we have three unit secretaries at night for the entire hospital. they do the best that they can in answering the phones, as do we if we are at the desk. if we are calling a physician, we are expected to stand there and wait for the call so it is not missed.
i give my portable number directly if a family member is really concerned and needs to call after they leave at night, i have no problem with that, but i do explain that if i provide them with this number we expect it to be one family member who is the call person at night who can relay the message to other family members so that i do not get 20 phone calls about the same thing on the same patient. i also explain that if i am in an isolation room and the phone does not get answered that it is because i cannot safely answer it at that time.
if your mom is having a hard time getting a hold of the MD's in the hospital, what i usually do is provide the family member with the physician's office number and have them call during office hours, and i will leave a note on the chart also for them to call when they make rounds.
as far as for having a new nurse everyday--that may just be how the floor is scheduled? i dunno. i don't usually work more than 2 nights consecutively, but i will usually have the same patients as the previous night.
nothing in nursing is really safe anymore, to be honest.
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