Some things aren't really believable until someone actually sees them. I heard this story recently and had to share because it is both hysterically funny and horrible on a professional level.
Our wound RN Dee rounds on patients at the Hotel in our hospital system, wherever they are. Her counterpart at Washington got a consult from a resident for a "new pressure ulcer", and said "You have to take it." Since she's conscientious, and likes the patient, she drives up to Washington from the Hotel that day (since pressure ulcers require immediate intervention assessments: mattress, etc.) Mr. I is sick and no one knows if he'll make it.
She gets to the ICU Mr. I is in and the nurses tell her, "I can't believe he came from there (meaning Hotel) with a new pressure ulcer." Dee is stunned, because Mr. I looked fine just before she left for a couple days off.
Dee visits with Mr. I. He knows she's there and shakes his head. She rolls him over to look at the "pressure ulcer". Mr. I. really needed a washcloth. Once she got one, she realized that he did not have a pressure ulcer, he had a rectal discharge from his colostomy.
Apparently, the resident and none of the nurses realized this was what happened. This consult, time, money, and energy could have been spared by a single washcloth.
Somehow, I really don't think that kind of picture is what's going to get us on the Magnet journey at the Hotel.
More later.
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