Quote from Altra
Why in the world is this happening on a regular basis? What is going on with patient assignments that it is necessary to break up an assignment to that extent? I could see flipping a patient or 2 ... but 6? No reason for it, unless I am missing something major.
I've also had to give report to 6 nurses when working tele, which certainly isn't ideal, but believe it or not it is sometimes the best option.
By far my least favorite thing about relief NTL is making assignments. Every nurse wants an assignment that is no heavier than any other nurse's, they want all their patients back (except for the ones they don't want back, which we are just supposed to know who those are), they don't want to walk too far, and they want to get report from only 1 nurse. For the most part, this can't all be done, not even close.
It may be easier on floors with more long term patients, but the average stay on our tele floor was 26 hours, making it pretty unlikely that yours or anyone else's assignment would not have changed when you come back for the next shift.
We could guarantee reporting to only 1 or 2 nurses by defining assignments in terms of room numbers. We do have an NTL that just assigns by room numbers (Nurse A gets the first 5 rooms, Nurse B gets the next 5, etc). Of all the varying preferences people have for how their patients are assigned, this method is universally despised, mainly because we put all of our open hearts on the same hall and our heaviest (non-OHS) patients on another, meaning you could end up with all 5 open hearts or the 5 heaviest patients on the floor.
My first goal is to even out the acuity, second is to give nurses back the patients that they know, third is keep them reasonably grouped together, leaving the number of nurses they report to last on the list; it's a consideration, but not my first, second or even third. (I could go either way with grouping the patients together vs number of nurses to get report from, but if day shift had their choice most would rank the proximity of their rooms to be at least the second highest priority).