Of course you do!!
I was just wondering though, how common is it for you to come on to a shift and find orders not carried out and lots of excuses. Is it just me or is this really a theme. Im not trying to play the blame game here, I really want to understand the rationale behind this ever increasing problem.
I work nights and come on at 1900. For instance tonight there was a discharge that was to leave after 1500. Orders were to remove ivs, etc.,standard stuff.
Another order on another pt. was to start a PCA written at 1400.
Neither of these were done. The pt. leaving had her whole family there and had been told that the subclavian line triple lumen picc would be pulled last before they left. She also had a peripheral IV in. The family was just standing around waiting. I wasnt told at report either. I walked in and found them all there waiting to take mama home.
. I got the NTL to pull the SC line and dress it, pulled the periph,unhooked her continous pulse ox, gave them the med list and instructions and sent them out.
Helloo!!!! What is the problem.
I was told there was no PCA machine available on the floor for the other pt. so it had never been started. In five minutes I had a machine and got him hooked up.
I am always finding at least one or two things like this to do. Is it just that they figure night shift can clean up the mess at the pts. expense??? I dunno. I am going to eve shift in December and I want to know how to avoid becoming one who passes on to the next shift.
Lets hear it from the experienced and frustrated.
Oct 18, '06
Night shift almost never leaves us orders to fulfill. They frequently ask us to clarify something with the MD, or report a non-critical event to the MD. Or leave something minor "because I didn't want to wake them." No problem with me whatsoever.
Here's the big "however". However, night shift rarely gets orders. I get several orders on alll of my patients
during my shift. My ratio is one or two patients less than night shift. Sometimes, there just isn't enough hours in the day and I need a little help and understanding from the next shift. It's hard to understand how an order written hours prior can't be carried out, but it's amazing how quickly those hours pass.
Of course you're going to find at least one or two things to do. If that's all you find then count yourself lucky. Some of the things you describe are off the chain, and should be dealt with the person directly and the charge nurses, because that sounds rediculous.
I worked nights for many years and was a charge nurse, and yes I did consider us the "clean up crew". We cleaned up the mess for dayshift to start all over again and mess it up again.
Thanks for keeping up that tradition.
When I went to day shift after 13 years of nights a couple of years ago, I used to feel guilty and apologize profusely over and over if I had to leave something. Now I make sure to tell them exactly what I'm going to have to pass on, and I thank them for helping me out, but I don't feel the least bit guilty if I've been working hard all day, which is 100% of the time. I definately tell the next shift what I didn't do, because having them walk into a mess and finding things on their own is crazy.
Last edit by Tweety on Oct 18, '06
Oct 18, '06
I was used to the occassional pass-on when I worked as a night shift nurse, especially if the unit was busy (and you could always tell if it had been busy when you came on). And not once did I care to help out. We were lucky in that we had AWESOME pt to staff ratios and usually every shift had a fair amount of downtime. However, there was one particular nurse who gave a quick report and would leave 20 minutes before the shift. AND she always left at least 2-3 tasks for the nurse coming-on. Stupid stuff thatshe had plenty of time to do during her shift. At first I thought she just was a slow worker, but soon I got wise to this problem and found out she did it to every nurse at the end of every shift.
So, every time I got report from her and she tried to pass something one, I would pass it right back by saying something like, "It looks like I've got to call Dr. X to get ____________" or "Wow, I've got a lot of meds/blood draws due in the next 30 minutes. Would you care to finish that since there is still some time left in your shift? It would REALLY keep me from falling behind." This took about 4 shifts, and by the fifth time she never tried to pass anything on to me again, unless it really was a busy shift for her, and in that case I didn't mind a bit!
Last edit by scribblerpnp on Oct 18, '06