Sh4y

There is a CNA that is new to the job. She was trained for two weeks, and went to work on the acute side of the building. Shortly after we were told that she could not "keep up" so she was sent to LTC. Today at the end of my I was slammed with a new admit and other odds and ends that took priority. And I consider my CNAs my eyes and ears and if there is something that I should be paying more attention to they are instructed to pull me away. A patient on comfort care I was in her room and provided my cares that were needed and left four hours went by and I walked into the room to find that she had passed at least two hours prior. The CNA was no where to be seen and the patient was left in the same position I had left her in. Need less to say I was angry but couldn't help but think that this was my fault. I have been really nice to her and have been trying to guide her in the right directions but this may have been the last straw and not only did that happen but every one of her patients were soiled and not in the best conditions the rooms were a disaster. I called my DNS and she said there is nothing we can do because we need "warm bodies" I just don't know what to do. I'm going to write her up tomorrow but I feel nothing else will be done...

I have a patient that has chronic wounds on his scrotum. One of which we have just placed a wound vac on, he is obese and doesn't get up much. He is able to reposition himself which he does frequently. He is very moist in the scrotum area and they have decided to place a wound vac. And this wound vac will not stay on over eight hours so staff is replacing it every shift and it is killing his skin. Any advise on how to get the dressing to stay?