You will still have to wipe butts even as a NURSE ! - page 2

Yesterday, I was talking to a friend of mine who graduates in May as a RN and since she is head of me in the nursing program I was asking about the second year courses and how they were. I graduate... Read More

  1. by   FireStarterRN
    I think you're right about that, there is some jealousy and resentment by aides of students.
  2. by   mattsgirl
    during my first clinical, we didn't delegate anything- we followed the techs around and wiped,cleaned,fed...the works. How else are we supposed to learn? I love doing all that hands on care, but some of my fellow students complained that they shouldn't have to do it. Please! Just because you are getting a BSN doesn't mean that you won't have to "wipe butts". I reminded them that someone would ahve to wipe theirs someday.
  3. by   mochabean
    The nursing instructor and the nursing students tell us up front what they're going to do. In fact, they even post a sign on the board that tells what they'll be responsible for that morning. They're not responsible for linen bags or accuchecks. I work with a couple of nursing assistants who are nursing students and they are very helpful and eager to explain and show me things. It has nothing to do with "jealousy and resentment" but with respect. But this is getting off topic.
  4. by   mattsgirl
    Quote from FireStarterRN
    I think most techs would be majorly PO'd at nursing students bossing them around. They also don't appreciate seasoned nurses who hunt them down for every clean up job.
    You are so right. At my first clinical, I was in awe of the CNA that I was shadowing and wouldn't dream of bossing her around.After all, she was showing me the ropes and I had so much respect for her and her techniques. Any new nursing student that comes in bossing the aides around has to get a dose of reality real quick.
  5. by   Daytonite
    you are missing the point. step #1 of the nursing process--assess. one of the reasons a licensed nurse would want to wipe a butt is for the assessment information. it gives the nurse an opportunity to assess the person's skin, know that the patient did indeed have a bm that day and to know the character of the feces all that they observed with their own senses. getting the information from a cna or tech is subjective data.

    people who look through keyholes are apt to get the idea that most things are keyhole shaped.
    Last edit by Daytonite on Apr 24, '09
  6. by   mattsgirl
    Quote from Daytonite
    You are missing the point. Step #1 of the nursing process--Assess. One of the reasons a licensed nurse would want to wipe a butt is for the assessment information. It gives the nurse an opportunity to assess the person's skin, know that the patient did indeed have a BM that day and to know the character of the feces all that they observed with their own senses. Getting the information from a CNA or tech is subjective data.
    I agree. I wish my fellow students would see it that way. They complain and ***** that they have to see or smell bodily fluids. A couple of them gagged audibly while with patients. I know, I know. It's terrible behavior.
  7. by   ChristineN
    Quote from mattsgirl
    I agree. I wish my fellow students would see it that way. They complain and ***** that they have to see or smell bodily fluids. A couple of them gagged audibly while with patients. I know, I know. It's terrible behavior.
    Gagging is sometimes unavoidable, even from the best of us. I've been known to choke back gags in front of patients, even with my strong stomach.
  8. by   csclarkrn
    Who ever these girls are, I feel sorry for them because patient care is what Nursing is all about. I work on a unit and we frequently have primary care for 3 Open heart surgery patients and don't have a tech. Our PCS is drawing all the blood and going EKG and in general helping but it our responsibility to do all the patient care. If a patient complaints and believe you me, they will, our manager will track down the patient care assignment sheet or look at the computer charting for the days in question and GUESS WHAT?? You will chewed up and spit out faster than you can stand there and say "But I'm an RN." Bull----, the manager will say "and Nurses do what? who is the customer? Do you want a job or not?" Those poor girls are in for a rude awakening.:redpinkhe
  9. by   Panthyr
    I agree with many of you. However, I believe the person who said that Nursing schools have to find a balance between delegation and getting their students enough experience with personal care has it right. One of the most important things about teaching students delegation in nursing school, IMO, is that delegation gives them the time to learn how to take care of an appropriate amount of patients.

    I don't know of many situations where you get one-two patients and do total care on them, except for high-acuity wards and nursing students. In most cases nurses are given a large amount of patients and others who can help them manage their care.

    What I'm trying to say is that I don't think delegation is something that should be withheld from a nursing school curriculum, because otherwise a student would get no experience with taking care of an increasingly larger amount of patients, because they wouldn't have time.

    Which would you be more afraid of? A student who has less experience with personal care but strong assessment skills; one who may be a bit clumsy, but can get the job done with the education they've been given? Or one, who, when thrown on a real ward and given six-eight (or more!) patients has experience with handling just one or two and can't properly and accurately apply the nursing care priorities that they've learned due to lack of experience delegating?

    Either way, whether you believe schools should be teaching delegation or not... I'd be ashamed to leave my patients room and spend thirty minutes hunting down an Aide to get them a drink of water or take them off a bed pan if it would only take me a few minutes and none of my other patients have immediate and pressing needs. "Wiping butts" is just part of the game, and they're paying to learn how to play it....
  10. by   Dr. Shelia, RN
    I find the slang "wiping butts" to be demeaning to patients and nurses alike. We care for patients when they are at their most vulnerable, and yes, sometimes we do have to delegate basic nursing care, including cleaning up bowel movements. We can delegate tasks but not the "caring".
  11. by   libnat
    It's better than wiping ass.

    I just say wiping myself.
  12. by   NurseLoveJoy88
    Quote from Dr. Shelia, RN
    I find the slang "wiping butts" to be demeaning to patients and nurses alike. We care for patients when they are at their most vulnerable, and yes, sometimes we do have to delegate basic nursing care, including cleaning up bowel movements. We can delegate tasks but not the "caring".

    My apologies... " Doing Peri- Care" may sound better. Actually, I don't apologize because I was just paraphrasing what the students were saying. I did mention clean the whole time when referring to my self. Ofcourse, we'll never say " Go wipe so and so butt" The better term is clean.
  13. by   Dr. Shelia, RN
    Thanks-- the way we speak really does make a difference. I have a feeling you are a very good nurse already.

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