Mom has some odd ideas about trach care. Kiddo is on a vent but we're weaning her. I guess about six months ago the kid pulled her trach out and mom didn't notice because the trach dressing was covering it. It was pretty traumatic to mom -- the kid turned blue, etc. When I do trach care, I do put the dressing on but mom comes home and immediately pulls it off. She's had some pretty nasty purulent drainage from the stoma site the last few days. I've been cleaning the site and putting a dressing on it but I'm pretty sure that mom takes it off the minute she gets home.
So, yeah. I come in today and the stoma site is obviously infected. On top of that, I'm helping mom do trach care and the kiddo has a ******* abscess just to the right of her stoma site. (Mom swears it wasn't there yesterday.) Mom flips out -- calls the doc who precedes to ***** out mom and me about the poor trach care. It was so awkward. Doc ******* me out and I couldn't say anything because mom was right there.
Anyway, doc gave orders for medicine BID. Mom comes home with the medicine and is like "I think we should do this four times a day at least." I'm like ---) "No." I'm okay with cleaning and changing the dressing 4 times. But if the doc says to apply the medicine twice a day, that's what we should do.
I'm just worried. I don't want this to come back on me. Didn't get to call my nurse manager today because mom was home all day. I plan on calling her tomorrow.
Any other ideas/halp?
The pt. is on a vent, but no alarm went off with extubation ???
The doc got inappropriate with mom ???
A topical bid ???
I know you cannot give details (and you shouldn't), but I don't see where mom is a problem. I'd be much more concerned about the time frame of reporting the drainage to the doc and then the docs response.
Last edit by systoly on Oct 20, '11