This morning I finished work at 0800.
This morning I left work at 0845.
0745 and everything is looking good. All the obs have been done, the breakfast has been given out, I've even made a few beds and washed a patient. With a bit of luck the hand over will finish quickly and I'll be able to leave on time.
0750 a buzzer goes of so I go to investigate...patient wants some sugar for their porridge. Not a problem. I grab a packet from the kitchen and the patient is happy. Quick peek into the office, they're halfway through handover...not too bad.
0755 another buzzer sounds. The other HCA has got her coat on and is moving towards the door (I hate it when they just leave...subject for another post maybe!). I go to see what is the problem, I'm praying it's something simple. Room eight is buzzing.
I go into the room and I'm greeted by the sight of bed three trying to get out of bed. He has dementia and is in hospital because he fell at home and fractured his NOF (Neck of Femur). Fortunately for him, one of the other patients saw what was happening and it was he who sounded the alarm. I move (with haste) towards him and assess the situation. He's too far over the edge of the bed for me to get him back on my own. He's too large for me to "catch him". He is going to end up on the floor.
I grab the pillow from his bed and position it under his bottom. I then let him slide to the floor. I have no choice. I kneel down and grab his head before it hits the bed or floor. He's had an "accident" I know this because my knee now feels wet. I don't want to look.
He's not wearing his gown, he managed to slide out of that. His dressing is oozing, his colostomy has started to leak...it's not a great situation to find yourself in.
I ponder my options. first I pull a blanket off his bed and use it to cover him. I can't move because he is leaning against me. There is nothing for me to prop him against and I can't lie him on the floor...it's wet, cold and dirty. I can, if I twist my body and stretch my arm just pull the emergency bell so I do.
Two nurses come charging into the room thinking it's a resus call. When they see me they both sigh. One turns off the alarm and leaves. The other passes me another gown and says
"We'll just finish handover and then we'll be right with you."
"But...erm..."
"Just be a minute"
"Oh..." this is said to myself because she's already gone back to handover.
15 minutes...I timed them, the two nurses return to me. These are not the nurses I was on with last night, I don't know their names and they don't know me. They bring the hoist round and together we get the patient onto the sling, lift him and put him back on the bed. The nurses have largely ignored me and as they go to return the hoist to it's home one tosses a thank you over her shoulder.
I could leave, I've done my shift but I can't. I know they are short staffed this morning. No HCA's means this gentleman will have to wait for the nurses to come and sort him out. It's only another 10 mins of work to get him comfortable and clean. The whole time I'm with him I expect a nurse to come in and take over. I don't see them.
0845 as I leave I can see the nurses busy with their IVs and Drugs.
As nurses become more and more qualified and are given more responsibilities they become less involved with the hands on care of the patients. HCA's exist mainly to fill this void. As a result the nurses are so used to HCA's doing things like sorting out patients such as this one that when the HCA's don't turn up or if they're short staffed the nurses are often so busy with their other responsibilities that they can forget patients such as this one. It's not their fault. They have too much to do we need more staff but every year budgets are cut and as a result patient care is compromised.
This morning I left work at 0845.
0745 and everything is looking good. All the obs have been done, the breakfast has been given out, I've even made a few beds and washed a patient. With a bit of luck the hand over will finish quickly and I'll be able to leave on time.
0750 a buzzer goes of so I go to investigate...patient wants some sugar for their porridge. Not a problem. I grab a packet from the kitchen and the patient is happy. Quick peek into the office, they're halfway through handover...not too bad.
0755 another buzzer sounds. The other HCA has got her coat on and is moving towards the door (I hate it when they just leave...subject for another post maybe!). I go to see what is the problem, I'm praying it's something simple. Room eight is buzzing.
I go into the room and I'm greeted by the sight of bed three trying to get out of bed. He has dementia and is in hospital because he fell at home and fractured his NOF (Neck of Femur). Fortunately for him, one of the other patients saw what was happening and it was he who sounded the alarm. I move (with haste) towards him and assess the situation. He's too far over the edge of the bed for me to get him back on my own. He's too large for me to "catch him". He is going to end up on the floor.
I grab the pillow from his bed and position it under his bottom. I then let him slide to the floor. I have no choice. I kneel down and grab his head before it hits the bed or floor. He's had an "accident" I know this because my knee now feels wet. I don't want to look.
He's not wearing his gown, he managed to slide out of that. His dressing is oozing, his colostomy has started to leak...it's not a great situation to find yourself in.
I ponder my options. first I pull a blanket off his bed and use it to cover him. I can't move because he is leaning against me. There is nothing for me to prop him against and I can't lie him on the floor...it's wet, cold and dirty. I can, if I twist my body and stretch my arm just pull the emergency bell so I do.
Two nurses come charging into the room thinking it's a resus call. When they see me they both sigh. One turns off the alarm and leaves. The other passes me another gown and says
"We'll just finish handover and then we'll be right with you."
"But...erm..."
"Just be a minute"
"Oh..." this is said to myself because she's already gone back to handover.
15 minutes...I timed them, the two nurses return to me. These are not the nurses I was on with last night, I don't know their names and they don't know me. They bring the hoist round and together we get the patient onto the sling, lift him and put him back on the bed. The nurses have largely ignored me and as they go to return the hoist to it's home one tosses a thank you over her shoulder.
I could leave, I've done my shift but I can't. I know they are short staffed this morning. No HCA's means this gentleman will have to wait for the nurses to come and sort him out. It's only another 10 mins of work to get him comfortable and clean. The whole time I'm with him I expect a nurse to come in and take over. I don't see them.
0845 as I leave I can see the nurses busy with their IVs and Drugs.
As nurses become more and more qualified and are given more responsibilities they become less involved with the hands on care of the patients. HCA's exist mainly to fill this void. As a result the nurses are so used to HCA's doing things like sorting out patients such as this one that when the HCA's don't turn up or if they're short staffed the nurses are often so busy with their other responsibilities that they can forget patients such as this one. It's not their fault. They have too much to do we need more staff but every year budgets are cut and as a result patient care is compromised.
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