jigi

Located in Australia. The manager who approached her was in an acting position for a month and inadequately dealed with the situation appropriately. She spoke to the nurse before I had even put the incident report in. The nurse just lied about it and said 'If I documented it then I did it, maybe it fell off'. There was no way that it could have just fallen off as the 2 x outer layers of the dressing were still intact (picture some cotton wool wrapping around the whole thing as well as tubifast to hold it all in place). My workplace is just becoming a joke, things get reported and yet nothing gets done about it.

Hi, I work in the community setting and there is a new grad RN nurse which works with us (she was previously an Enrolled nurse prior to completing her new grad and has been in the field for a long time). A patient had a VAC dressing and she changed it without being accredited to do so, she did not drape the underlying skin resulting on suction directly to good skin and damaging the skin. All of the skin on the patients' buttocks was damaged as well as some tracking up his lower back. A colleague of mine was suprised when she found out that she had done the VAC as this a competency which is saved later on in the new grad program and said this to her. She then proceeded to say that she knew she wasnt meant to do it and asked the other colleague to cover up for her. An incident report was filed. This nurse also was looking after a chronic pressure area on a patients bottom (he is wheelchair bound). Another nurse went in one day and noticed that there was a large fistula tracking into the patients urinary tract so that you could actually see his catheter! This hole would not have developed overnight and the new grad nurse had done nothing about it. This nurse also saw one of my patients, he as multiple wounds on his foot (3). The nurse had attended the other 2 wound dressings and was wrapping the patients foot up., The patient and his wife pointed out to the nurse she missed a wound dressing, she did nothing about it, documented that she had attended the dressing in the notes and on the computer. I know for a fact that she did not as I removed her dressing and there was indeed no dressing on that particular wound. I lodged an incident report and she denied it all when the manager approached her about it (acting temporary manager). I feel the issue here is that not that she made a mistake but she is denying and lying about the fact. Has anyone been in this situation before and what course of action should I take?

Hi, Im a nurse in Sydney, Australia and would like some opinions on an infection control matter. I noticed that one of my colleagues has been using a plastic bucket/tub to wash patients leg wounds with. These tubs are being used amongst multiple patients. The way in which she washes the tub is : (1) Washes the tub with water and a product called 3M Avagard™ Antiseptic Hand and Body Wash with Chlorhexidine Gluconate 2%w/w. She then wipes it dry with a towel. (2) Wipes the tub with Clinell Universal wipes which contain Benzalkoniumchloride, Didecyl dimethylammonium chloride and Polyhexamethylenebiguanide (PHMB). The tubs are then allowed to dry and are stacked on top of each other. From my understanding, as the tubs are in contact with non intact skin, a high level of disinfection is required either thermally or chemically which this cleaning procedure does not meet. I am highly concerned as I believe there is a high risk of cross contamination. I will be discussing this with the NUM first thing in the morning. Would love to hear everyones opinions on this matter.

Hi, Im a nurse in Sydney, Australia and would like some opinions on an infection control matter. I noticed that one of my colleagues has been using a plastic bucket/tub to wash patients leg wounds with. These tubs are being used amongst multiple patients. The way in which she washes the tub is : (1) Washes the tub with water and a product called 3M Avagard™ Antiseptic Hand and Body Wash with Chlorhexidine Gluconate 2%w/w. She then wipes it dry with a towel. (2) Wipes the tub with Clinell Universal wipes which contain Benzalkoniumchloride, Didecyl dimethylammonium chloride and Polyhexamethylenebiguanide (PHMB). The tubs are then allowed to dry and are stacked on top of each other. From my understanding, as the tubs are in contact with non intact skin, a high level of disinfection is required either thermally or chemically which this cleaning procedure does not meet. I am highly concerned as I believe there is a high risk of cross contamination. I will be discussing this with the NUM first thing in the morning. Would love to hear everyones opinions on this matter.

To all those urology nurses out there, just wanted to pick your brain. -Client had a recent SPC change - Acquired a UTI - Presented to ED as had urethral leakage and retention, subsequently SPC was changed but a smaller size was inserted -Client then went home and continued to have urethral leakage So the question is, how likely is it for this client to go in to urinary retention? Thanks in advance!