Re: First week on my own in ED.... and frustrated
|
|
Thanks for all the replies everyone. Last night, i finally got a different assignment, thank god, though i still had 5 or 6 pts at a time, the turnover was not as bad, and for the first time in weeks, i actually got a lunch. And just to clarify a little, i did mention to one charge nurse tonight how relieved i was to get something different, and luckily she already knew how many days i was in the other area and how busy i was. We had a staff meeting yesturday, and many collegues brought up the suggestion of limitting nurses time to 4 to 8 hrs on that assignment. It's not that the pts are less critical in that area, it is generally an 8 bed assignment, 2 "surg" beds, almost always full work ups, 2 gyn beds, always full work ups with foley and fills, plus have to be in the room with doc for all procedures, do fetal heart tones, etc, 2 ent beds, usually children with full work ups, and 2 hall pts, usually the only ones without full work ups. The problem is, when you have so many pts, all of who need line, labs, procedures, etc, even when they're not overly acute, they're busy as hell, and its' easy to come out of one room and find 3 pts waiting who all need full work up's too, ugg, just thinking about it gets me overwhelmed. I do really like acute care, mostly because i'm so used to it, but love fastrack too, love to get pts in and out in 15 to 20 mins, don['t care how many of them there are. Anyway, still loving being there so far, and am learning a lot, just hope the assignments find some kind of balance.
|