Re: Am I incompetent or is it a staffing vs. pt acuity issue?
I would ask some of the other nurses on your floor how they organize their work and incorporate some of these suggestions into yours. I'm sure that some of the other nurses have time saving techniques that do not compromise pt care. Try to chart as you go. You will be find that it will be a lot easier to go back and assess/reassess things that you forgot or that needed more attention (and you won't have to wake a pt to do it). At the end of your shift you will just have to a short final note which should cut down on the OT.
As for calling Drs. you will always find a couple that don't like to be "bothered" for any reason. When this happens you can either grin and bear it or ask the doctor what changes in assessment they would like to be called for.
Please don't think your incompetent. Staffing by acuity is a thing of the past. I'm sorry if I seem bitter but staffing by census is nothing more than a way to save a buck and has nothing to do with patient care. In these hard economic times the workload for Nurses is only getting heavier. Please find the time to look up safe nurse to patient ratios for your state, see if legislation is being worked on and get involved. Get out and vote for people who support safe staffing, write letters to congressmen, let others you work with know about it and try to get others involved. I live in PA and as of July 1 we are now mandation free

. Yes, we can make a change!
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