Turning Patients

  1. 4 I know this sounds cruel but has anybody not turn a morbidly obese patient because they could not get help? I know we are suppose to be the patient care advocates, however, we need to watch for out health first and I am not willing to risk a severe back injury to turn a 300+ person myself! I just get sooo mad when I see these patients that are severely obese and are taxing the resources of the hospital staff and health-care system. Sometimes I think it is all when can do just to make an obese patient comfortable!! Just ranting here but want some opinions from fellow nurses. I'm a relatively new RN and I don't know if I can stay in bedside care if this is the future of our patient care population! PLEASE GET SOME EXERCISE AND STOP EATING SO MUCH FAST FOOD AMERICA!!!
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  3. Visit  Sg0223RN profile page

    About Sg0223RN

    Sg0223RN has '3' year(s) of experience and specializes in 'Critical Care'. From 'Savannah, Ga.'; 34 Years Old; Joined Sep '07; Posts: 19; Likes: 19.

    33 Comments so far...

  4. Visit  Zaphod profile page
    1
    Lol, yes. Well we can do as much as we can, but I personally do not have a magic wand to turn them if no one is available. The good thing is that we can order bariatric beds that turn them. These beds are pretty good in helping the pneumonia but do little to prevent pressure ulcers. So when you get all your nurses make sure you really do good skin care. Sometimes the logistics are that we can not do certain things-do not blame yourself.
    blueheaven likes this.
  5. Visit  Silas profile page
    0
    Luckily we have a lift in two or our rooms, but it is definitely an across the unit, team effort, to turn these pts. I find it hard to be empathetic sometimes. Last time I asked a pt about what he does/where he eats outside of our very acute unit, and he said how he was a restaurant reviewer and started talking about the best cheese steaks and calzones in the area. Seriously? Its too bad their neurotransmitters/hormones are all screwed up from that obesity and they crave that food, but having to tape hot packs to my lower back sucks. I don't see the demographic projections changing too much
  6. Visit  detroitdano profile page
    1
    I've found myself asking "How big are they" during report when I get a new patient I've yet to have. It's nice to hear that they're so tiny you can turn them and bathe them yourself without any strain lol.
    pdmech73 likes this.
  7. Visit  BellaInBlueScrubsRN profile page
    0
    Ugh, I feel ya. I wouldn't dare try to turn em myself. I don't like attempting to do 175 lbs on a vent by myself. Its a team effort. Or orderly if you are in a pinch and just CANT find someone. (I know, I know. They get annoyed with it sometimes).
    Its hard to feel compassion when they are bedridden at home and 500lbs. How do they even get food with such limited mobility??
  8. Visit  aCRNAhopeful profile page
    0
    Well first off I would never think about attempting it myself or with two people. Probably need at least 3. It can be hard to have empathy for these people since it seems like often times they are more demanding than most patients. I never let it show that they are annoying me since I do realize that I am in no position to judge.
  9. Visit  TangoLima profile page
    2
    I utilize the rotation feature built into our beds. Putting a pillow under these people is pointless since they just flatten the pillow anyway. Really, there's just so much you can do.
    blueheaven and fiveofpeep like this.
  10. Visit  JustinTRN profile page
    0
    Wow....I let out a giggle to this because I've felt the same and never have said anything. At my hospital we have bari MAX beds that are suppose to turn huge patient but my manager insist that the beds turn the patients but doesn't lift their butt, so technically they can get breakdown. Then my manager rounds just to make sure you're turning these 400 pound patients. I'm like get real! These patient's are on air beds. If they are too big and get breakdown then so be it. Using those lifts take 30 min to get out and maneuver and you still need someone else. They are really useless sometimes.
  11. Visit  BellaInBlueScrubsRN profile page
    1
    ^ I think I remember management saying once that we were still supposed to turn when they are on a turning bed. Some of them are used more for lung issues, not skin breakdown. It still shifts the weight though (right?). Butt touching a air mattress, butt touching a pillow. Much difference? Beats me
    fiveofpeep likes this.
  12. Visit  fiveofpeep profile page
    4
    Quote from JustinTRN
    Wow....I let out a giggle to this because I've felt the same and never have said anything. At my hospital we have bari MAX beds that are suppose to turn huge patient but my manager insist that the beds turn the patients but doesn't lift their butt, so technically they can get breakdown. Then my manager rounds just to make sure you're turning these 400 pound patients. I'm like get real! These patient's are on air beds. If they are too big and get breakdown then so be it. Using those lifts take 30 min to get out and maneuver and you still need someone else. They are really useless sometimes.
    If management has the time to hound you about turning each time, they better push up their sleeves and get in there and turn the patient to see what you are going through.
    resumecpr, pdmech73, CoffeeGeekRN, and 1 other like this.
  13. Visit  fiveofpeep profile page
    4
    Quote from BellaInBlueScrubsRN
    ^ I think I remember management saying once that we were still supposed to turn when they are on a turning bed. Some of them are used more for lung issues, not skin breakdown. It still shifts the weight though (right?). Butt touching a air mattress, butt touching a pillow. Much difference? Beats me
    It defies logic to me. When you stuff a pillow under them you are putting a flat pressure-point-inducing surface on top of a continuously moving surface that reduces pressure points. So basically you are creating a regular hospital bed on top of a bajillion dollar air fluidized bed.
    green34, tryingtohaveitall, simvee, and 1 other like this.
  14. Visit  Zaphod profile page
    2
    Well the pillow hypoteticaly should not touch the coccyx and they sould be turned enought to have the butt suspended in air..lol, sure, I would need 10 pillows for some of these people and even then..
    grandmawrinkle and fiveofpeep like this.
  15. Visit  blueheaven profile page
    1
    Quote from JustinTRN
    Wow....I let out a giggle to this because I've felt the same and never have said anything. At my hospital we have bari MAX beds that are suppose to turn huge patient but my manager insist that the beds turn the patients but doesn't lift their butt, so technically they can get breakdown. Then my manager rounds just to make sure you're turning these 400 pound patients. I'm like get real! These patient's are on air beds. If they are too big and get breakdown then so be it. Using those lifts take 30 min to get out and maneuver and you still need someone else. They are really useless sometimes.
    Tell your lazy (fill in blank) manager to roll up his/her sleeves, get a pair of gloves and help!!!! When they go home at the end of the day/night with an aching back, maybe they will understand. Turning any patient greater than 30 degrees via a turning bed will contribute to breakdown due to shearing action.
    Hoozdo likes this.


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