At my other agency, they have a patient who needs a weekly nephrostomy dressing change. They NEVER EVER have the required supplies such as Tegaderm film, cover sponges and Chlora-prep to clean it. All they have here is normal saline and ABD dressings and tape-that's it. If you complain about anything at this agency you are taken off the work schedule.
They had been doing it on a day that I wasn't working. Now it has been scheduled to be done on my one day a week work schedule.
What would you do? Would you just clean it with normal saline and apply ABD? Or should I chart that tegaderm film, cover sponges and Chlora-prep are not available therefore dressing was not done? At this same agency, I also had to sign a paper stating that I understood that I must always wear my company issued ID when I am working. The fact is that they do not even issue company ID here!!!!