Quote from Tweety
Stop bugging and harrassing me to get my patient out. It will get done when it gets done to the absolute best of my ability. I realize "staff nurses don't understand the raminifactions of diversion" quote from our VP of Patient Care Services, but asking me every five minutes and bugging me to death about it isn't going to get them out faster. And each time I have to stop and explain what is taking to long only adds to it.
And just because I discharge someone doesn't mean I'm available right then and there to immediately accept another patient. I have other patients.
Agree with Tweety
I left Med/Surg floor and one of the reasons was I had enough of having to discharge 3-5 pts and immediately accept just as many post-op!
But for advice to speed up discharges:
1. Have all docs write their discharges in advance along with all prescriptions.
2. Have the docs tell their patients approximate length of stay post up, so they are not surprised in a morning by discharge and start making up new pains and SOB so they can get more work up to stay longer.
3. All homecare teachings should be started at least 1 day prior to discharge, so you can ask pt for a return demonstration (and not to spend next 2 hrs teaching them)
4. Have family notified to be ready for pt's pick up by specific hr. Or at least ask when they can make it, so you can prioritize discharges.
5. Have a wheelchair ready by pt's door. Usually a task that can be done by night shift, as there will be plenty of wheelchairs around the hospital.
6. Have all the extra supply for homecare ready in advance.
I can't think of anything else, but hope these help :wink2: