How clean is a "bathed" patient? - page 3
by tiredtech 9,007 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 MedChicaSmegma?
That's not showering. Some people just aren't doing the pericare correctly.
'Icky and gross' have little to do with it and I'm sure that anyone with a weak stomach wouldn't be an aide to begin with.
They're not going to listen you.
It's helpful to have them in the room with you on shift. If you do your job correctly, they'll be inspired to as well.
I was giving orientation to this new aide. He says, "You guys really change them." He told me that some people at his prior facilities don't even change the residents.
I said, "Well - they're wet, so...y'know... I wouldn't want to be laying in pee all morning. I don't see how such a thing could happen at your other place with nurses around. So, they never said anything about the entire hall smelling like pee or...? Because you can smell a pi-ssy diaper, y'know?"
"Well, the aides were lazy...yeah. But it sounds like a bad situation from the top on down. One doesn't do their job. The other just lets it persist. No teaching, counseling, giving the inspiration to do a better job....no boundaries. Those people were just a reflection of their leadership. When groups of workers are 'ate up'...it's usually because their leaders are 'ate up'. So, of course, they would be."
He laughed. "Yeah..."
It was good, though. I think he was testing us to see what would/not be allowed. Some personalities do try to get away with doing the bare minimum, y'know.
If I'm paralyzed one day, I hope someone is reeeeally cleaning me to make sure funk isn't building up somewhere on my body.
I would NEVER go to a nursing home or other area long term.
Give me a homecare nurse/aide or you might as well put a bullet in my head. LOL Swear to God, everytime the aide flipped me over to change me? I'd use all the strength in my head to topple prone and suffocate myself in the pillows.
The aides would be like, "No, Ms -- she's doing it again!!!!"
Let's be honest about things.
There are dedicated aides/techs. Everyone who began is, but the nature of the job burns a helluva lot of people out. Something happens to them. That's why retention is so low.
We're 'task-oriented' to begin with...and the more ppl you have...coupled with the less time that you have to do anything translates to people cutting corners to get things done. Sometimes, they have to.
Now, not doing peri is not excuse. I'm talking about big tasks.
The aides that I work with perform pericare 1-3 times a day. Why not always?
Some pts (males) are heavy, sleep in low beds and are in gerichairs. They're limber and when you need to keep them dry and press on to the next? It's faster and less of a strain to recline that chair, back it against the wall for leverage, toss those legs up and slide that brief under than to be picking these people up and down 10 times a day.
So, they do pericare: When they get them up for the day and when they lay them down for the day.
None of my people have this issue. They're W/C bound. The heavy ones can be moved all over the bed. The gerichair lady that I do have? I can gather her up and transfer myself. So, I pick her 'up and down' because she's light. I'll put her down for her naps inn between meals because she's old and needs her sleep.
I try my best to care for these folks because I know that they're not happy to be there. Would you? If it were me? I'd want someone to clean me properly. I sometimes have to give a modified 'wh..re bath' to 2 of my ladies because they have heavy loose stool and well...it gets in the crevices. It's a stench that regular water and even my periwash (when we have it on stock) can't get out.
Get a cup of water a 3 dimes of antiB soap and get to scrubbing.
It doesn't even take that long. Surprisingly, the soap comes off without going through buckets of water to rinse. I don't even need bath towels.
Showering? If I can get them into the bathroom, they're showered well. Sometimes, if I'm alone I'll give the big ladies a bed bath...but I can only do 1 per day b/c it takes up a lot of my time. Some will work that pt lifter/arm pulley thingy (can't recall the name of it right now. goes to show how much I use it, huh) alone. I don't. It doesn't feel safe and I fear dropping them on that floor.
I'll usually leave the hair for the weekdays. They shower her, so they'll get what I missed.
Sometimes, well...'recently' we haven't had time to shower or do nailcare on our residents. It's been 3 of us and I'm the PRN working 8 hours but I usually stay for 16. No one comes in to help out. So, if I didn't stay? There'd be 2 aides on the floor.
When it comes to that?
Your main goal is to keep them dry.
