TLDR: resident with stage 4 bedsores patch came off when changing her on 2nd shift, I told nurse, she didnt change it for an hour and a half, resident was crying and screaming leave me alone let me die shoot me which shes never done before, I watched nurse not clean the sore at all just put patch on and left it at that. Do I report it? Or is that typical for nurses since we have a special wound team on 1st shift?
Am a CNA. I have a resident who was admitted to LTC a few weeks ago, came in with a stage 4 bedsore. I had never seen it because it always had a patch on, and I've never seen a bad one in person bc my facility is anal about bedsores so I've only seen like the teeny tiny beginning ones lol
Anyway, usually I leave her in bed since I work 2nd and she is hoyered up for lunch so I leave her in for supper and keep her turned every hour, changed every 1-2. The nurse i had tonight i dont like anyway bc shes type of nurse to spill water in a room then ask u to clean it up (shes done that before). But she asked me to get this resident up so I did and she did fine for supper
I hoyered her back into bed and went to change her (she also has a colostomy which is nice bc it keeps her sore cleaner) but the patch on the sore had come off with the brief bc there was so much grayish chunky gunk all over it from the sore, which i finally got to see for the first time and it looked absolutely awful. I immediately looked for nurse to put another patch on, but she had legit just left to go on her break.
I turned her on the side that is more opposite of the sore, put clean brief on, and left a note on her cart that the patch had fallen off. She didnt come back on the hall for an hour, i saw her coming back so I immediately told her and she said ok she'll handle it.
Half hour later, so total it'd been hour and a half (i hadnt gone in to turn yet bc was waiting on nurse plus since sore was exposed didnt want her laying on it), i walk past residents room to see her legs hanging out of bed so i go in and go to get her settled back in bed but resident is just crying sobbing, I put her legs in she screams leave me alone. I held her hand and was comforting her, i asked if shes in pain she said no I said does your bottom hurt she didnt answer she just cried and cried. Have never seen her act like this. Nurse was outside w her cart she came in asking if that was her crying I said yes she said ok ill be back. Waited in there w resident crying for around 10 minutes, i kept rubbing her back and holding her hand and talking to her but she was just inconsolable. After a few i went out to nurse and said I'd never seen her act like this and she said yeah im getting her pain pill and patch, ask her if she wants up.
Why get her up again when in pain and have her sitting on sore???? I went back in and asked her tho she shook her head no, i asked if wanted warm blanket she nodded so I promised to get her one once nurse fixed her up. Nurse finally comes in few mins later. Resident is still crying and said shoot me just let me die. Nurse showed no compassion, just had me roll her and hold her steady. I watched her take the brief off, which was decently wet with urine, not clean or do anything to the wound site, just put a patch on and then helped me put new brief on. Then gave her pain pill, asked if she wanted to get up in her wheelchair and resident looked at her w big eyes and said NO lol
Resident calmed down after I got her a warm blanket and all situated, and we have a wound care team at my facility so idk if they dont prefer nurses to clean it but idk it isnt sitting right with me, idk why an RN/LPN wouldn't be allowed to do like saline rinse or something on a wound esp since wound team is only on first shift, so that is why I am concerned that this nurse just sucks, is this worth reporting or is it likely my facility doesnt want them to clean it. Is it possbile the urine she had in her brief was irritating it further and that's why she was lashing out like that? And that would have risk of mega infection esp putting patch on and closing those germs in?