You are working as a RPN during

You are working as a RPN during an influenza outbreak in a privately owned long term care facility on a unit where many of the residents have various advanced chronic medical conditions. You work with a team of PSWs who provide personal care for all the clients. Your responsibilities include medication, treatments, transcribing orders and working with all members of the client care team including the unit physician. Several of the residents have incontinent bowels due to diarrhea and require brief changes around the clock. The Director of Care tells you that due to budget constraints, residents will be given only 2 briefs per 24 hours and PSWs will only be given 12 pairs of gloves. You know that Ministry guidelines indicate incontinence products are to be provided according to resident needs assessment and that LTCHs must ensure that staff has sufficient supplies of, and quick, easy access to, the PPE required. You express your concerns to the supervisor, but when you return after 3 days off, the practice has continued with no changes or further discussion with other staff. Do you follow the Director of Care’s direction or do you question the practice? Medical Facts or Health Care Information that supports this case-study with references. Capacity of Decision Makers that supports this case-study with references.

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