I work nights. My patient was 94yo male. On a first step mattress, stage two to his buttocks, incontinent of BM, copious amounts of diarrhea, and a GI bleed on top of that.
To prevent further skin breakdown, I got an order for a flexi-seal (rectal tube). At the end of my shift, I repositioned him, on his side, butt in the air, xenaderm on the sores, with the kin-air pad under him.
This evening when I came on shift, the day charge nurse says to me that I need to make sure this patient is turned every 2 hours, make sure there is no diaper on him, and make sure that he has the appropriate pad under him. Apparently, someone put a diaper on him and a regular linen saver under him (thus trapping heat and making his stage twos worse). I asked her who did that and she just LOOKED at me. She said that they found the patient that way this morning.
She was such a COW about the whole thing. I know she is doing her job, but don't come at me and insinuate that I don't know how to take care of my patients. I spent HOURS in that room with my patient, painstakenly wiping his raw butt off, cleaning him up, turning him, etc....and she has the audacity to insinuate that I allowed someone to put a diaper on him and the wrong kind of chuck under him? Give me a break!!!!!
Ok, I feel better now.