In your experience have you seen this happen? - page 3

I am not a nurse but a Radiologic Technologist for 39 years. Medicine has been my life many modalities. My mother is in a nursing home unable to verbalize because of a CVA. She has ogelvies syndrome... Read More

  1. by   flashpoint
    My LTC does not reek of urine...or anything else for that matter! Sometimes we get a temporary odor after we change someone's brief or something, but that is something that happens no matter what...come visit my bathroom after my husband has been in there! We put all we briefs in a bag...we double bag soiled ones. All wet or soiled linen is rimsed / soaked and then double bagged. Trash is taken out in the middle and the end of each shift. We work very hard to control odor.
  2. by   Smith-Lee
    I want to thank all of you again for your wonderful input. Because of your support and help in direction. The Dr. is involved has seen actual pictures and notified the facility and will be in soon. They are to determine what really happened as he confirmed along with all of you not from a cath placement alone. They are in the process of investigating further. It has been documented with authorities. The clonidine issue has had an incident report also but since then there was another delay (clonidine) that my sister noticed only a couple of days brought to there attention and the incorrect date was put on the new one that showed the date it should have been changed so now they are investigating that one. At least I think we have there attention this time. We are still looking for a place to take her there is a new thing coming on board in Oregon to happen soon. A new Foster Care called "on the move" for the more difficult pt. Oregon will pay more and there will be less clients at each home like only 3 instead of 5. But you all know how States move....slow....
    I want to thank COTJOCKY for the message, it is the facility you were talking about. As a new member I am not allowed to send private message yet or able to reply. Thanks again to ALL. Maybe we can help them get these problems on the mend. I think part of the problem is the Administrator is very willing and wants to make it better but she is not a medical professional so is relying on her Nursing staff which are not very seasoned nor willing to learn unfortunate for them as we all learn in this field every day and learn from every experinece. They need to start honing ther assement skills and think about cause and effect. Being creative and problem solving, how can we make things better.
  3. by   achot chavi
    Quote from systoly
    Absolutely, nursing home does not have to equal urine odor. And I'm not talking about temporary odors such as during rounds, but the ever present odor that hits you when you walk in the door. I do think, apart from many other factors, it makes a difference whether the floors are carpeted or not
    no carpets ..so no odor
  4. by   achot chavi
    Quote from Smith-Lee
    I want to thank all of you again for your wonderful input. Because of your support and help in direction. The Dr. is involved has seen actual pictures and notified the facility and will be in soon. They are to determine what really happened as he confirmed along with all of you not from a cath placement alone. They are in the process of investigating further. It has been documented with authorities. The clonidine issue has had an incident report also but since then there was another delay (clonidine) that my sister noticed only a couple of days brought to there attention and the incorrect date was put on the new one that showed the date it should have been changed so now they are investigating that one. At least I think we have there attention this time.

    [FONT="Arial Black"][FONT="Arial Black"]UNBELEIVABLE- making the same mistake twice...


    I want to thank COTJOCKY for the message, it is the facility you were talking about.

    [FONT="Arial Black"]I dont think it is a good idea to identify places on a public forum like this, it could have repercussions. Be careful!

    Maybe we can help them get these problems on the mend.

    [FONT="Arial Black"]Your job is not to fix the facility- that is their job, your job is to get the proper care for your mother, and that is job enough!!

    think part of the problem is the Administrator is very willing and wants to make it better but she is not a medical professional so is relying on her Nursing staff which are not very seasoned nor willing to learn unfortunate for them as we all learn in this field every day and learn from every experinece. They need to start honing ther assement skills and think about cause and effect. Being creative and problem solving, how can we make things better.
    [FONT="Arial Black"]None of that explains or justifies what they did, not the neglect nor the failure to give meds on time...etc.
    I am sorry but I dont have any pity for them- In Hebrew we say: When you start showing pity on the Cruel(people) then you will start showing cruelty to the people who deserve your pity ( and consideration)

    If there is problems with the Adm or staff who are under seasoned (your term) - why should your Mother suffer- if they call themselves a Nursing Care Facility - they had better start acting like one!!
    I am sorry for being so sharp- I hate repeat abuse and as far as I am concerned failing to replace your Moms patch -- twice- is abuse!!!
  5. by   TuTonka
    Quote from achot chavi
    my advise, since you have not found a better place for her, the family should take turns being with her, there is less chance for abuse if the family is around, try to find someone there who can help you- maybe a lone understanding nurse...
    WoW what a dilemma!

