Double Briefing

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So I've been hearing a lot about this lately and I have searched and searched to find state regulations or codes or laws or anything that says in black and white "double briefing is illegal".... And I'm still empty handed. It's been a fighting subject at my current place of employment and I'm just curious, is it illegal to put two briefs on residents that urinate excessively? or is it just morally wrong...

Specializes in Med/Surge, Psych, LTC, Home Health.

I've never even understood the idea behind "double briefing". *HOW*

is that second brief supposed to catch spillover urine from the first brief?

I mean, you've got two briefs on this patient, the first brief has that

plastic "waterproof" outer coating, then another brief just like it over that..

how is that second brief even supposed to catch any urine? How does

that work ANY better than just having the pads/chux underneath the

patient to catch that urine?

Seriously? I don't understand the "double briefing" idea.

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Specializes in CCRN.

I would rather strip the bed completely than deal with the fall out from a patient obtaining a pressure sore or infection while in my care.

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Specializes in Knowledge Seeker.

Patients with polyuria need either a premium-quality ultra-absorbent brief or two of the cheap kind.

Placing two briefs is not criminal under the U.S. Code. Reportedly, some have been cited by the state health department for putting two briefs on a resident. The antipathy against double briefs suggests that people conflate the practice with neglect. 

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Specializes in CNA.

Is anyone still in this group? I just joined, but I don't see any recent postings to this topic

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Specializes in Knowledge Seeker.

I generally try not to work at places that use cotton washcloths alone for fecal incontinence. This post is why I joined the website. So much hate by some for double briefing. 

 

 

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Specializes in Knowledge Seeker.
On 11/13/2017 at 3:24 AM, NurseCard said:

I've never even understood the idea behind "double briefing". *HOW*

is that second brief supposed to catch spillover urine from the first brief?

I mean, you've got two briefs on this patient, the first brief has that

plastic "waterproof" outer coating, then another brief just like it over that..

how is that second brief even supposed to catch any urine? How does

that work ANY better than just having the pads/chux underneath the

patient to catch that urine?

Seriously? I don't understand the "double briefing" idea.

Not all briefs have that plastic outer coating. 

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Specializes in CENA.

DOUBLE BREIFING CAUSES SKIN BREAKAGE, REDNESS, SORES, YEAST INFECTIONS AND MORE! ALSO IT IS VERY CRUEL AND IS A SIGN OF NEGLECT AND IS A SIGN OF BEING PURE LAZY!! ANYONE THAT SAYS IT IS OK TO DO, NEEDS TO FIND ANOTHER JOB AND LOSE THEIR CENA LICENSE AND RN DEGREE. KEPING THE BRIEF OPEN WHILE RESIDENTS ARE SLEEPING IS A GREAT WAY FOR AIR TO FLOW. I BEEN A CENA FOR ABOUT 17 YEARS AND I BEEN IN THE MEDICAL FIELD SINCE I WAS 13 AND I WILL BE 47 IN MARCH. I STILL LEARN EVERY DAY. IT SHOULD BE COMMON SENSE TO EVERYONE TO NOT DOUBLE BRIEF!!

On 6/15/2022 at 10:34 AM, CNAinquire said:

Not all briefs have that plastic outer coating. 

NOT THE POINT! GO READ THE MESSAGE I JUST MADE! DOUBLE BRIEFING IS CRUEL, PURE LAZYNESS AND A FEW OTHER MEDICAL ISSUES!!

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Specializes in Knowledge Seeker.

There is no need to assume that double briefing is a nocturnal activity. Regardless, using two briefs at the same time is not part of a proper resident care plan. 

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Specializes in CENA.
On 6/15/2022 at 10:34 AM, CNAinquire said:

Not all briefs have that plastic outer coating. 

NOT THE POINT! GO READ THE MESSAGE I JUST MADE! DOUBLE BRIEFING IS CRUEL, PURE LAZYNESS AND A FEW OTHER MEDICAL ISSUES!!

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Specializes in Knowledge Seeker.

Having two briefs on probably does not incite immediate yeast infection or skin breakdown.

 

Not changing people who need to be changed while they are wearing two briefs surely precipitates moisture-associated skin damage.

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It is common for healthcare workers to equate two briefs with neglect, and in some cases it is true. People sometimes wear two pairs of pants - are they going to get a yeast infection?

Using two briefs concomitantly is not consistent with professional standards of care and manufacturing recommendations for the briefs.

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Specializes in CENA.

it is called being lazy and it is cruel I have done my research you lazy person!

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Specializes in CENA.
On 11/29/2016 at 11:57 PM, jwolansk said:

I have never considered if this is illegal. I work in LTC and we have pads we put inside their briefs. How is that different than two briefs? I always do rounds every 2 hours and turn/reposition. So I am wondering if they are still at risk for the breakdown and infections is they are being taken care of on time?

it is illegal, it is also cruel, opens up the strong possibility of skin breakage, sores, yeast infections and more.

On 11/9/2017 at 12:59 AM, Been there,done that said:

Double briefing is not an appropriate care measure. Get a Foley or a supra- pubic catheter order. You will not have enough time to check/ change your patient every hour. Trust me on this... they will be lying in their own urine for hours.

Welcome to nursing.

people better make time to check and change each and every resident! otherwise they better find a different job!

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