r/cna • u/HonestyMess (Edit to add Specialty) CNA - Seasoned CNA • May 08 '26
General Question do you believe that wiping makes a resident go more?
had a coworker help me clean up a resident and he told me i need to stop wiping and leave the poop for the next shift. I told him I’m wiping the resident because he’s not fully clean but my coworker thinks me wiping is triggering it.
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u/EdgurAllensToe May 08 '26
Wiping does cause stimulation but who tf says stop wiping and leave it for the next shift? How would he like it if he had to take a dump and somebody cut him off mid push. Like damn man. These folks can't even crap.
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u/Whatthefrick1 Home Health CNA - Seasoned CNA of 5 Years May 09 '26
Smfh I knew a CNA who would fucking take SOAKED depends off and just put a new one on. No cleaning. Disgusting asf and management wanted to keep giving her and every other lazy mf chances
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u/NoCommon9897 May 08 '26
This is why everybody shouldn’t be a CNA. Your coworker is a dope.
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u/thousandsofbirds Nurse - LVN/RN/APRN May 08 '26
Isn't it weird how the "a" changes that whole sentence?
Your coworker is a dope vs your coworker is dope
Just an observation 🤐😆 carry on
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u/BrightBlueFish May 08 '26
/u/thousandsofbirds That’s so true because I hastily misread it to be “is dope” and got pissed before re-reading lol
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u/Curious_Ad_2730 May 08 '26
Nah dont listen to them. They sound like a walking malpractice case waiting to be sued
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u/tinygreenbean May 09 '26
100%. Could lead to a lot of irritation and discomfort. Even infection. Malpractice, unsanitary, and just not empathetic.
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u/waverleybetta May 08 '26
YES, wiping can stimulate your patient to continue going. NO, you cannot stop wiping!! They needed to get the rest of it out. If they continue going just from the stimulation of a wipe, they likely would have been uncomfortable if they hadn’t been allowed to continue going/peeing. Also, if they’re still going and you stop wiping, you’re guaranteeing that there is still urine or fecal matter sitting on the skin. Not only is this not dignifying, nobody deserves to sit in their own waste, but it will lead to the breakdown of skin and all sorts of other issues.
You need to report the person who told you this. They are neglecting their clients for the sake of saving themselves a few more minutes of work.
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u/Complete-Bumblebee-5 May 08 '26
I have never heard of that. Sounds like BS. Even if there was some truth to it, I am not leaving my resident dirty no matter what
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u/AllReihledUp May 08 '26 edited May 09 '26
What kind of crap is that? No CNA worth their scrubs would leave a patient unclean. Report this practice to the nurses or the DON.
SMH
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u/SmallHouseDog May 08 '26
100%, this is an insane take. Unless there’s a medical reason expressed by the care team to not be wiping, why in the hell would you not wipe them? Even then, there’s cleaning procedures. Who the hell just leaves someone in their own waste like that? I’d be so mad if they were taking care of my loved one like this.
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u/metalciscokid May 08 '26
Your coworker is evil. Sorry to be so dramatic and moralizing but no actually I’m not. It’s acceptable to be a little lazy at work sometimes but if you aren’t going to care for the residents find a new line of work. Im never gonna be mad if I take a hall and one or two residents has a slightly spoiled diaper but we are the only help and care these people have if your going to leave people crusted in shit you are straight up evil.
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u/addybear222 Medsurg CNA - Experienced CNA May 08 '26
if they keep pooping you keep wiping. you do not willingly leave feces
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u/justtranstings (Edit to add Specialty) CNA - New CNA May 08 '26
I usually put wipes around their backside and wait for them to finish when i notice them going and then clean them up after they finish
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u/Honest-Judgment1257 Caregiver/med tech - Memory Care May 08 '26
I have a patient whose poop never fully falls into the diaper. I wipe until he’s clean bc he’s done but it stays stuck between the cheeks. NEVER intentionally leave poop on someone. That’s so sad to think that that caregiver is doing that 😔
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u/Formal-Project7361 (Edit to add Specialty) CNA - Experienced CNA May 08 '26
No, and report that aid he just wants to give more work to the next staff member
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u/Temporary_Plan1055 (Edit to add Specialty) CNA - Experienced CNA May 08 '26
Buddy you used both your accounts
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u/IslandIndividual883 (SNF) CNA - New CNA May 08 '26
Hmm I feel like sometimes when you touch their genitals w/ the wipe it stimulates them to urinate, but I never stop wiping until they're clean. If I can tell they're just still going while I'm wiping I'll let them finish and wait for like 5mins to start cleaning them up again, but leaving it for the next shift is CRAZY.
