dmd3

We had a pt that was a "little" off the wall until he said this to me and we knew he was totally off..... "I would like to F you but you are too big and my dick is too small". Now, what man would say that his is too small?!?!?!?

I don't know if medicaid covers it you would have to check that out. As far as the length of time that the bandage stays on, it should be changed every 3 days. It really depends on the drainage. I'll tell you what, if you really want to try them, send me a "pm" and I will mail you some. Let me know what size the wounds are because it will depend on the size Allevyn.

A couple of things....is she on a w/c coushion? where and how big, size wise are these wounds? Is she heavy or boney?? If she does not have a coushion, get her one. If she does, get her a different one...gel works best. Can she relieve any pressure from her butt? If so she should do this every so often. As far as the wound itself, we have used with great deal of success, Allevyn. They come in different sizes. You just put it on without medication. When the drainage from the wound starts to come "through" the pad, change it. Depending on the drainage, depends on how often you change it. I had used it on my uncle and his wound on his shoulder healed within 2 weeks and hospice was amazed with it that they started to use it. It is costly, again depending on the size pad and the drainage, but to me it is worth the money. Good luck.

As a cna/ht what ever title of the week it is, you have to have a paper trail no matter what. The union can not do anything to help keep this person if there is a paper trail. Also, is there a job discription? You would need this too and show the cna that this is what you are suppose to do. Then if they do not do it, again, write them up. And every time you write them up, bring a copy to the next person in line so they know what is going on. If they do nothing,then go higher....chain of command as they say, but always write them up and keep on the "higher ups" to do something. We had the same problem here and no one kept a paper trail until 1 nurse manager did. It took a good 3 months to get them out, but they are out.....even her sister was the union president and she could do nothing to help her because of the paper trail. Document day, time, and situation and how long it took this person to act on the "request" to care for a pt, how long it took tem to do it and how the work was done. If you keep doing her work, she will let you keep doing it. Please don't think that all aides are like this person, we are not. There are good and bad in all proffesions but you only hear about the bad. There are nurses, LPN and RN and doctors that I would not let empty me cats litter box much less take care of me....and the same is said about some aides. I take care of my patients the way I would want to be taken care of or a family member that I liked to be taken care of. Good luck on getting them out....for your sake and the pt's.

Could you tape the inservices that you give and the off tours watch them when they can? We had done that here and it helped. I liked it when they know the night shift gets out at 8am and schedule an inservice at 9am. We don't get paid for that hour if we hang around and by the time they start the inservice....9:30am, we are falling asleep during it.