Quote from Tweety
I'm not going to indulge you.
Don't come working for me expecting a break every two hours. Heck, I'm lucky if I get a break every 12 hours.
Thanks for telling me what my patient is up to while you're in the room. I appreciate the input but I'm not medicating my patient for the convenience of the sitter.
We use a lot of sitters on my unit, head injured and suicide attempts. They get a morning break and a lunch break, and that's it. That's more than I get. Night shift gives them a dinner break and breaks prn as they ask, but not 10 minutes q2h.
I understand it's hard on night shift to sit, I couldn't do it, especially when from your view nurses are sitting around doing nothing.
Not what I said. First, the rules say we're not to leave the patient's presence. And the rules make sense from the pt safety perspective. No bathroom break even with a bathroom a few feet away.
Second, sure, you'll find those who don't mind not being interrupted. I found a private sitter asleep with her pt trying to claw the staples out of her hip replacement incision, blood all over the place. I had another sitter tell me how she arranged things in the room so passers-by would think she was awake. I've seen a great many sitters asleep while working the floor.
Third, sitters give nurses a false sense of security. I have gone over 6 hours without the nurse coming into the room.
Fourth, by not giving breaks Q2H on the 7a-7p shift, you are only going to run off those who take their responsibilities seriously. Do you turn pts Q2H? Or do you tell 'em hey, no break for me, no break for you?
Pt safety is the bottom line, not ensuring nobody gets treated better than you. And BTW, you are not a sitter's equal. You are the sitter's manager with the responsibilities that go with it. The sitter is a resource like that IV pump that you don't mind tending to when it needs maintenance.