TID means three times a day
every 8 hours
but can be turned into q shift
*in terms of 8 hr shifts*
usually we tend to do drsgs on the medsurg floor I work on BID,or OD but when TID comes up we usually
do it early in the dayshift, afternoon and night
I have seen orders written for TID being 0600-1400 -2200 hrs but usually we improvise that to 10-18-22-2300hrs
one of the wound/infection control MD's put it brilliantly in that she said as long as the wound is being dressed properly and visualized and noted on each drsg change then the times are figurative
if an emergency happens are you gonna say
"hang on mr brown, I cant do cpr right now I need to clean out this decub ulcer"
my rationale for drsg changes is to follow the orders as best I can , but I will not wake a person up at 6am, if they are up at midnight I will do it then, if they are up at some point thru the night I will do it when they are awake
if the orders however are strict, I will follow them
I'm lucky to work with great (and practical) plastics drs who take our input and revise their plans accordingly
ps- for every decision you make in nursing there is gonna be someone who questions it, I always make sure I have a good reasonable explanation for things, as you seem to have !