Baths! - page 2

by Nursingschoolzombie 3,829 Views | 13 Comments

I've been off of orientation for a few months now as a PCA in an acute care unit. I usually have 9-12 patients. We have a pretty heavy workload, including bladder scans, ekgs, blood draws, etc. We might have 5 or 6 bed bound... Read More


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    Yup. Everything you said, x2. Lol. Me being naive I walked into this situation with all my lovely nursing school experience (read NONE) and spent my first few shifts crying. I'm surprised they didn't fire me. It's not that common to have so many, but it happens. We are understaffed and they aren't turning patients away because of it...so here we are. I am only 6 weeks away from being done with NS and it took me 2 years to get a job at this hospital. I am promised a job at the end or else I would have hightailed it outta here after the first day.
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    At my facility, we have specific guidelines so that there are no misunderstandings.The day shift does all the assist baths and linen changes along with feedings becasue that is when breakfast, lunch and dinner are being served. The night shifts does all the total (bed bound) baths and linen changes along with taking out the trash and stocking all the rooms. Nobody fuses if the trash is not completely empty as long as it is not full. Every shift passes ice at a certain time during the end of their shift and eveything is charted. Also, our rule is baths every other day so sometimes day shift does the bed bound baths too depending on when the patient was admitted and the last time they took a bath.
    Your facility need to start implementing specific guidelines so that the lazy techs don't take advantage of you because it seems like that is what they are doing and the charge nurse will take their side especially if they have seniority over you.
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    Wait, why is night shift not doing any bathing? Some days in my facility, nights are the only people that give baths. We all are to work together, but sometimes the day is too crazy, or sometimes the night is too crazy. I have multiple complete cares, some that like to crap out in the middle of the night. I'm not bathing people at 2 a.m. and most days get started at 5 a.m. with baths. Between that and the fifty million toilet runs I make I'm lucky to get 2 patients bathed. I try to make it the ones that are overdue for a bath, or the tough ones, like spinal cord injuries that take an hour to get done, to make it easier on days, but it's got to be a give and take. If all the next shift cares about is who is bathed and who is not, then they have bigger issues than I care to deal with.
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    Quote from AprilAnney
    That is beyond unsafe for patients. And I'm not saying that you're not good at your job, but there is NO WAY any person can give proper care to that many patients. Doesn't matter how amazing you are. You guys are being overwhelmed with work and your patients are being denied proper/sufficient care. Sounds like a recipe for disaster. I can't believe that you guys don't have an astronomically high fall rate.
    Everything you just said is why I left my first job after 7 months. And it took me three months after finishing CNA school to get that job. I'll tell you the dirty little secret: my unit did have a terrible fall rate, and yet somehow my hospital was named one of the safest in America by US News and World Report. Don't ask me how or who got paid off for that one..... To give you an idea how bad it was, I usually had 13 high-need tele patients (full unit was 26 with 2 aides and usually only 5 nurses), and mostly less-than-helpful nurses. I learned to cherish the ones who were willing to help do the "dirty work" and to just suffer through the shifts with the ones who weren't. We once had a near fall where the patient's light had been going off for TWELVE minutes. She gave up and got up on her own. I and the other aide were both busy caring for other patients. The nurses, including the charge, were all either busy or just ignored the light (and I know for a fact that at least one could have answered it). When I told my charge what had happened, after the patient reported it to me, her answer was, "Maybe we should put a bed alarm on her." Um, no dip****, maybe someone should answer her fricking light before TWELVE minutes have gone by!

    I refused to be part of it any longer, for my own physical, spiritual, and mental health, and now work for an amazing hospice company. I work night float full time in their inpatient units, and man, does a paradigm shift make all the difference in the world. I am so much more satisfied with my job, and the scandal is.... these people who are dying get astronomically better care than the ones acute care is supposedly trying to heal. At least here, they get treated like human beings and not just a list of tasks!
    KeepCalmCarryOn likes this.


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