How clean is a "bathed" patient? - page 2
by tiredtech 9,033 Views | 29 Comments
What is a bath? When you say you "bathed" someone on your shift, what should I expect was done? I'm getting frustrated. Being a tech is frequently an icky job, but don't we have an obligation to get people clean? Going after... Read More
- 0Aug 10, '12 by FORTHELOVEOF!!!!I came across a patient once who received a "bath" full of baby powder. Instead of just cleaning this patient like one normally would before bed, this CNA was so lazy they thought the baby powder would suffice for peri-care. It was beyond disgusting.
- 1Aug 10, '12 by gonzo1You are right. Baths are important. It does seem like they are being pushed out of the way in exchange for more testing, blah, blah, blah. Some days my patients are not even on the unit for most of the day. And I hate powder. It gets in the lungs and can cause PNA. Keep up the good work.
- 1Aug 10, '12 by acosenza2When I was a nursing student my definition of bathed was what I would want for myself. A Few washcloths with soap everywhere and then a few washcloths with clean water to wash it all off and then dry them, really dry them. I would certainly expect no less if I were the patient that needed full cares.
Now as a nurse I do not have the time to do bathes because I have high amount of patients to care for, but if I do have time I will help to clean a patient after BM etc. I take it seriously because an unclean patient has an increased risk of skin breakdown and skin breakdown is not pleasant or easy to heal and is very easily preventable. The nice thing about our facility is that when someone is bathed they also get a full body assessment by a nurse so I see first hand that our CNAs do a fantastic job of bathing our patients.
- 3Aug 10, '12 by bashieraWhen I give a patient a full bath, I cover the bases I do in the shower- PTA (pits, tits, @ss), feet, behind ears, face, and for patients, skin folds. The hospital I do clinicals at as no-rinse soap so I use that if the patient is totally bed bound, washclothes in soap, then a clean water basin to rinse, then plenty of towels. I make sure their peri-area is free from feces or urine, and make sure it's covered with a nice layer of barrier cream. When I wipe their bottoms after they go to the bathroom, I often wipe up residue left from the last person to clean them, but I always make sure they're clean because I know how gross I feel if I don't shower the important bits at least everyday, let alone a week! Just last week I was cleaning an obese male patient and I retracted his foreskin and saw just tons and tons of smegma behind his foreskin. I felt so bad for him that nobody cleaned him fully before me. I know it's not the most appealing thing to do (clean the glans of an uncut male) but it's an important area to keep clean, and pericare is so important for females because UTIs and vaginal infections are rampant in facilities because 'it's gross' to clean them well down there. COME ON PEOPLE. It takes 3 minutes to wipe them down well after they BM or urinate with bath towels or a wash cloth, and they'll definitely appreciate it. Things like deodorant, getting their teeth brushed and cleaning their dentures/partials really makes people feel a lot better when they're ill or in a facility.
So, if someone tells me in report they were bathed, I expect clean bottoms, clean pits, clean faces, brushed teeth, barrier ointment to the butt and peri area, and washed/combed hair, and a happy clean patient.
- 0Aug 10, '12 by tiredtechi can sympathize with the dilemma of being stretched too thin! we have all been there. my unit has very few "walkie-talkies" and many total/turn patients. oh neuro. if they are ambulatory, it's usually a seizure or altered mental status patient - still a fall risk to assist up to the bathroom. we have just over 35 beds and if we're full with only two techs, it can be a total nightmare. on those days my survival strategy is to put all the towels/gown/linen in the room at the beginning of shift, so that i'm ready to bathe the moment the patient has a bm. we can't do it all. but if you say you bathed, please have really bathed, you know?
quote]i came across a patient once who received a "bath" full of baby powder. instead of just cleaning this patient like one normally would before bed, this cna was so lazy they thought the baby powder would suffice for peri-care. it was beyond disgusting.[/quote]
yes! we definitely have those who love using powder on our unit. oddly, this is something everyone denies doing. it's terrible when i move the bed pads and a visible cloud of powder erupts into the air. gonzo1 made an excellent pointit gets in the lungs and can cause pna.
it seems the logic is: baby powder smells good, smelling nice = clean.
i wish the nurses had to do full body assessments after baths. having that accountability would help so much. when the only other person that will see the state of the patient is the next tech, there's not a lot of external pressure to do the job.
- 0Aug 10, '12 by Ellie S.I found this very often, and when I used to work as the charge nurse, I had no problem giving them a piece of my mind, and writing them up if the problem persists. Although I do believe in keeping a good relationship with the aids and other staff, I experience a lot of laziness & that I will just not tolerate. I've been an LPN for more than 20 years, and I bust my @$$.
- 0Aug 10, '12 by 8jimi8ICURNHere's a game i learned in the STICU in Columbia. Speed bath. You may prepare your soap water, towels other linens and completely bare your patient. Time begins when water touches the patient. Time stops when you raise your hands and say hands off.
2 people. patient must be dry.
My best time with a gastrostomy dressing change included is 4minutes and 30 seconds. that is top to bottom, front and back, with good peri care-- including cleaning the foley. AND deodorant roll on.