Double diapering alert patients who ask? I think it's neglectful. However...

[Surfin USA]

The manager (who is apparently also not a nurse, but a CNA like myself, even though she measures insulin and passes meds!! Wtf kind of place is this!!) says it's okay if they're alert and oriented, and request it. She said as long as the wings are removed from a diaper u can use it as a diaper liner for "heavy wetters."

The way I see it, these people who are alert and choose to not go to the bathroom when prompted, are bound to get soaked either way, and the only thing a double liner really does is protect their clothes and furniture. I think it keeps them in a wet brief longer and does nothing for their well being. I have seen this person wearing DOUBLE FULL PULL UPS not one and a liner, but just one over the other. Today, it was a diaper liner. She does fine if she's toileted every hour and a half or so. Totally dry.

There are actually two patients that the staff are doing this to, and both are alert, but their (the patients') only reasoning for a diaper over or an insert, is one wants it at night and says she will be soaked if it's not done (which seems like she's not getting changed enough)

and the other one told me once (I'm new here, actually I think I'm fired for explaining resident rights to these same people, wowwww) that she has agreed TO it but she also said she feels more comfortable in a single pull up and that she feels like she's got a big load in her pants wearing the diaper insert as well. Thats the one I saw double diapered!! The other lady said that the CNA that passes meds also, and is a manager, was putting "the blue thing" on her which she said she "can't tape up" so I really think maybe I need to call an ombudsman. Oh and the CNAs here all call this woman a liar. She hasn't lied yet. Maybe her perception sucks and she's a bit abrasive, but she's no liar. She does tell the truth.

I have an application in for a home health care agency and have an interview already scheduled since this morning, so I'm fine with not working there. It's just those patients have rights and I really hate how poorly these old people are treated!!!

If this was your facility, would you report it?? What would you do??

[pinoy27]

lol our facility just recently fired a CNA for putting 2 diaper on one of the resident. The resident is confused though and unable to make decisions for himself. The CNA got mad that she got reported to the supervisor & told the charge nurse she knows way more than him. haha.

[SouthpawRN]

From what I have seen, 90% or more of leaks are due to poorly applied diapers and poor quality ones. Just about every patient I have changed a diaper on has gaps between their legs and the gusset/elastic on the diaper that is supposed to be snug against the legs.

[Emergent, RN]

So, you got fired for charging into a new job with both barrels and a bunch of self-righteous pot stirring? Of course, now you want to take it to the next level and engage in vengeful retribution by reporting to the State.

I've worked with people like you and they are super annoying.They are always scrutinizing others in an effort to build up their own self-image of being a crusader of truth and justice in the face of evil, while surrounded by negligent and uncaring coworkers.

[perfectbluebuildings, BSN, RN]

This was a common thing for some patients/families in a pediatric situation where I used to work, most specifically with older teenage boys who had severe delays and resultant incontinence... some of the parents preferred to use an appropriately sized child's diaper to wrap around their child's member and then a regular brief over that. It was just their usual way of doing things/their preference, and most of the time these children had excellent skin integrity, so it obviously wasn't causing them any problems. I don't know if that is similar to what is done in LTC or not... Of course we would not do this unless the parent wanted to (in this case, the patients could not make their own decisions.)