False Documentation? - page 2

I need advice. I have a home health client who is 100+ years old, end stage renal failure, anuric, +++sediment in foley causing obstructions. This man was getting cath irrigation c NS q week... Read More

  1. by   NRSKarenRN
    Check out our Wound, Ostomy, and Continence for the stickied info.

    Great article:
    Incontinence Products and Devices for the Elderly
    by
    Diane K. Newman, MSN, RNC, CRNP, FAAN, is the Co-Director, Penn Center for Continence and Pelvic Health, University of Pennsylvania Medical Center, Division of Urology, Philadelphia, PA

    Section 4 talkes about catheter types:

    The large diameter of silicone catheters may prevent the formation of biofilms as they are more compatible with the lining of the urethra and do not allow build-up of protein and mucous
    Order 100% silicone and see if it makes a difference
    Last edit by NRSKarenRN on Nov 16, '07
  2. by   CapeCodMermaid
    If a patient has a treatment ordered and the nurse does not do the treatment that could be construed as neglect. Neglect of a patient is an event which is supposed to be reported to the Department of Public Health. I realize that everyone forgets now and then to finish all treatments, but if the whole reason for your visits to this gentleman's house is foley care, how could one forget? You should tell your supervisor what you have found. If there are negative consequences, you could be held liable as well for knowing and not reporting.
  3. by   RPN_2006
    Thank-you all for your useful and informative advice.
    I have learned things with this experience to take forward.

    My patient passed away last night.
    May God rest his soul and bring peace to his family.
  4. by   caliotter3
    So sorry to hear of the family's loss and your loss also. It was clear that you cared very much for your patient. He is resting now.

    If you think this other nurse is habitually lax, perhaps you can find a way to avoid working on the same case with her in the future. Save you more uneasiness.
  5. by   jnette
    Quote from RPN_2006
    Thank-you all for your useful and informative advice.
    I have learned things with this experience to take forward.

    My patient passed away last night.
    May God rest his soul and bring peace to his family.

    ((((RPN_2006)))


    I'm so very sorry about the loss of this dear patient.
  6. by   RPN_2006
    Thanks Jnette and Caloitter.

    I did care very much for this patient. I feel a little lost each day not stopping in to see him. He is my first death, although I was not on shift thank goodness, so I did not have to pronounce. I am glad he is no longer suffering, and although it was an expected death, its taking me some time to come to terms with.
    Thanks for the hugs.

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