Pericare.....

Do any of you have to watch the CNA's Perform pericare?

I've watched quite a few people do it, and have seen it door poorly/incorrectly by CNA's, new nurses, experiences nurses, nursing supervisors.....

My (least) favorite *ever* was the RN I was helping re: positioning.....who 1st did peri-care, 2nd changed the dressings on the patient's gangrenous feet, and then changed the wet-to-dry on the patient's surgical abd wound.....all in the same pair of gloves. I asked her at each juncture if I could lend her a (CLEAN) hand....grab her a new pair of gloves....something! The last time I asked, she told me to mind my own patients. :barf01:

I've watched quite a few people do it, and have seen it door poorly/incorrectly by CNA's, new nurses, experiences nurses, nursing supervisors.....

My (least) favorite *ever* was the RN I was helping re: positioning.....who 1st did peri-care, 2nd changed the dressings on the patient's gangrenous feet, and then changed the wet-to-dry on the patient's surgical abd wound.....all in the same pair of gloves. I asked her at each juncture if I could lend her a (CLEAN) hand....grab her a new pair of gloves....something! The last time I asked, she told me to mind my own patients. :barf01:

I hope to hell you let you NM know. Poor patient probably needs IV ABT after all those treatments.

I hope to hell you let you NM know. Poor patient probably needs IV ABT after all those treatments.

I was a student at the time, so I tried to make mention of it, without "tattling" on someone. You know...something like, "Hey, Instructor, what would you say to an RN when you see them (list all of these gross, bacteria-ridden procedures) to a patient..."

My instructor knew what I was talking about, and took care of it. If it had been an instructor I had less faith in, I would have handled it differently. :)

Do any of you have to watch the CNA's Perform pericare:coollook:. Just wondering about this, since State was in, and our facility almost failed:madface:. It took state surveyors coming in 3 times:nono: before the cna staff could get it right:banghead:. I am thankful I worked night shift and cna's on day shift are the ones that were watched. My staff knows the proper procedure, they have been cna's for 5 yrs + on nocs:bowingpur. The day shift has had an influx of NA's the past 6 months:cry:. It makes me wonder what the education nurse has been teaching in the facility. Or, are the Na's management hired at our facility really that slow they don't comprehend washing hands, putting on gloves, wiping from front to back? :confused: Any opinions? Just curious.

I know from expierence, working in a long term care facility was the most difficult, because we didn't get any help from the nurses, had a huge assignment (12 total care patients), and somedays it was a miracle to get them washed up on time, although I would stay late and know I was giving them great care, I have worked with many CNA's in the LTC that sit constantly and don't perform their tasks. I'd definately keep track of any CNA's you see not doing their job, and when you talk with you manager it would be documented. Often times CNA's get the proper training in Clinicals, but it takes a certain person to do the job, and the ones who can't, should find another profession. It took for myself to working at a local hospital to be surround by hard working people, and other CNAs that were working just as hard as I .

Good luck to ya!