How clean is a "bathed" patient?

Nursing Students Technicians

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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 some techs when I change a diaper, it's very clear that the patient's bath wasn't thorough. Dabbing at someone's armpits with a wet washcloth and calling it a day just isn't cutting it.

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. We recently had an MR patient for almost two weeks on our floor. I first had him as a patient about 10 days in. While in bathing I retracted his foreskin to clean and there was... well, a solid sheet of smegma underneath. It was difficult to even move the skin out of the way in the first place and cleaning it was awful. It had clearly been building up since before he was in our hospital, but why -after 10 days under our care- was it still a hot mess?

How does this even happen? I asked around on my floor and no one retracts foreskin during a bath, not even our two male techs. Yes, it's incredibly awkward and distasteful. Yes, I hate doing it, but aren't we obliged to make sure our patients are clean and sanitary everywhere? If they're incapacitated and bounced to us from a nursing home, shouldn't we make sure they're actually clean?

It's increasingly difficult for me to ignore when this stuff happens - like when the patient that was "bathed" still has stool on her perineum and between her lower labia. Sure, it's horrible to clean that up, but it's worse to sit like that.

Just venting. Just angry that it seems like not enough techs that I work with care enough to get under the skin folds, even when they're in ick places, even when the patient is hundreds of pounds overweight. No one likes doing this, but if I'm a patient care tech, shouldn't I be really caring for the patient?!!? When I first started I gave techs benefit of the doubt more often, but 8 months in, not so much. After a while you know who does and who doesn't do the job... I have no idea how to constructively talk about this with coworkers. I doubt the tech that's worked nights for 15+ years would be swayed by anything I did or said. Just had to vent. Thanks for reading.

If 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.

I 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

Unacceptable.

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.

I don't think anybody, rather it be an RN, LPN nor CNA should have to adjust to being stretched so thin that patients suffer because of it, that's just wrong.

Specializes in Med Surg, PCU, Travel.
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!

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.

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.

The nursing home i used to work at? not a chance in he**!!! the hospital i work at now? my mom had her knee replacement surgery there and will have the other done there as well

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