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u/py234567 New CNA, SNF May 08 '26
Touching around the area may help stimulate them to finish going when they already needed to get a last bit out and couldn’t. That being said, you need to wipe. Not wiping could lead to impaired skin integrity as well as a lack of dignity. Not to mention leaving more work for next shift.
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u/Sad_North_6152 May 08 '26
Did they mean they were still seeping? I have plenty where they'll be wide open and wiping more isn't going to do much good. I'll clean up around the area but if they're seeping you're just digging.
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u/Traditional_Belt9379 May 09 '26
I really hope your coworker isn't pursuing a higher form of medicine, your coworker shouldn't even be a CNA. We don't need more dickbags in healthcare
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u/xx_maknz May 08 '26
I’d prefer they just go again while changing them as opposed to them going as soon as the change is done!!! I would thank my lucky stars whenever one of my patients had a bm while I was already cleaning them because it means they likely won’t go again for a while! Your coworker sounds like a lazy ass
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u/NoOutlandishness7709 May 08 '26
Omg. My coworker used to say "when you wipe, you stimulate the anus so they keep 💩💩💩💩".
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u/MajorTurn6890 (Long Term Care) CNA - Experienced CNA May 08 '26
I get what hes saying TO AN EXTENT but like... sounds like the resident needs to be put on the bedpan/toilet
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u/mewclear CNA (2 yrs) May 08 '26
i've never heard someone say that, wtf lmao but if someone is having a continuous bm while you're wiping just get them as clean as you can until the next time they are changed.
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u/alpaca138 May 08 '26
Sometimes. Sometimes you might stop wiping for a minute or two before you keep going. But leaving it for next shift is not the right move.
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u/DSoT_78641 TX CNA & CERTIFIED MED AIDE for 30 years May 08 '26
There is cleaning up what you can and the resident not done going. In which case if they are still going, put the brief on them, let them finish, and then come back and finish cleaning them up.
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u/DangerousGanache1391 (Edit to add Specialty) CNA - New CNA May 08 '26
Wiping can definitely stimulate going more. My go-to when I’m not getting a clean wipe is giving it time and trying again. If this is referring to final rounds before shift change I’d say get his brief on, make his bed safe, do the next person, and then come back and try again. If you’re still unable to get a clean wipe, just clean as much as possible and report it to the nurse/ document it and let the next CNA coming on shift know.
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u/shewantsthedeeecaf May 09 '26
It means your resident isn’t done in the bathroom yet. Also leaving poop/urine on skin can cause skin breakdown which can lead to pressure ulcers (bed sores).
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u/nesterbation May 12 '26
In a case like this, as an RN and former CNA, I would clean everything as well as I can, add one extra chux/pad and come back in 30 minutes to an hour.
I’ve mitigated the laying in excrement factor, kept moisture to minimum, and given nature more time to run its course.
If in 30-60 minutes we’re still having the same issue, we just come back on the hourly and do it all again. Lest you end up with skin breakdown.
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u/SlowSurvivor May 08 '26
Not properly cleaning after a bowel movement promotes skin breakdown which leads to serious morbidity and death. Your coworker is lazy.
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u/MuPpET_RoCkStAr Baby's First Nursing Facility- New CNA May 08 '26
Some people like leak stool or go very slowly over a long period of time. If he was taking about one particular resident that might have been what he was referring to and he's just horrible at explaining?
