So true- both of your comments! I had to place my continent 99 yr. old resident into one of the NF that I consult with. Even with QA influence- the same thing happened to MaMa!!
--- "Holly Sox, RN, RAC-C" <[EMAIL PROTECTED]> wrote: > Thank you, Delores!!! > > This issue grinds me more than almost any other. > Just Saturday, I was informed by a new resident's > daughter that this alert, continent lady had been > placed in briefs and instructed to "just go in the > diaper and I will come back and change you".... > simply because she is a big lady who requires 2 > person transfers due to non weight bearing status. > After I verbally counselled the CNA (which is nice > southern girl translation for chewed her rear end > out), I placed the resident on a toileting schedule > and informed the CNA if I found the resident in > briefs again, or heard about her wearing briefs, the > CNA would be terminated. > > Someone please tell me why some CNAs would rather > clean up a wet or soiled brief than assist a clean > and dry person to the toilet or bedside > commode!!!!!! > > Holly > Holly F. Sox, RN, RAC-C > Clinical Editor, Careplans.com > www.careplans.com > [EMAIL PROTECTED] > > ----- Original Message ----- > From: [EMAIL PROTECTED] > To: [EMAIL PROTECTED] > Sent: Monday, January 12, 2004 11:11 PM > Subject: Re: Bowel and Bladder program > > > I am concerned about requests for b&b programs. I > am more interested in assessment of the CAUSE of the > incontinence. I urge all list members to look up > urinary incontinence in the ICD-9-CM book. There > are many types of incontinence and the underlying > cause should be treated. > > Recently I sat in on a care plan meeting for an > alert incontinent resident who wore briefs and was > beginning to have skin problems. The entire > discussion focused around her incontinence, briefs > and skin; I finally asked why she was incontinent. > She said it was because she was unable to walk and > could not go to the bathroom herself. She said she > knew when she had to urinate or defecate but could > not put herself on the bedpan and no one answered > her light in time. What type of B&B program does > she need? Perhaps the staff need the program. > > Delores > > > Does anyone have a bowel and bladder program > that is working? If so, can you please send me some > of the information on it. I have to get one > designed by Thursday or at least started. > > Davina DeMerritt, RN > > > > > Delores L. Galias, RN, RHIT > > STATEMENT OF CONFIDENTIALITY: > The information contained in this electronic > message and any attachments to this message are > intended for the exclusive use of the addressee(s) > and may contain confidential or privileged > information. If you are not the intended recipient, > please notify D. Galias, RN, RHIT immediately at > [EMAIL PROTECTED] and destroy all copies of this > message and any attachments. Thank you for your > cooperation > > ===== Marie A. King, RN-CS,Cm,CNS,MSN, RAC-C, NHA King & Associates, Inc 2007 Old Montgomery Hwy, Ste.B Birmingham, AL 35244-2079 (205)988-4222<vbr>FAX (205)988-4101 __________________________________ Do you Yahoo!? Yahoo! Hotjobs: Enter the "Signing Bonus" Sweepstakes http://hotjobs.sweepstakes.yahoo.com/signingbonus /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/
