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| No. 50 |
Sep 10, 2009, 07:38 PM
Re: Elderly patient left on bedpan for days
Ok i see two diffent thing occuring in thei event.
1 the doctor who schelude this pt at the end of the list perhaps as he knew that she would not be an easy case and to prevent orther surgerys being delayed was tired. perhaps he felt the delay due to her size was somthing she could have controlled, and maybe other personl thing were going on. I do understnad were he may be coming from due to her increased size cauing surgery to take longerbut he was unprofossional in approach. the known risk However you have a concerned familly knwoing people can die during surgery knowing i hope that increased weight increase risk etc and they have beeen wainting for there loved one and it taqking longer=probelms occuring.
scared people do not always react well they perhaps wanted to know if somting went wrong.
one of things i always say to pt pre surgery is that no one can tell how long a procedure will be and i say this to relatives and they seem to undertand if the take longer it takes longer.
| | Advertisement Sponsored Links | | | | No. 51 |
Sep 10, 2009, 08:05 PM
Re: Elderly patient left on bedpan for days Originally Posted by rachelgeorgina I'm from Sydney, Australia and the incident occurred in a major acute care hospital with a brilliant record for trauma care, including a nationally recognised burns unit.
It's my understanding that the patient in question was in ICU for a number of days before being transfered to CCU (where it is alleged the incident occurred) and was discovered when he was moved to the respiratory ward.
I can't comment on the number of days, suffice to say that the hospital has now said that the incident DID happen but that 5 days is an exaggeration (after originally denying the incident occurred at all.) I can comment and say that other students that I was working with during that week were on the respiratory ward that he was transfered to and SAW the pressure wounds with their own eyes. Hole at the bottom of his spine big enough for fists is apparently an accurate description.
To those that have said everyone in hospital should be fired or that the hospital should be closed down, I can understand where you're coming from. However, how logistical is it to close down a major hospital (including it's OR services, trauma services, investigative and outpatient services as well as the basic ward care, pathology, imaging, the blood bank etc?) This place is HUGE and provides care to thousands of people on a daily basis!
Those who have commented on the role of nursing aids in this situation - they are rarely employed in the acute care setting in the way Americans are used to. It is the RNs duty to toilet, turn, bath and change their patients sheets, along with the rest of her duties. We, for the most part, don't have aids to delegate to!
On a final note, the story goes that the incident occurred in CCU. I have a lot of personal experience with this particular CCU as my great auntie was a patient there twice in four months for extended periods of time before being transfered to ICU and passing away a day later. This level of care, described in the article, I would NOT put past some of the staff (most of the staff) on this unit. My aunt had no teeth - they sent up full meals (not puree) which she couldn't eat. My aunt required feeding due to massive SOB and general exhaustion. She was never fed by staff unless I or my family were there and WE did it. Family members were often ignored by staff when changes in our aunt's condition were pointed out (increased drowsiness and confusion, which on a known CO2 retainer is obviously a sign of CO2 overload, which also caused her death) and we were often treated very disrespectfully by staff for simply being there with her as loving, supportive family members. (We certainly did not behave in the way "those" annoying family members have been described to do. We simply kept her company because she was frightened, and because we realised that she was not receiving optimum care.)
& to everyone who has experienced something tragic as a result of staff negligence, I am truly sorry.
I'm sorry for not reading the rest of the posts after this, as I have to get off the computer. But I did want to say that you should be very careful about what information you put on the internet, especially since you are a student, but that goes for anyone on this site. I don't want to see you or your classmates get in trouble.
| | No. 52 |
Sep 10, 2009, 09:28 PM
Re: Elderly patient left on bedpan for days
I dont understand how a language barrier can be part of the excuse for why this man had to suffer. I am not an ICU RN but if this patient was in the ICU/CCU am I wrong to say vitals, I&O, focused asssessments, etc..are usually done on an hourly basis? How could a patient go 5 days(120 hours) without having any nursing staff visualize urine, measure and record? How can nursing staff, physicians, family members, or therapy staff, etc not realize this man was on a bed pan? If this is true it is disgusting!
