"We don't clean patients, we are a procedural area"

Nurses General Nursing

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I was thinking about an issue that has recently come to my attention as I have been working day shift for the past few months. In addition to noticing that my IV poles and pumps never seem to come back from CT/Xray/what have you, there seems to be a rash of nurses who believe that if a patient is in dialysis and has an accident it isn't their responsibility to clean them up. I was really surprised to come across this so frequently when I started days. After talking to a few of my techs I realized it was happening even more than I was even aware.

It is hard for me to decide if this is a case where we should start UO'ing (unusual occurrence reporting) this to get a paper-trail on the incidences, or if there is too much "he said she said" involved. The times we have confronted other departments we have gotten the "We don't do patient care, we are a procedural area" speech. Give me a break, we all do patient care, it isn't limited to the patient's room and home floor!

Thanks for listening, bored overdue momma here just thinking on work stuff.

Tait

I wonder if my idea of writing up people might be better suited for your situation! If they aren't cared for when they come to you I wonder what their quality of life is like at their facility :(

I can tell you what facility I never want to end up in. Each time I call I get someone new. No one ever stays on there more than a few weeks. We do write it up, but nothing ever gets accomplished just a big ol pile of CYA paperwork.

Specializes in ICU.
I was quite astounded the first time I had a pt getting dialysis in their own room, and the nurse hunted me down to tell me that the pt had a BM, so I could I please get her cleaned up. It was a 2 person job, and when I started, the nurse pushed herself into a corner, so I had to stop and go get the tech, as I was obviously getting no help there. I was much happier two days later when the RN found me to ask me to get the linens together so that WE could clean up the pt.

Yup, ICU beside HD. Your pt poops. come and clean them, they will hunt you down. However, i was friendly with some, so they would help me sometimes. I don't get it really.

Specializes in Oncology, radiology, ICU.

I work in Interventional Radiology and we clean patients all the time. What breaks my heart is the patients that come down and they are soaked in urine and covered in dried feces. We are always willing to clean patients and put them on bedpans or give them urinals.

Specializes in Critical Care/Coronary Care Unit,.

I definitely agree that we work as a team whether in ER, endoscopy, etc. I used to hate getting soiled patients from the ER when I worked on the floor. One time I had a patient who had feces spread throughout his pants and the ER just sent him up like that. However, to Ohiostudent, as far as the NP who'll find you regarding a bedpan. My question is do you expect the MD or the PA to put the patient on the bedpan? So why would an NP who probably isn't wearing scrubs, but professional attire (who's there probably writing orders and rounding on patients) place a patient on a bedpan? Are they not professionals as well? Personally, I don't expect a NP, PA, or MD to place a patient on a bedpan...although I do expect help from my fellow nurses (not necessarily from advanced practice nurses though).

Specializes in none.

the problem is that, as in any profession, we have a few kings and queens. You know the ones that look as though they have tails because of the steel rods they have up their anal areas. they think that they have a little more education in one area

they are now touched by god. Nursing is not all pretty sometimes you got to clean so clean.:clown:

i would have asked the dialysis nurse to help in a polite, friendly way. if he/she demur (as ours do sometimes) because of "back issues" or "shoulder issues", i express sympathy, refer to my own back surgery and then ask if they'd prefer to clean while i hold the patient. usually the back issues disappear . . . or they find a sudden reason to leave my patient to go check on something else. i've rarely had a dialysis nurse outright refuse to help me clean the patient up, and most of the time now they just expect to help.

and on the same track -- an np or md who happens to find (or leave) a soiled patient may also be asked to help, depending on the situation in the unit and how busy he/she is. a provider bombarded with admits and emergencies, i'll let them slide. but someone who has been spending the whole shift shopping online, facebooking or doing their own research on our dime -- they get asked to help and almost always do. the one time i had a resident refuse to help -- they had made a horrible mess putting in a line right at change of shift, and then disappeared leaving the patient covered in blood and poop and their stuff all over the room -- i went to their attending and asked, ever so sweetly "could you give me a hand, please? so and so is too busy to clean up their mess." never happened again.

of course, i work in a teaching hospital. your milage may vary.

i wish i could shadow you for about a month, i'd learn a thing or two.

this happens all the time where i work with patients sent to the floor from the ER. it's infuriating bc it's not just "a little bit" that may have happened during transport or something of that nature. it's OBVIOUS to a blind, deaf, 2 year old rabbit with no sense of smell that the pt is drowning in their own fluids/stool. i don't know the answer. i just do my job and am thankful for the pt that they're out of the hands of whoever had them previously.

Specializes in pcu/stepdown/telemetry.

it's crazy when when our procedural areas, endo, cath lab call to complain when an incontinent patient on lasix has an accident by the time they get to them. we can't control everything and keep every pt looking perfect. By the way the cath lab nurse has one patient, so they can clean them up. when we get them back soiled we clean it up without complaining. in the room when pt is on dialysis and needs the bedpan they look for the RN, even though they are RN's themselves. They also look for me when someone is going downhill on HD. Not sure what their training is so I just handle it myself

Specializes in Emergency Dept. Trauma. Pediatrics.
I noticed that during Clinicals...

oh and the NP who will go trolling down the hallways looking for you to give the PT a bedpan, when Its.right.there.... it takes 2 seconds! end result? newly dyed sheets:uhoh3: (super unrelated...sorry!!!)

My 3rd semester Clinical Instructor was a Hospitalist NP, the thing I loved the most about her is she showed us that you are never "to important" to do patient care. She would be decked out in professional clothing and the cutest boots, she was very petite and she would not hesitate to help with a soiled patient, massaging a patient, helping them to the restroom and so on. As you can imagine she is well loved in the facility for how great she is. She also taught us that you can be a nurse for many many years and still LOVE your job.

Specializes in Post Anesthesia.

Some areas may not have the equipment or staff to do some patient care. How do you do a bath after a patient is incont. if your area dosen't stock full linen, bath basins, towels/washcloths.... On the other hand- the solution dosen't have to be "I guess they couldn't do the care" but rather -"how can we help that department be able to do any care".

Still, if there are limited licenced care givers and multiple patients with complex needs, some care is always going to have to wait until the patient gets back to thier room.

Specializes in Med Surg.

Timely topic. A few days ago my wife was sent home after her dialysis session with a Depends full of green (she's on Fe). The pt. restroom there was closed due to a leak. It was a thirty minute drive home. Had to keep the windows up and the ac on since the temperature outside was 112. Not a pleasant afternoon.

Specializes in Acute Care Cardiac, Education, Prof Practice.
Timely topic. A few days ago my wife was sent home after her dialysis session with a Depends full of green (she's on Fe). The pt. restroom there was closed due to a leak. It was a thirty minute drive home. Had to keep the windows up and the ac on since the temperature outside was 112. Not a pleasant afternoon.

I am really sorry this happened to you. :(

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