique and has no plans to single this nurse out in any way and my name stays out of it! To those who talked about being a tattle tale....yes I do feel like one! But this is about safety, and if this is how she always caths someone is going to get sick and I wouldnt want it to be my grandmother. I see shortcuts taken everyday at work, we have to somehow get a million things done in 8 hrs! I had clinical instructors say "this is how we do it in school but this is how its done in the real world". Loved those clinical instructors! Trust me I get it...
    wow excellent!


    Quote from limaRN
    What en excellent outcome for such a tricky situation... You did a great job and sound like a fabulous nurse!
    yep!
  9. 0
    Quote from Liddle Noodnik
    I have worked LTC. Years, not months. I still stand by what I said. I do understand! But, it is still unacceptable I will add though that I have retired from nursing, hopefully for the last time, and I'm only 54. It's a very toughprofession to be in no matter what the specialty. Kudos for those who will continue to do it, and do it right. But when you can't help but take shortcuts suchas these, maybe it is time to leave.
    Well, where I work we do have straight cath kits, fortunately. So, yes, I use sterile technique every time.

    The honest-to-God reality, though,
    is that many nursing homes have minimal sterile supplies and have policies stating clean technique for straight caths. Please don't imply that nurses performing clean caths in such facilities are lazy or taking shortcuts. That's unbelievably unfair. What would you have them
    do? And please don't say they should quit, that's such impractical advice. If every nurse quit Medicaid facilities because of less than ideal conditions, there'd be no one left. Sick people in crappy medicaid nursing homes need care just as much as sick people in posh Medicare homes....

    In any event, kudos to the OP for finding out what the policy actually WAS at her facility and for finding a way to educate w/o putting anyone on the spot. I'm glad everything worked out.
  10. 1
    Quote from BrandonLPN
    Well, where I work we do have straight cath kits, fortunately. So, yes, I use sterile technique every time.

    The honest-to-God reality, though,
    is that many nursing homes have minimal sterile supplies and have policies stating clean technique for straight caths. Please don't imply that nurses performing clean caths in such facilities are lazy or taking shortcuts. That's unbelievably unfair. What would you have them
    do? And please don't say they should quit, that's such impractical advice. If every nurse quit Medicaid facilities because of less than ideal conditions, there'd be no one left. Sick people in crappy medicaid nursing homes need care just as much as sick people in posh Medicare homes....

    In any event, kudos to the OP for finding out what the policy actually WAS at her facility and for finding a way to educate w/o putting anyone on the spot. I'm glad everything worked out.
    sorry, my reaction was a little more than it needed to be, I was just upset that people were dissing the new grad who did have a serious and valid concern. She handled it perfectly IMHO, checking on the current policy and suggesting a way that it be corrected. I'm SO glad and I sure don't want that nurse penalized, just, corrected if she is willing.

    and no I pray that nurses don't quit just because it's hard. I need those nurses who are willing and able to hang in there, and so do a lot of other people! and yes all the facilities need them, not just the posh ones.

    I had other extenuating circumstances but I would be right back at it if I could. It kills me that I am one more nurse who cares, but can't

    thanks Brandon
    BrandonLPN likes this.


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