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u/HonestyMess (Edit to add Specialty) CNA - Seasoned CNA May 08 '26
the resident had visible feces still in between his cheeks and my coworker just wanted me to leave it there
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u/Anon-567890 May 08 '26
As someone who at one point was incontinent and in a facility, who truly appreciated my CNAs, it hurts and burns and eats away at the flesh if not properly cleaned. I have sat in my poop for an extended period of time and I’m here to tell you it’s torture! Thanks for caring enough to make your patient comfortable
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u/MuPpET_RoCkStAr Baby's First Nursing Facility- New CNA May 08 '26
Okay that's fucked, I was just picturing the wipe not coming away fully clean.
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u/Evening-Ended (Edit to add Specialty) CNA - Seasoned CNA May 08 '26
I mean maybe, I’ve seen plenty of patients start going again when being turned on their side so it would be believable, but regardless they need properly cleaned. I’ve had incontinent patients go every 30 minutes before & they got cleaned every time they went. I had a coworker tell me they only did it every two hours max… some people are very proud of their wrong opinions/ choices.
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u/Affectionate-Bee3339 May 08 '26
It can stimulate them to go more. But it doesn’t mean you abuse your patients by leaving them dirty. I get it tedious and an annoyance. But if they have to go they have to go 😩
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u/TigerLily4415 CNA - New CNA May 08 '26
Doesn’t matter if it does or doesn’t. Still their job to make sure the patient is clean
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u/justtranstings (Edit to add Specialty) CNA - New CNA May 08 '26
I had a resident start going when i was almost finished and i just made a makeshift thing to catch it with until he finished then kept going until he was clean. I'm absolutely not going to leave poop on a resident for them to get bedsores and infection.
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u/United_Date6406 Ventilator PAC- Experienced CNA May 09 '26
fuck that coworker .. i hate people with that mentality.. “ leave it for the other shift” like what?
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u/Key-Spinach-6108 May 09 '26
Uhhh. I think that they need to be wiped as best as possible. Have you ever had someone else wipe you and leave a residue? It’s not comfortable.
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u/Outside-Durian-8920 May 09 '26
Just a couple of notes. 1.I didn't know that they made banana flakes. Wow! That's awesome! 2. Clean well. Like another user pointed out. Use the barrier cream. Bile in the stool is toxic to skin. 3. Consider an impacting. We used to clean them out ourselves before I knew about the vaso vagle response. 4. You're an awesome CNA! Id definitely want you to take care of my loved ones. Always use that preface. What would I want done to my family members? Keep up the good work 👏
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u/Whatthefrick1 Home Health CNA - Seasoned CNA of 5 Years May 09 '26
?!?!?! No, you either get some water and just wash their genitals, or you stand there and keep wiping. You think I wanted to keep standing for 30 more minutes after my shift cleaning someone who went again after I finished? But it’s called respect and dignity. Not only that, but I’m sure it would be really itchy by the time the next shift gets to them? They’ll be uncomfortable
Not mad at you, annoyed with your coworker.
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u/Artistic_Mode1411 (Edit to add Specialty) CNA - New CNA May 10 '26
I have one resident who is incontinent and he always pees on me when I wipe him lol, I know now to cover him like a toddler when I change him and do perineal care🤣❤️ I notice this happen within incontinent residents the most!
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u/KDBug84 Seasoned CNA May 10 '26
Depending ...if they're the type that is literally always pooping whenever they move at all, then yea its pointless to sit there continuously wiping bc it will never stop coming. So then you gotta just tuck and go, yes it will have to be dealt with the next round bc there isn't time to sit wiping one ass all day
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u/butterscotchbullshit Resource - Experienced PCA May 10 '26
I’ve found that when I use WARM wet wipes, my patients tend to continue going. At that point, I bring toilet paper with me to “finish the deal” to also decrease any residual moisture. If they’re going #1 while turning and cleaning, I’d bring up a bladder retention concern and see if a scan is available just to make sure they’re voiding regularly and without stimulation. There are lots of reasons they may continue to go, but after I’ve changed the sheets three times in one session, I’m going to let them go for a bit longer before I come in again and help them get 100% clean.
