Do you have time to cut diabetic toenails?

  1. I am being told at my job that only nurses can cut the diabetic's fingernails and toenails. I am already being criticized and condemned for staying overtime to complete new doctor's orders, charting,etc. for the day. If I were to stay over to help cut toenails I am sure management would be furious. What do you do at your facility?
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  2. 28 Comments

  3. by   RN1121
    I thought diabetics should have only the podiatrist clip their toe nails....
  4. by   herecomestrouble
    I have always been told that only podiatrists can cut any resident/patient's toenails.Fingernails could be cut by CNA's.
  5. by   Mulan
    Quote from RN1121
    I thought diabetics should have only the podiatrist clip their toe nails....

    ditto
  6. by   sberrn
    I agree only a podiatrist should deal with a diabetics toenails. Healing process, potential for infection etc. However if you are a diabetic nurse, the rules change a little. Check your policy and procedure manual to find out if you are covered or not and the contraindications of the same
    Last edit by sberrn on Aug 25, '07
  7. by   SuesquatchRN
    We're allowed to clip a diabetic's toenails.

    Yeah, sure I have time. I'll get right on that.
  8. by   ohmeowzer RN
    we don't cut diabetic toe nails it's the podiarists job. due to the poor circulation of the pt , if you nick the pt they may not heal , and you are held liable .
  9. by   VivaLasViejas
    I don't do my diabetics' FINGERNAILS, let alone toenails. I formally delegated fingernail trims to my care coordinator and do periodic re-checks to make sure she's competent, but I'm strictly hands off for three reasons: one, I don't have time, two, I'm not very good at it, and three, I hate feet!! And diabetic feet are the worst......... Fortunately, we have access to a mobile RN who does at-home foot care services, and the ones he can't handle go to the podiatrist. Makes life simpler for everyone concerned, and assures the resident is getting the best person for the job.
  10. by   jnette
    hmmmmmmmm....... interesting. At my HH agency, all the RNs cut our patients' toenails.. diabetic or not.
  11. by   ktwlpn
    I believe that Blackcat is in LTC-medicare pays for regular podiatry care as do most insurance companies.We don't touch them-due to risk of complications.We have agreat podiatrist that rounds a few times a month.I would never cut a toenail in LTC....and wouldn't have time,either...
  12. by   meownsmile
    Nope not at my facility. We call the podiatrist for any nail cutting, even non diabetics. Otherwise, they do it themselves or family can do it.
    And no again,, i wouldnt stay overtime to do that anyway.
  13. by   Blackcat99
    Thanks all. I work at a very large assisted living facility. We are expected to cut each diabetics fingernails and toenails every 2 weeks. We have about 30+ diabetics here. The diabetics are always pleading for us to help them but there just isn't any time. Yes, I think it would be best if only the podiatrist would do it. I was told that our every other month podiatrist who comes in only does nails that are in "absolutely horrible condition."
  14. by   NurseCard
    I'm not sure I've ever worked anywhere where even nurses are allowed to do it. Where I work now, only doctors are allowed to.

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