| | No. 53 |
Sep 10, 2009, 10:31 PM
Re: Elderly patient left on bedpan for days
It is true we live in a culture that is quick to blame nurses and aides for sorry hospital practices (short-staffing, cutbacks on support staff,) that result in lousy patient care. Nurses are constantly undermined by ignorant people who set up roadblocks to delivery of care. That said, I don't think the nurses and aides can possibly dodge negligence on this incident if it is indeed not an exaggeration. If this patient was being turned, toileted, and bathed AT ALL, it should have been apparent that there was a bedpan under the patient. A bedpan is pretty darn hard to miss. Sorry, but the nurses can't get off the hook by blaming the admin on this one!
| | No. 54 |
Sep 11, 2009, 12:04 AM
Re: Elderly patient left on bedpan for days
In over 30 years of nursing I have seen a number of things left under patients when I came on shift AND ASSESSED MY PATIENT! Therein lies the rub, as several posters have commented. I found these items within at least hours, I can't see 5 days! One morning several years ago I had a student come and get me to show me something she found appalling....you guessed it, her assigned patient had been left on a plastic bedpan (full sized, not fracture pan) from the night shift. This particular patient was obese, and one could not see the pan until one turned the patient. After assessing and caring for the patient, I immediately filed an incident report. The nurse from the night shift had had an emergency after putting the patient on the pan, and failed to remember to remove the patient. As bad as that was, I just cannot imagine the suffering of the patient in this news story. Other things I have found under patients....a fork, needle caps, a penlight to name a few!
| | No. 56 |
Sep 11, 2009, 12:20 AM
Re: Elderly patient left on bedpan for days
As a CNA, I cannot fathom how someone could be left like that for that long! That is awful and unexcusable!
| | No. 57 |
Sep 11, 2009, 12:52 AM
Re: Elderly patient left on bedpan for days
Really hard to believe this story. First if he was on a bedpan for days, where was the urine and feces going. A bed pan can only hold so much. Then he had no visitors in all that time, so where was his family. Just to many questions to be believable. Skin can start to show break down in two hours time in a patient that is already compromised.
| | No. 58 |
Sep 11, 2009, 02:36 AM
Re: Elderly patient left on bedpan for days
I am at a loss of words. The elderly are our most precious and vulnerable patients. We as nurses are their advocates and voice when they can not speak or understand. I am very saddened this has happened to someone's loved one. Hope this encourages nurses to better assess and be aware of their patients. Someone elderly that gets an infection and pressure can easily succumb to this. Remember that everyday you or I report to work our licenses are on the line. Do your very best. I know we all get busy but please remember that you are taking care of a person not a piece of paper or computerized chart.
| | No. 59 |
Sep 11, 2009, 02:46 AM
Re: Elderly patient left on bedpan for days
After reading all the articles I am undecided on the validity of the length of time the patient was on the bedpan. I will not dispute the fact that he was neglected for some length of time-that is clear in that he sustained a large pressure ulcer. But he had been a pt for a month or so, critically ill. Many factors play into the development of pressure ulcers...nutrition, hydration, mobility, lack of mobility...we all know the triggers well.
It is sad that this gentleman became the latest victim of neglect--at least the ones that have come to light. Perhaps the world leaders, policy makers will realize the true impact the nursing shortage, overworked nursing staff, and inadequate equipement have on the vulnerable public. It seems a shame that a simple "error of handover" as the hospital spokeman stated has created such pain for one individual...how many others have been harmed that we haven't heard of...yet? Even a "large" individual needs to be turned.
On a sidebar, I'd like to know if the hosptial was relying on a turning bed for mobility. In my experience these are inadequate to use for pressure relief, especially for people of larger size. Please weigh in you opinion (no pun)
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