Incontinence care of resident question?

[StephAnnE93]

Ok so state is coming soon to my nursing home. My question is, how many times are you supposed to actually change gloves while performing incontinence care? I like to do things right always so I don't have to worry about state but I was talking with another CNA who's been supervised by them and she said you change gloves after removing soiled diaper, again after performing pericare, again after removing soiled linen and again to work with clean linen once everything is in place. I was taught to use one pair and only change if visibly soiled?!

[mindofmidwifery, ADN]

This makes sense to me, and maybe I'm wrong but maybe someone who's right will answer:

Wash hands

Gloves

Wipe bottom

Throw away incontinent product

Change gloves if soiled, if not put on new incontinent product and clothes and change linen

Wash hands

[mindofmidwifery, ADN]

Because don't they teach you in CNA class to change your gloves when you wash your hands? And you don't wash your hands THAT many times

[StephAnnE93]

Well hand sanitizer in between gloves if still the same pt. I still wash hands between patients tho obviously lol

[StephAnnE93]

But what that other CNA said really freaked me out and I don't want to lose my job over something so trivial! >.

[StephAnnE93]

Because obviously you can't learn everything in CNA class

[mindofmidwifery, ADN]

Lol state isn't going to do anything to you, calm down. I wouldn't worry. Do what you're used to doing. I did the routine I explained when state came and there was no problem.

[StephAnnE93]

I know state won't do anything to me. But my job could fire me for costing them those write ups right?

[Glycerine82, LPN]

YOu just glove up once at the beginning and wash your hands at the end. It's not a sterile area, there is no reason to constantly take off your gloves, you're not going to leave the pt. there half naked while you go wash your hands. You might be thinking of catheter care.

[Tenebrae, BSN, RN]

This makes sense to me, and maybe I'm wrong but maybe someone who's right will answer:

Wash hands

Gloves

Wipe bottom

Throw away incontinent product

Change gloves if soiled, if not put on new incontinent product and clothes and change linen

Wash hands

This is what I do

If I'm changing a catheter its different but for basic pericare the above is really succinct, practical and to the point

[StephAnnE93]

That's what I thought but for state purposes, a few CNAs have told me you're SUPPOSED to change gloves about 3 times during the entire changing process?! I think I'm just going to keep my one pair and if they fine the facility, oh freaking well >.>

[hookyarnandblanket]

The chances that they will observe you doing peri care on a patient are quite low. I believe they have to have consent from the DPOA to observe something like this. At least I haven't had them observe me giving patient care.