Believe it or  not, Rena, that's what I was referring to.On our survey in December, the CNA went in the room with a surveyor, did not introduce self or surveyor, did not pull the curtain or close the window blinds and proceeded to pull up the resident's dress and "perform foley care".  The resident then stated something to the effect of, "I don't know what she is doing. I always just do this myself."  Which would be fine and dandy if anyone had ever, ever told the care plan nurse this, or documented it anywhere. And if the resident could clean herself adequately.
 

Anyway... the policy is (now) that the peri area be cleaned daily with soap and water by a CNA or by the resident, if s/he has demonstrated the ability to perform the task.
 
HS
Holly F. Sox, RN, RAC-C 
Clinical Editor, Careplans.com
www.careplans.com
[EMAIL PROTECTED]
----- Original Message -----
Sent: Tuesday, February 17, 2004 11:00 PM
Subject: Re: Foleys

we also have a policy about doing foley care, and as some people on this group know, it doesn't always  mean it gets done.


Be careful about "foley care."  The current standard of clinical practice is to cleanse around the meatal-catheter junction with soap and water during the daily bath and prn for stool incontinence only.  In other words, the same kind of peri care that is provided to any other resident.

Rena

Rena R. Shephard, MHA, RN, FACDONA, RAC-C
Chair, American Association of Nurse Assessment Coordinators
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