Yesterday I had to take my 3 1/2 month old intact son to urgent care. I suspected he might have a urinary tract infection because he had been fussy, had a lowgrade fever and I saw an orange spot in the diaper that looked like it could be diluted blood. The certified nursing assistant said we needed a "clean catch" urine sample and she had to clean him thoroughly before putting on the plastic bag.
I said, "Just don't retract him. You're not supposed to retract him."
I watched her really carefully and anytime she got near the penis with the wipe I said, "You're not going to retract him right?" And she just ignored me. I really should have been more forceful but it had been a horrible week with my own health problems and the one year anniversary of my dad's death and I was really anxious and unsure of myself. That's no excuse for not slapping her hand away but it happened so fast!
Anyway, there was a tiny bit if diaper cream at the opening of his penis and she retracted it to wipe the cream.
I was soo mad and said again, "I told you not to retract him." And she said, "It was just a tiny bit, I had to get him clean."
My little one didn't cry at all and his penis looks normal today (no swelling or redness that I can see.)
But I'm so mad. Should I find out who her supervisor is and write a letter? I see that there's a lawyer willing to write a letter but that looked like it was just for doctors and nurses. CNAs aren't even nurses right? Though I assume they must be licensed by the state board.
This was the urgent care clinic since it was a Saturday.
I feel like such a bad mommy. I should have educated myself more. I knew enough to tell her not to retract his penis but I got confused because I know from my own UTIs that they do need a clean catch. But what I should have done is just wiped the cream away myself because I could have easily done it without retracting him.
He's going to be ok right? :(
CNAs are licensed but you are correct that they are not nurses, they are nurse aides.
I would absolutely write a letter. You told her not to retract, more than once, and she completely ignored you. Someone correct me if I'm wrong, but I think a urine catch can be done without retracting.
AP Mom to 5
The orange spot is what is called brick dust it is caused by dehydration. When ds was a few days old he had that and when I called the ped. and asked about it they blamed it on his foreskin and said he might need circed : I then took him in for his 3 day check up with the MW and she saw it in his diaper and told me what it was. My milk hadnt came in yet so he was a bit dehydrated. The fever could have caused him to not nurse as much leading to the brick dust.
SAHMlovin' to DD 10/00 & DS 10/04 If your son is intact, keep him safe, visit the Intact Care forum Circ, a personal choice, Your SONS 11/98 6/99 Thyroid cancer survivor. With 5 & 2 Boxers wishing for
I called and talked to the Clinic Director. She told me they have a whole process for patient complaints. It's a huge organization so they have a Patient Complaint department (like customer service). She said the CNA would be talked to and a note would be placed in her file. She also said that the Medical Director would get a copy of the complaint. But maybe I should write a letter too.
MCatlovermom-thanks for the information about the "brick dust." I've never heard of that. DS had had green, liquidly, smelly poop for a few days and didn't seem to be eating as much. He probably WAS dehydrated. Why don't doctors know about this stuff? Soo frustrating.
I'm sorry to hear the CNA didn't listen to you when you told her not to retract your son. I agree with other posters I would complain. She needs to know that not listen you your wishes as his mother was wrong!! My son had "brick dust" when he was 2-4 days old since my milk had not fully come in.. so I would say the small spot you say was just brick dust from him being dehydrated. Hope he is feeling better now! :)