How many times a day do you change a residents diaper?
My mom is in LTC as a Respite Pt....she was just placed there. They only seem to change her diaper in the morning and right before they put her in bed for the night. She is incontinent to urine....she uses a bedpan for bowel movements.She will use the bedpan in the morning before she is dressed for the day.
She is complete care ...needs a hoyer lift for transfer.
She is Alert/Ox3....she is can forget at times....ex. telling someone to change her diaper
BUT....she is fully aware! and can talk. She has MS....
I dont understand why I need to ask the staff to PLEASE change her in the afternoon . WHY?????
Would you leave a "baby" in a diaper for over 12 hours before you change the diaper again?
And one more question....does your facility use crank beds? Full crank beds....head of bed needs to be cranked, NO electirc at all.....
I thought I did everything correct before I placed her in this facility....but I guess I did not.
I appreciate you reading this....it is a bad day, when you have to put your mother in LTC.....
If the DON is not helpful I would approach the omsbudsman and get them invoved. If it is hapening to you mother it is happening to other patients who are not A & O. Also, and LTC facility is licenced by the state. Make a complaint to the state if you don't get the responce you need to ensure the health and saftey of you parent and the other residents.
We are supposed to give q2h incontinent care, but at the minimum my CNA's will change morning, after breakfast, before/after lunch, shift change, before/after dinner, and HS. 11-7 has q2h schedule for incontinent residents also.
As for crank beds, yes, almost all of our beds are still cranks. I work in a nice facility, state rated 95%, so I'm sure its common everywhere.
Specializes in NONE, BUT PLAN TO SPEC. IN GERIATRICS..
Regardless of rules or issues, you should look into another facility. this is completly unacceptable. This facility is apparently not under strict enough control by health agencies,and needs to be investigated for neglect and abuse of its residents.
good luck to you in finding a better equipped care facility for you mother.
This explanation of care is actually neglectful and does not follow best practice standards
I would be very verbal and and very direct as all residents can be affected and if you step up and make the difference for your mom you start a chage of standards that will benefit those there that do not have a voice.
Residential care units are held to a standard of care as is LTC and the need to be toileted is not a luxary but a a necessity and expectation no matter what level of care.
I would expect my cnas to change an incontinent brief every 2 hours.res should be cleaned with mild soap and water and moisture barrier applied past each episode and NO-ONE is to sleep in a incontinent brief unless they have a history of playing in stool.My therory is "A butts gotta breathe"
q2hrs and PRN !!! how was staffing? 3-11 is hard to staff is usually new staff also but do bring this to DON attention it is a:nono: Hope it straightens out for your DM good luck ,, yes when something is wrong please bring it to the attention of the nurses your mom (saddly to say) will get better care if you let it be known that she is not
If this nursing home has gotten to the point where they are only changing briefs every 12 hours I fear that trying to stay and fight for better care for your mama may be pointless. I worked for a while in a home that was pretty bad. Family members complained all the time but the problem basically came down to this: It was a crapy home with a crapy reputation so crapy folks (nurses and CNAs) who wanted to pull a paycheck and do as little as possible flocked to the place because they knew little was expected of them and they could get away with a lot of garbage. The administration went through 7 DONs and 7 ADONs in a year and a half in an attempt to change things but the problem went much further than the DON. The last straw for me was when an aid (usually smelling of booze) went to sleep on a couch in the TV room of a lockdown unit around 1:00 a.m. and a dementia patient came into the room, walked right past him, and jumped out of a second floor window that was supposed to be bolted but wasn't. He later died from complications. All of this was caught on camera but one year later it is still one of the s***yest nursing homes you will ever walk into (I visited there last week). My point is that family members were constiently raising hell about the poor level of care, state was allways showing up, but nothing ever changed. The place is rotton and needs to be shut down. I have a feeling that a home that changes residents every 12 hours and continues to do so even after a complaint has been taken to the administrater (who denied it could happen) isn't going to change because of one extra family member fighting for their loved one . I don't know what size city you live in but any town of any size should have more choices of LTC facilities so that you dont have to settle for this. Raise hell one last time and then get you poor mother out of there. I know this is a hassle but in the long term she will be so much better off (I dont mean to come off as preachy but this type of thing going on in a nursing home really irritates me- no one deserves this type of treatment) .
Why would the state let it stay open Josifek? I am sorry that you worked at a place like that! I am even more sorry that the elderly would be placed in a place like that!! I mean wouldn't the State put it in immediate jepordy statis? Having evidence that someone was allowed to commit suicide?Dear God, I would have called the state myself even if I did work there! I will pray for these poor souls.I hope the place is closed down ,places like this give all nursing homes a bad name and if it is staffing state needs to step in and raise the ratio of pt to nursed to aides, but in this place I think it all needs to go.
Contact the DON/administrator immediately. Every 12 hours is not only inexcusable, it is abuse. If I caught my CNAs letting someone lie in a urine-soaked brief for 12 hours, they would be fired. I'm so sorry you are having to go through this. Please let us know what happens after you speak with the head honchos concerning this issue.
Not only the CNA, but the nurse over the CNA should be fired also. you can't tell me she doesn't know they are abusing the patients, it is her job to ensure the pts are taken care of.
Also, OP, not long ago (2-3 yrs) there was a national case where the LTC facility had to pay MILLIONS to the family because their family member was not changed properly (every two hours) and this was considered abuse, neglect, and disrespect. (there was another word, but I just can not think of it right now.)
Also, In all the LTC facilities I have worked/had clinics we ALWAYS (with a marker) write on the brief date, time, and inital the brief so that we know when it was last looked at. You can MAKE the DON put this in your mom's careplan. If it is in the careplan, IT MUST BE DONE!!!
Also, pop in and make your own marks. Your initals on the tag, or something small under mom to see if they have moved her. (like a note saying "If you find this call me at------- so I know when you found this note.) If she has not been changed then likely she has not been reposistioned. THIS ALSO NEEDS TO BE CAREPLANED. Anyone that is unable to reposition themselves (and some who are able) can DIE from pressure sores. MY GRANDMOTHER DID.
I am sorry you are upset about putting her in LTC, and nothing I or anyone else can say will help, but know that you will be in my prayers. I hope you are able to find peace with this decision. You may need to move her to a different facility.
Texas
Edit--ask this, OP, I see it has been over a month, how have things gone? Let us know, Please!
Lets get real nobody changes a patients diaper every 2hrs with 10-15-20 patients that would not be possible, writing times on diapers doesnt work I worked at a facility that started that and quickly stopped .Administration who doesnt work the floor had thought it up promised familys that patients were changed every 2hrs.then the writing was on the "wall" we had even mora complaints "Mama hasnt been changed in 3hrs!" I have also had cases where patients only wanted to be changed once and refused to be turned we had to chart the refusal. I would say the times that other people have posted would be more accurate. If a patient says no you cant force them.
. I don't know what size city you live in but any town of any size should have more choices of LTC facilities so that you dont have to settle for this. Raise hell one last time and then get you poor mother out of there. I know this is a hassle but in the long term she will be so much better off (I dont mean to come off as preachy but this type of thing going on in a nursing home really irritates me- no one deserves this type of treatment)
.
Renashia
26 Posts
If the DON is not helpful I would approach the omsbudsman and get them invoved. If it is hapening to you mother it is happening to other patients who are not A & O. Also, and LTC facility is licenced by the state. Make a complaint to the state if you don't get the responce you need to ensure the health and saftey of you parent and the other residents.
Tracy, DON Assisted Living