- 1Aug 10, '12 by rn2be73I work in a facility that gets mostly rule out for chest pain and most of them are ambulatory and there for a 24 hour observation stay. I offer them a shower and set them up with supplies or if they arent feeling up to a full shower..offer them a sponge bath. Most of them say i would rather wait till i get home..i chart that i have offered and that they declined. a bedbound pt is a different ballgame altogether....take 10 minutes tops to do a bed bath and a complete bed change with clean gown!!! I have a tough time doing a bed bath when there are 14 relatives in the room and they WILL NOT LEAVE!!! i have asked as politely as possible...do you REALLY need to see me give mom/dad/grandma/grandpa a bath!!!??? we do however have one nurse that WILL NOT take no for an answer....it does not matter how many times the pt refuses me and then consequently her....her way of thinking is EVERYONE MUST HAVE A BATH EVERYDAY NO MATTER WHAT!!! While i do realize that people feel better when they have had a bath...must we bully them?
- 2Aug 10, '12 by arallenrn11I'm an RN working night shift on a med/surg tele floor. Recently our hospital cut tech staffing. Frequently we have 1 tech for 12 patients. This is unacceptable. That being said, many people blame short staffing when things don't get done or done properly. Quite often I find people are just lazy or uneducated. Sorry, but it's true. You can't tell me that not one of the people the OP spoke with was unaware they had to retract the foreskin. That's bull. And as for the others who didn't know, they need to be educated. Make sure you chart in detail everything you do and report incidents such as these to your charge nurse. Report it every time it happens. If nothing changes, go up the chain of command. In my opinion the most important task the techs have is cleaning, changing, and repositioning (I feel nurses are responsible for this also BTW and I do this for my patients whenever possible). If nothing else gets done in a shift, that has to get done. If it's not, what are they doing? Also, short-staffing is not an acceptable excuse. If there are 12 patients on a unit and 1 tech, try and get half bathed and alert the oncoming shift as to which baths weren't completed so they can do them. This way everyone gets bathed in a day. Since the staffing cuts I have noticed more and more patients who are in soaked briefs and who stink when I come on. Quite frankly it ****** me off. And the fact that no one at least mentioned that so and so wasn't bathed tells me they didn't even notice. That's what I mean by lazy.
- 0Aug 10, '12 by SadalaI'm a new nursing student but I was hospitalized for about a year (not all at one stretch, but I spent about 3 mos hospitalized off and on during that year). I was ambulatory and if I told the nurse I would get my own shower later, or tomorrow, or whenever, I MEANT it. Trying to bully me would have been a bad idea.
On the other hand, I spent two years providing in home care to a quadriplegic. We did mostly showers for him, but bed bathing as well. And basically, I bathed him as I would have bathed my own child in similar circumstances. It's so important for the prevention of UTI's and skin breakdown.
- 0Aug 10, '12 by joy09If you ever get the chance to teach techs, I hope you will think about it. Your standards are just good patient care. In the meantime, you should have a discusssion with your manager and see if there is a way to bring this up down the road so it isn't directly linked to you. I've found it's better to do that first, before talking to your peers so the message isn't coming directly from me. Good luck.
- 1Aug 10, '12 by umcRNI was a tech for two years while in nursing school and believe me my patients were BATHED. Soap, water, piles of wash cloths and towels. Now I work in a pedi ICU and techs don't do baths the RN's do. Many will just use those icky bath wipes but if my kiddo is stable I won't do that, soap water, the works...especially some of our chronic pts who are around for months, wipes just aren't going to cut it. I actually LOVE getting to give a good bath, makes me feel good about my care and it's usually something the family really appreciates. When my kids are clean, tucked into a fresh bed and sleeping I feel accomplished haha
- 0Aug 10, '12 by nguyency77Unacceptable.
When I bathe someone, I REALLY bathe them whether or not I get sprayed/splashed/water in my shoes. I'm not the sort to leave wet poop stuck to somebody's butt.
Shame on those techs. And we all wonder why CNA's get such a bad rap. -points- Because of those people.
- 0Aug 12, '12 by man-nurse2bQuote from Ellie S.Workload? these are people. Can 1 person realistically care for 15 bedridden patients? And I know some facilities where the CNA/PCA to patient ratio is even higher. That is just rediculous. Everything nowadays is about money and coorporate profits.If you cannot adjust to being stretched too thin, than nursing is not for you. No disrespect among aids, and this is not toward anybody directly on this post. Just if aids complain about the workload, they have to "figure it out" just like every LPN and RN has to do!
For those in this field. How many of you would bring your elderly mom or dad or grandparents to stay and live at the facility you work at? be honest.