I am a new grad working on LTC and still on orientation. I have noticed that one of my preceptors doesn't wash her hands...like ever during the shift. It's incredibly disgusting. She has been working at the facility for almost a decade and she is only in her mid 40's and doesn't even use the foam sanitizer that is stationed at the door of each resident's room. According to everyone she is a good and compassionate nurse, but how can that be possible is she doesn't wash her f'ing hands!
Also she doesn't even look up the meds that she is giving! I know that in LTC you "know the residents" and probably have all the meds memorized but still, you can miss something and not even know it because she pours all her meds, gives them to the patient, and then signs all her meds and everything at the end of the shift. In the meantime she surfs on facebook and plays Farmville.
What's worse is that we have blister packs for our meds that we pop into little plastic cups, she pops the pills out into her unwashed hands and puts that into the cup! Totally defeating the purpose of popping pills into cups! Also for eye drops she not only doesn't wash her hands but also doesn't wear gloves! And then she would go and pop more pills into her hands for the next patient's meds! Needless to say on the rare occasions when she does wear gloves she doesn't wash her hands afterwards.
Even grosser recently I saw her after putting eye drops in a resident (sin gloves, of course) , then go directly and eat take out at the nurses desk!!!! I see her eat constantly without washing her hands and I gag a little in my mouth each time.
During a shift I only saw her wash her hands once before a doing a dressing change prior to putting on gloves, then afterwards she didn't wash her hands! Am I missing something? How the heck does this happen? I mean I don't want to get my preceptor in trouble because she will know it will be me who said something but what should I do?
I mean who wouldn't be offended when you say "hmmmm excuse me don't you think you should wash your hands, like more than once during a shift or more like in between each resident, before and after you basically do anything with a patient?" Also this nurse has a reputation for being moody and I don't want to get on her bad side while I'm still orientating with her.