I am about 3 months into my first nursing job out of school and have been offput by some stuff on my unit. For reference I am on an adult psych crisis stabilization. Can people either validate my concerns or tell me if I am being unreasonable.
1) There is no actual procedure in place to ensure that patients get a change of underwear and scrubs. We have been told by management not to offer new clothing to patients unless they directly ask or we see that somebody is visibly soiled. Most patients shower in the morning, but don't change clothing. Because patients don't think we have spare clothing often times I will see patients walk around with period leakage, feces stains, etc. and when asked why they didn't ask for some new clothing they report that they didn't know that was an option. I often worry that patients are sitting in their own mess for an extended period of time before a staff member notices and approaches them to offer new clothing.
2) We are only allowed to give patients one pad at a time. Management states this is for safety purposes, but leads menstrauting patients to hang around the nurses station all day asking for supplies. We also do not offer overnight pads which often leads to bloody sheets in the morning.
3)We are also told not to change sheets unless they are visibly soiled. Our average patient stay is only 6 days, but still this seems like a long time not to change sheets. Furthermore, we are told if they are wet to assume it is just spilled water unless it smells like urine and then change the sheets.
4)With instances of urinary incontinence patients are not allowed to shower. This often happens while patients are sleeping hence they are completely soaked from head to toe. To make matters worse we are required to stand and watch them strip naked, give us the wet clothing before we can give them the dry clothing. As if the patients aren't embarassed enough to begin with they must have a nurse watch them remove their wet clothing.
Can people tell me if they also think this is problematic and/or I am just being unreasonable. What does your unit do differently? Thank you.