this is for all of you charge nurses out there.
in our facility, the charge nurses have been told that we can be held responsible for orders that we sign off but the primary nurse does not carry out. there is one relatively new nurse (new on our unit only... worked in er for 30+ years) who habitually leaves orders undone that the oncoming shift finds and has to do, often more than a couple things. she always says "i didn't see that one."
so far, it hasn't been anything life-threatening, but i fear that one of these days it will be and the charge nurse will be punished for the other nurse's mistake simply because the charge signed off the orders.
my questions to you are:
1 - do you as charge nurse take patients or just run the unit?
2 - do you sign off orders for the entire unit or just your patients?
2 - have you ever had problems because you signed off an order that the primary nurse did not carry out?
any comments or suggestions would be appreciated!