Quote from Nursingschoolzombie
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 patients each at a time, and we have shared showers. In orientation, my trainee said she will usually give 3 or 4 baths a day and leave some of the bed bounds for night shift. I bathed 7 people one shift and left 3 for night shift and the night PCA jumped my case and reported me. This PCA also reported me b/c a ice pitcher didn't have new ice in it and the trash was halfway full at shift change in two rooms. Now, I'm being hovered over by our charge nurse and I hate my job already. There were a few pts one day I didn't bathe b/c they had bathed the previous day and they were not dirty, so I just provided peri care with soap and water. I got reported for that too. I think overwashing when not dirty leads to more skin breakdown? There are no guidelines where I work on this issue. What are some of your policy's on baths at your facility? Between rounding, procedures, and everything else, I don't even take lunch in the 12 hour shift, so bathing everyone is impossible it seems. I just don't want to get in trouble.
I don't know. I'd kind of feel a sort of way about dayshift pushing their work off on me, too. I would've said something abolut it to you, too. LOL If it were that pressing and I couldn't save the showers for the next day? I'd stay and help my relief get everyone showered. I've done it before (just not with showers). But...changing residents. I leave at 2 pm. Lunch runs from 12p-2p and it's difficult to get through my final round in between those lunches, sometimes. So, I cut a deal with the oncoming aides on the heavier, poopi-er residents. I help them transfer or assist them with changing.
It's not about being a Super Aide. LOL
It's my work to be done. Passing it off...? Y'know, I'm not even going to play the 'continuity of care' card. LOL You don't just up and leave YOUR work for others to do. "Oh, I'll do 4 and night shift can do ---:
Nah. I'm sorry....LOL
But...I suppose that things work differently in the hospital?
In all this I wonder: Is it even acceptable to do that? To unload on the night shift? You said something about the aide saying that she leaves her showers for the nightshift to do. Did you talk to the nurse about this? Is it an acceptable policy?
On matters like this, you need clarification.
When we're very busy, a modified wh-re bath is acceptable. LOL
I do pericare, get the pits, the feet and the face.
Some people bathe 3 or 4 times a week. I'm in LTC (psych). Those who can ambulate will shower daily if they feel like it. I did clinicals in the hospital and really like those waterless shampoo caps. Also, there's this antiseptic type wipe that you rub on the pt's skin after their bath?
Wish we had some of that where I am.
9-12 pts? 5-6 bedbound?
Some aides are just a-holes. They show no mercy to the preceding shift. These are the types who'll see the mistakes once they get on shift and make a stink after the relief has gone home....