Career Columnist / Author Nurse Beth, MSN 174 Articles; 3,074 Posts Specializes in Tele, ICU, Staff Development. Has 30 years experience. Jul 25, 2017 We we don't use diapers in our ICU due to the skin breakdown they can cause so instead what she does is get soakers and basically makes diapers out of them. I've asked her several times why I don't like to use them on my patients and she refuses to comply. I've spoke with a couple nurses about it and they say, "well if you want her help, then you have to do it her way." She even went on a tirade recently yelling out loud, "this is the ICU. This is how it's done." Quite disrespectful and not taking into account that I've been an ICU nurse my entire career and also an ICU tech before then. Wow. You are the nurse in charge of the patient and ultimately responsible for care, including preventing pressure injuries. There is ample evidence in the literature that speaks to not using diapers or layers.A nursing assistant is deciding best practice in your unit?