It was reported to me, as a manager at a nursing home, that a nurse hasn't been doing her dressing changes on a person who has a stage 4 pressure injury. The dressings are every shift.
The issue? The nurse who is reporting it works the following shift of the person who isn't doing her dressing changes. Naturally, nurses are always worried about "ratting out" their co-workers and their lives being made more difficult after doing so... but SHE IS LOOKING OUT FOR HER RESIDENT just like she is supposed to do.
I'm asking for guidance in how to approach this nurse, from a management standpoint. I was thinking about just asking her what was going on in the way of being able to change his dressings because we have noticed them not being done regularly.
Are there many dressings on day shift? No. And his dressing change is not a complicated one, at that. That's beside the point anyway.
Thanks in advance!
Quote from ShimmaShimma0304
Petty or not... I guess it's ok to ignore orders rather than discussing them with the M.D. That's acceptable???? That's not how I was trained.
Why would she remove the dressing when it's not soiled? The only answer that comes to mind: THAT'S HOW IT'S ORDERED TO BE DONE.
There's no need to get sarcastic or agitated with any of us here. This thread has been going along just fine in a pleasant conversational manner with people trying to help you think through what might be going on....that's all.
ETA: Just realized that when I wrote the previous message I was thinking of daily dressing changes for some reason. My mistake. Still, no one is trying to argue with you but rather just talk it through.
Last edit by JKL33 on Sep 24