dressing from the 3rd?

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gtube dsg found on my 6am rounds. dated 9-3 which was my last float to this floor. don't wanna become persona non grata since im pool but...what do I do? I have an hour to decide. typing on PDA phone sorry. Its a QD change.

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I am assuming that this is a split 4 X4 dressing around a G-tube. Change it, observe the site, clean if needed and then you are done. There is still time.

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my ? is do I report it because super CNA was with me when I found it. I changed it like I was supposed to. If she reports it It could bite me later.

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Specializes in Telemetry.

so, are you saying that you wouldn't report it if "super cna" wasn't around?

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Specializes in Advanced Practice, surgery.

You need to ask yourself, is this an "untoward incident". If it is then you have a duty to document and report. If you don't then it could happen again, is there a problem with the handover process and how has this happened. Reporting procedures are about improving the care for your patients.

If you feel that this is acceptable practice then change the dressing and document.

The fact that you are asking, I suspect means you already know what you should be doing

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Specializes in neuro, critical care, open heart..

If it is an every day dressing change, then obviously it hasn't been changed in over a week! It needs to be documented and reported to the charge nurse. If someone is not changing a simple G-tube dressing, then what else are they not doing?

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Thanx guys. I reported it to the Supervisor who promptly blew me off and then tartly asked when I was scheduled to work again. I feel a cancellation coming on. Right is right hough and no one gets away with anything. It takes two minutes to clean a site with some NS and cover with a split 4x4 with adhesive edges built in no less. Geesh.

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Specializes in Advanced Practice, surgery.
Thanx guys. I reported it to the Supervisor who promptly blew me off and then tartly asked when I was scheduled to work again. I feel a cancellation coming on.

Thanks crappy, sorry. I still think your right to report

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Specializes in Med/Surg.
gtube dsg found on my 6am rounds. dated 9-3 which was my last float to this floor. don't wanna become persona non grata since im pool but...what do I do? I have an hour to decide. typing on PDA phone sorry. Its a QD change.

G-tube dressings should be changed, at a minumum, every 24 hours. Frequently they are changed 2-3 x per 24 hours. The opening collects secretions which if left will cause the area to become red and excoriated.

Personally I would fill out an incident report. If this was changed on the 3rd and today is the 12th, that is not good, not good at all. What would you do if that happened to your loved one? Report it? Do the same for the patient. Fill out an incident report. Patients are the number one concern.

**Sorry I didn't read all the posts first. So glad you reported it. Sorry the super took it so poorly. I'd still fill out an incident report, then they would have to deal with it.

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Specializes in Med/Surg.
I am assuming that this is a split 4 X4 dressing around a G-tube. Change it, observe the site, clean if needed and then you are done. There is still time.
:no: :banghead:
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You had to say something, you were given no choice.

You will sleep better tonight knowing you took the high road.

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your supervisor is par for the course

i have been in nurses meeting [ltc] where we were instructed,verbally, not to date dressings or bed linen because we were due for state visit

don stood in front of us and said she would swear that this wasn't said if something came up

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