Well I finally broke down and decided to post after watching this board for quite some time. I have been a nurse for nearly 10 years and I have a question that needs answering if anyone can help or has any input.
I know that a pressure ulcer can result in as little as 8 hours. My question is ---- pt. presents with a 1cm broken blister and the area around it is darkened (not red): how long does it normally take for this to form????? (well hydrated, good nutrition status, alert & oriented but has some confusion and is non-complaint at times.)
And yes I love motorcycles. My husband and I are building our own choppers (fabricating, etc) and not using factory add-on parts except for a few essential parts i.e. the engine.
Thank you in advance for your help.
Nov 28, '02
It could happen in a couple of minutes if the skin were in poor shape (for any of a number of reasons) and the person slid in bed, for example. Or on the saddle of a motorcycle during a sudden acceleration, for another.
Last edit by sjoe on Nov 28, '02
Nov 29, '02
Originally posted by emily_mom
Is this pt totally incontinent? Where did she come from (home, another facility)? From what you say if she indedd well hydrated with good nutrition status, it would take longer than 8 hrs. Does she eat a high protein diet?
Yes the pt is incontinent and she came from the hospital with her skin intact and I do belief she is eating a protein diet.
Problem is she refused to get out of neuro chair the night I worked and the next morning after several attempts to get her back into the bed she finally went around 5AM. The CNA was cleaning her up and called me to her room. I gave the CNA orders and wrote a report to my super. (pt right to refuse - right?)
Well low and behold when the morning CNA came in and saw her bottom she proceeded to anounce to the whole area about how bad this pts bottom was and it was b/c she had stayed in the chair all night. (tidbit- I wrote this CNA up several weeks ago and she is almost out the door). Anyway the family came in and she proceeded to tell THEM how awlful it was and that it was MY fault. I tend to think (if I remember corectly) that this was the CNA that worked till 11PM the day before and maybe was already aware of what her bottom looked like.
I am b/t a rock and hard place. I DO NOT feel as though this is all my problem and I am not getting any support from my higher ups. (Another tidbit - the nurses where I work usually leave me to find out problem areas or they just don't look. I believe SOMETIMES they just want a paycheck and don't care).
Maybe I should just get out of nursing - I care too much.
Or maybe I should start acting like the others see no evil, hear no evil, speak no evil.
Oh------ nice one about the MC seat. I never thought of that-----
Last edit by msdixiechopper on Nov 29, '02
Nov 29, '02
Write her up and also make sure you are keeping your own copy of the notes you make on this matter, including the facts about just exactly what you informed your supervisors about it and when.
You are correct that you will be left out to dry if you are unable to substantiate "your side" of things. I would also start shopping around for an attorney who is experienced in labor law. An initial consultation should cost you less than $50, just to see where you stand and to get a better idea of your rights (and ability to successfully sue, if need be).
Welcome to the BB and remember:
Last edit by sjoe on Nov 29, '02