New Nurse can't eat lunch - page 4
I am wondering how other units handle their lunch breaks. I work nights, and we have extremely flexible breaks during the work shift. Most of us don't really leave the floor, just get our food... Read More
Jan 23, '13That is what I was wondering, how much do people expect the other nurses to do for them...
I don't want a detailed report on someone else's patients... just tell me who is a DNR, and who might need pain meds in the next hour. I don't mind answering call lights, toileting, things like that, but if you know that someone needs an antibiotic hung in 15 minutes, why wouldn't you do it yourself before you go?
Sometimes I have enough trouble keeping up with my own load!
That said, I LOVE the idea of a break nurse!!!
Jan 23, '13We have a "break nurse" who takes our pager for the 15 min break and 30 min dinner break. Since they are only "breaking" for that nurse, the "break nurse" is fine with giving a med or doing a dressing change. The "break nurse" just shows up and says "hand me your pager and what is going on"? Works well.
Jan 23, '13Does she know most nurses do not get "real lunches"? Meaning an actual 30 minutes away from patient care or charting?
Jan 23, '13I cover lights only and do prn medications , i don't do dressing changes, scheudled meds or anything else while someone is on break.
Jan 23, '13Quote from sistasoulWhile beside my point, I generally question "most" statements based on anecdotal evidence as opposed to hard data.Does she know most nurses do not get "real lunches"? Meaning an actual 30 minutes away from patient care or charting?
Regardless, do these "most" nurses eat the time (yes, pun intended) or are they compensated in accordance with federal labor law?
Jan 23, '13"covering" another RN usually means watching for call bells, and dealing with anything out of the ordinary or unexpected, like a code. It doesn't mean DOING another RN's meds, treatments, etc. We do take breaks without all the work being done, depending on what time it is, what the work is that is unfinished.
I would speak with your charge nurse about it and maybe she can gently explain to the new RN how this traditionally works. Maybe the new RN could use a mentor for a month or two. It's hard being a new nurse for sure. But part of becoming a good nurse is learning from those who have been nurses longer. She will come to understand this eventually.
Jan 23, '13Some nurses whether they be new or experienced and lazy I have seen with this problem. Basically she just needs to be told that the expectation of break coverage are you get what you need done before you leave and when you get back finish what was ok to wait. Your job as the covering nurse is to get things that come up unexpectedly while she is gone, ex, call bells, cleaning up incontinent patients, helping to the bathroom ect. She probably just needs help understanding this concept. Maybe gently point out if she thinks she would have time to do your scheduled dressing changes, ect while you are on break. Completely silly that she thinks you guys should do that.
I worked with an experienced nurse and when he would go on his 30 minute break, he would be like, so can you do my glucose in 10 minutes and turn my other patient. ? Huh? well needless to say I didnt do it, I suggested he do the glucose now, and I can help him turn his patient when he gets back. He was notorious for being lazy
Jan 23, '13op. you are not mean. i can not stand working with people like this. we have a few new grads like this. a one time event where someone is swamped i will help out. because some times one nurse does get an awful assignment. but a constant event no, learn to work faster and more efficiently
Jan 23, '13Sometimes we do things for each other, so the other person can finally eat. But it will be things like a PRN medication, answering yet another call light of a very needy patient, checking on a beeping IV pump, helping someone up to the bathroom, etc. Not things that you should've taken care of before going on break that was scheduled.
That is not being mean at all. I don't know what she is thinking!
Jan 23, '13Quote from MichigangirlThis nurse has to work on her time management skills. It is just not right to just leave her work such as giving meds and dressing changes for the nurse COVERING for her.
Anyway, this new nurse just gets off orientation and is getting really upset with the rest of us because "she's not allowed to get her break." She is having trouble with time management and still can barely get all of her stuff done that is required. We are more than happy to help her get her work done, but no one is willing to do her work for her while she goes off for an hour. For example, she will ask if I can cover her, then proceed to tell me that room 1 will need his pain medication in 15 minutes, room 2 still needs a dressing change, blah, blah, blah... I would never assume to go on break when there is still a lot of stuff to do with my own patients, especially in the middle of the night when these things should have already been done. We are trying to help her with her time management, but she will not listen to suggestions as she already knows everything there is to know about nursing!
Last night about 2 hours into her shift she asked me if she could take her break and wanted to give me report on her 5 patients. I told her I was too busy with my own 5 patients at that time and couldn't handle hers as well. She thinks I'm mean. I think if she is the only nurse on the unit that is having this problem, maybe it is a problem with her.
What do you think?
No, you are not being mean.
Jan 23, '13on my unit the culture on nights is that the covering nurse will deal with iv pumps beeping, give prn meds , help to br etc. some come in and ask if it is ok to give prn med. if something needs paging almost every primary nurse wants to do it his/herself and really s/he knows the pt best and should be the one doing that. dressing change (unless a prn one if one became soiled etc), giving scheduled meds, straight caths etc, that is to be done by primary nurse even if it means the pt will wait at most 30mins. and anything else will be waiting for your return.
Jan 23, '13Quote from ♪♫ in my ♥What my comments mean is that I don't expect the nurse covering my patients to do anything that I was supposed to have done myself in the first place and remains undone and immediately due. IOW, when I take my break, my patients have been medicated on schedule and all other tasks done or can be done later by me. If they need a PRN or help to the bathroom or anything else that I don't anticipate while I am on break, that's different.I just don't get it...
Then what does it mean to you that someone is "covering" you?
When I'm being "covered" then that means essentially that the person covering me is *doing* the work that needs to be done... otherwise I'm not "covered."
But if the relief is not going to pass meds or "do anything" then what does that even mean, just walking in, making sure the patient's not actively dying, and then saying, "your nurse will be with you in a bit?"
Sorry, English is my first language
Jan 23, '13Quote from batmikNote to self: Apply for jobs in California upon graduation! Lol :-D
Some times I think nurses are their own worse enemy. They tolerate working conditions such as working without breaks without blinking an eye. In California if you miss a 30 minute meal break you get paid one hour of pay. If you miss one or both 15 minutes breaks you get paid an extra hour. Do I put in for this if I miss a break....... heck yeah! Does it happen often...... heck no! But I always have legitmate reasons for it happening.
Also by law anytime a break is interrupted you are allowed to restart your break.
The original poster does need to speak with this new nurse but some issues lay in the unit culture and some at organization and state level.