    It is that however there are many errors in the story and would require researching many different things. The old clonidine patches is one, the suspect of the bruise's cause is another one. State to state differences another one.
    There are even more if you scutinize the post. Negligence or Abuse? Whatever it may be it is a dilemma for the family and I think your advice about 24/7 coverage with the family memeber is a good one.

    TuTonka
  6. by   debRN0417
    Please report this to your state licencing agency that regulates the nursing homes. There is a complaint unit that would investigate these allegations. The facility has the responsibiltiy to throroughly investigate all injuries of unknown origin or suspected abuse and you as the family have the right to the results of that investigation. Call your local ombudsman for assistance.

    And- I am in a different Nursing Home every week and 99% DO NOT reek of urine. They ensure that personal hygiene is attended to in a timely manner. If course there are transient odors at toileting/changing time but the odors do not linger.
  7. by   skinnurse66
    I have worked in LTC for over twenty years and NO I have NEVER seen something like this. What is scary is your mom can not tell you what really happened. Saddly there are people working in these jobs that should not be. I am concerned that the people you reported this too seem to have brushed it off as no big deal. I would get your mom out of there and report this to all the local agencies you can Lord knows what else is going on there. Do you have a ombudsman in your state. Any state agency that watches over them. I would contact anyone you can. This just does not sound right.
  8. by   achot chavi
    Quote from debRN0417
    Please report this to your state licencing agency that regulates the nursing homes. There is a complaint unit that would investigate these allegations. The facility has the responsibiltiy to throroughly investigate all injuries of unknown origin or suspected abuse and you as the family have the right to the results of that investigation. Call your local ombudsman for assistance.

    And- I am in a different Nursing Home every week and 99% DO NOT reek of urine. They ensure that personal hygiene is attended to in a timely manner. If course there are transient odors at toileting/changing time but the odors do not linger.

    THANK YOU , noone wants to admit to the transient odors....even my husband can at times have transient odors (esp. after having what my kids call fart salad- three bean salad that he loves- watch as posters now advise me to buy "beano "or soak the beans in seaweed and water- both of which we've tried)-
    I
  9. by   mondkmondk
    If you are having trouble finding somewhere to move her to, may I suggest taking her home and hiring a private duty nurse? I know that can get expensive, but you don't have to hire a licensed nurse...I remember taking care of a patient when I worked in home health that had CNA's there round the clock with him. We would help the CNA's with bathing him and changing his linens etc. But he may have been more alert than what you describe your mom being. He did also have a bedside commode and a recliner that they would put him in so he wasn't in bed all the time. Just a thought!

    Blessings, M.
  10. by   CapeCodMermaid
    Quote from TuTonka
    Can anyune tell me if they have ever been in a nursing home that did not reek of urine? I never have.
    My facility does NOT ever reek of urine...ever.
  11. by   indiansfan
    Never in 25 yrs have I seen this happen. I would get her out of there fast then file a complaint with the state dept of health & the ombudsman. I have seen quite a bit & it is aweful what facilities get away with.
    I agree, the facility needs to have some problems...that is neglect & abuse.
  12. by   morte
    Quote from CapeCodMermaid
    My facility does NOT ever reek of urine...ever.
    lol, i KNEW you would be around on that comment.......
  13. by   achot chavi
    Quote from CapeCodMermaid
    My facility does NOT ever reek of urine...ever.
    I beleive that,
    no facility should "reek of urine"
    but if you stand right outside a room where a pt is being cleaned of diarhea- you dont smell anything ? of course you deal with it and it passes fairly quickly, but come on, sometimes during diaper changes there are transient odors.

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