This one will hurt if you are a sympathetic person,
I observed an Student Nursing Assitant do this! We were swampped and short staffed one night on second shift and being the super nurse I am I volunteered to pass all PO and scheduled meds (No PRN's), do all the TX's, and answer call lights. Leaving the Charge Nurse and 1 RN, to do the IV's and documentation for 30 pt's. The charge suggested if I fely comfortable doing it, that I could precept the aid after he observed me do 2 catheter insertions.
I thought that we would do a male first he did it with no problem then later that shift he could with me assisting (luckly in sterile gloves) do a female. I had choosen a quad. in a halo for him to do after observing me do another female just prior telling him to note the ureatha as it looks back at you (ha, ha). Soooooooo when we went to do the female pt he was to do, he did everything up to the piont of insertion correctly, I had to stop him though because he was rather forcfully trying to insert the catheter into the privy parts. I did not tell him till after we left the room what he did wrong but thank God! I had choosen a person who is in a halo and unable to feel what he was doing!
(The AID) was in the third year of a BSN program and he could not tell the difference between the two anatomical landmarks? I must of had a moment of real insight thinking back at that incident!