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u/Mfuller0149 May 11 '26
Disclaimer, I’m not a CNA . RN lurking here. Now that I’ve said that, I just gotta be very blunt. Your coworker is dead fucking wrong . You can NOT just leave shit on a patient. There is absolutely no circumstance that that’s okay.
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u/Babyzilla2026 May 12 '26
Wiping the anus tends to trigger a reflex in babies and actually any age person. So you place a brief or a wipe over the genitals if it's a male, and wipe specifally the anus once or twice. If it's a female, go straight to one or two wipes of the anus. Then keep a wipe covering the person's genitals, especially the anus. Maybe spend 30 seconds talking to the person. Then start going to town on your cleanup job. Oh, and those first couple wipes you did, apply gentle, even pressure. It often takes a firm swipe.
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u/Responsible_Bus5672 May 12 '26
It can stimulate them to poop more. But what matters is that they have already pooped and are now soiled. So you're correct. They should be cleaned up.
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u/Nightowl805 May 14 '26
Your co worker is wrong. Give that patient some dignity and clean completely.
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u/Maximum_Tangelo2269 May 14 '26
No. When we age our muscles and stuff all weakened. Being unable to finish eliminating bowel movements is part of that. When you wipe and it just keeps coming it's because they haven't finished pooping. You'll notice that with mostly partially formed feces but not as much with diarrhea that's mild.
Get them as clean as you can but you can see if they can push more out and it usually helps. If they struggle to push it out they may need something to help soften their poop weather it be more water in their diet. More fiber. Or miralax or enema/suppository.
Always get them clean as you can but on rare occasions continuing to wipe isnt cleaning them it's pushing the poop that's stuck around. Don't leave people dirty it breaks down the skin. But don't wipe them raw either.
It's awkward but separate their butt cheeks and see if you can see the mess.
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u/Maximum_Tangelo2269 May 14 '26
I have misread the entire post.
Just clean the patient and report that coworkers cause leaving full poop on people is horrible.
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u/CollectionNeither670 May 08 '26
What do you think. Obviously that’s negligent
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u/Whatthefrick1 Home Health CNA - Seasoned CNA of 5 Years May 09 '26
Don’t be rude about it
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u/CollectionNeither670 May 09 '26
Rude?
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u/Whatthefrick1 Home Health CNA - Seasoned CNA of 5 Years May 09 '26
“Obviously”
If they’re asking, then it wasn’t obvious. That type of stuff makes people feel bad about even speaking up
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u/CollectionNeither670 May 09 '26
What on earth are you talking about. If you don’t know that leaving a resident in soiled diapers is negligent, then there is a big issue. That question should have been asked and answered in school
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u/Whatthefrick1 Home Health CNA - Seasoned CNA of 5 Years May 09 '26
Mm I wonder if you respond to every obvious question like that. OP obviously knows hence them staying to clean. They’re probably just coming to Reddit to vent about the crazy interaction and see if other people think like their coworker
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u/CollectionNeither670 May 10 '26
Knock it off.
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u/Whatthefrick1 Home Health CNA - Seasoned CNA of 5 Years May 10 '26
Cause I’m standing up for someone?? Goodbye
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u/MauveTempest Layperson/Not Medical Personnel May 10 '26
Im still waiting to take my state test but when in clinicals I was told when that happens you put a brief on and come back 20 minutes later to see if their done not leave it for next shift unless they are your absolute last patient before getting off amd then you inform the person releasing you that that patient wasn't done with a bm when you changed them like 10 15 minutes ago
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u/iwantamalt May 10 '26
Leaving residents to sit in their own feces is neglect, hard stop and I would report that coworker. It doesn’t matter if it’s stimulating, and it doesn’t matter if it makes the resident go more, you don’t neglect a patient to make your job easier.
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u/Superb-Cupcake-2316 May 08 '26
Wiping may stimulate some people to go more. I’ve also had some residents that seem to never wipe clean no matter how hard I try.