A lesson learned.

[SeaCat]

Or, "They didn't see that coming".

One of the patients on my floor is a younger guy. He's shall we say highly innapropriate in his actions to the nursing staff.

He claims he can't use his hands well enough to use a Urinal, he insists on having a Texas or Condom Catheter placed on him at all times. He gets off on this, he enjoys the female nurses manipulating him. He talks shit to them even as he gets off. (Yes he has on more than one occasion ejaculated.)

Finally the others on the unit got annoyed by this. They demanded that I be assigned to him even as they claimed they didn't know how to place a Condom Catheter on him in such a way that it would stay in place. (He kept removing them so they would have to put them back on.)

Now when I stepped into the room I was almost knocked over by the stench. The guy refused to bathe or to be bathed. All he wanted was to be fondled while he lolled in his drug induced euphoria. That all changed this morning.

I got his protesting ass out of bed and into the shower. He was scrubbed so much he lost a couple of layers of skin even as he protested that it wasn't a female making him do this. I just smiled slightly and made him wash himself. I informed him he wasn't coming out of the shower until he didn't smell like a pig sty. He didn't like that but amazingly his hands worked and he washed himself.

I got him back into his now freshly made bed and then called the other R.N.'s and Aides into the room. They were there to watch as I instructed them in the correct way to put a Texas or Condom Catheter on a patient. (Neither he nor they liked this, although the other nurses started grinningwhen they saw my materials.)

I told them and him that the male penis had to be cleaned of all contaminants, including skin oils before the condom catheter was put in place. As I was saying this I grabbed his hard on and started cleaning him with a skin prep pad. Too bad for him the cleanser in this is based on Alchohol. He started wilting and whining as I moved on to the Pre-Adhesive Prep Pads. (Again these contain quite a bit of Alchohol.) BY this time he was whimpering a bit and the shirnkage was near maximum.

I informed the collected nurses that the best way to insure adhrence and sealing, not to mention to make sure the catheter didn't come off too soon was to use a size small Condom Catheter, and to make sure they had stretched the penis out to it's full length. I demonstrated this as I talked and the patient wasn't happy to say the least. (No I wasn't gentle, I dislike people like this patient.)

By the time I was done the patient wanted nothing more than for me to leave his room and the other nurses were grinning.

He didn't seem too pleased to hear that I was going to be working with him again tomorrow. Somehow I get the feeling he'll be using either a Urinal or the bathroom tomorrow.

Cat

I also don't think the other nurses on my unit will again call for me to put a Texas on a patient, it is now documented that they have been schooled in how to put one on. Do I need to say I talked them through it in rather graphic terms?

 

[ms.read]

lol my friend. I too work in the medical field.

two dementia (midstage) patients going at it cowgirl style. and the protocol on one side says "they've been deemed incompetant- pull'em apart." the other says basic human rights and the dignity issue. a person has the right to fuck whomever they want to ( even if they are married to sane people outside of the facility.)

what does a nurse do?

 

[champagne1982]

lol my friend. I too work in the medical field.

two dementia (midstage) patients going at it cowgirl style. and the protocol on one side says "they've been deemed incompetant- pull'em apart." the other says basic human rights and the dignity issue. a person has the right to fuck whomever they want to ( even if they are married to sane people outside of the facility.)

what does a nurse do?

Since neither patient is able to make informed consent, wouldn't it be best to separate them and take the steps neccessary to keep the opportunity from "rising" again? If they can form the thoughts that they're being denied a right then they are also able to understand that the people who work in the facility have a right not to be sexually harassed through observing them as they carry out their inappropriate behaviour.

 

[ms.read]

Since neither patient is able to make informed consent, wouldn't it be best to separate them and take the steps neccessary to keep the opportunity from "rising" again? If they can form the thoughts that they're being denied a right then they are also able to understand that the people who work in the facility have a right not to be sexually harassed through observing them as they carry out their inappropriate behaviour.

Yep! Former DON split'em apart and put each patient on different floor.

New Executive director (dingbat) says they can do as they please. (yeck.)

Sometimes I think SeaCat has the only common sense in the field.

 

[Boxlicker101]

lol my friend. I too work in the medical field.

two dementia (midstage) patients going at it cowgirl style. and the protocol on one side says "they've been deemed incompetant- pull'em apart." the other says basic human rights and the dignity issue. a person has the right to fuck whomever they want to ( even if they are married to sane people outside of the facility.)

what does a nurse do?

If it were up to me, I would let them go, rather than pulling them apart. However, I would do what I could to see to it that they didn't get the opportunity again again, if I possibly could.

 

[SeaCat]

lol my friend. I too work in the medical field.

two dementia (midstage) patients going at it cowgirl style. and the protocol on one side says "they've been deemed incompetant- pull'em apart." the other says basic human rights and the dignity issue. a person has the right to fuck whomever they want to ( even if they are married to sane people outside of the facility.)

what does a nurse do?

Ouch, now that's a tough one.

In this you are dealing with two issues really. You are dealing with the morality of the action. Are you pushing your morality on other people?

The big problem though is a legal one. Because both patients are in Dementia and have been declared incompetent then they can't make decisions for themselves. It is therefore the facilities duty to protect them. Allowing them to have sex dies not protect them and can lead to accusations of allowing them to be raped. (THe families or guardians of both involved in the act can legaly claim rape.)

In my most humble opinion the best thing that can be done is to seperate these two in such a manner that they can't come into contact with each other.

Cat

The situation changes however when both involved parties have not been declared incompetent. (Being old doesn't mean they are incompetent or not have sexual urges.)