edbed25

Recently, I have had multiple patients with Cdiff. On other floors in my hospital, there are special isolation rooms with a sink right outside, or there is a bathroom right near the entrance of the room. I am on a telemetry floor and the rooms we have that are private have a bathroom that is not near the entrance of the room. There is no sink right when you walk in (only hand sanitizer on the wall). So for the patients I have been taking care of with Cdiff that are in a single room, I have to take off my isolation gown and gloves, wash my hands in the patient's bathoom (the only sink available), and then walk out of the patients room (pass her bed and everything else) without a gown on. This seems a little backwards. Is there any suggestion or do you think this is adequate for isolation patients with cdiff. Thanks

Hi, I was wondering how others deal with receiving report from a sloppy nurse? I always dread getting report from one nurse on my unit. She always leaves me with a mess which usually makes my night pretty awful. Some examples.. 6 of our patients were supposed to have IV fluids hanging and none were when I came on shift. (she eventually helped me out and hung 3 before she left) that same night someone came back from dialysis an hour before my shift started and she didn't check the vitals.. the tech checked them as I was getting report and he was hypotensive which started my night off hectic. Another night, vitals were checked before I came on, and the tech came to the day nurse with a low BP. she said she would recheck it and never did. After the nurse left and I checked the vitals in the computer, I asked the tech why the BP was not entered. She told me how the day RN was going to recheck it manually because it was low using the machine. She never rechecked it and sure enough, the patient was hypotensive. Another night, I made rounds before getting report, and a patient was screaming at me saying that she was promised pain medication. I asked the nurse if she promised her pain meds, and her response was "well she asked me for pain meds, I never said I was going to get it for her, it's the end of my shift." I can go into a million other examples. How would you deal with this situation? I don't want to be a tattle tale, and others have reported her to management before.