Quote from pale_pilsen
Its not about prioritization, its about the workload itself. Its insane to be called by 4 diff people at the same time wanting something.
Okay, I don't mean to be nitpicky, but yes, this is about prioritization. Take this scenario:
Rm. 101 is puking everywhere and needs something for nausea.
Rm. 102 is requesting pain medication.
Rm. 103 just pooped the bed.
Rm. 104 is climbing out of bed.
In the meantime, you're behind on your med pass, have 2 patients on TPN and insulin gtts, haven't done a lick of charting, and you need to call the MD for a change in patient condition (the LOL in Rm. 105 is satting 85% on RA and c/o sharp chest pain). Your bladder is about to burst, and you feel like you're about to pass out from hypoglycemia. A family member is hovering in the doorway glaring at you with their arms folded. Your CNA just went on break. The family members in 106 just brought some damn french fries onto the unit and the smell is driving you nuts!
Been there, done that!!!!
Obviously your priority is the person who is going to die the quickest if you don't do something. The rest can wait. No refilling ice waters, no fetching blankets, no spending time with family members answering their questions. Not until everyone is safe. Learn how to say "No" to patient requests that you just don't have time for (I never actually say "No", usually something like "Sure, no problem. I'm in the middle of something right now, but I'll get to it when I can.", with a smile and in a friendly tone of voice).
If you need help, don't be afraid to ask for it. If another nurse is caught up, ask if they can check your insulin gtts for you, or pass meds to just ONE of your patients, or give a PRN. Just be willing to help them out if you are caught up. I find it's really good team building practice to offer help to others whenever I'm caught up. Some will take advantage and have you do something they totally have time to do but just don't want to, but overall it enhances cooperation and is really good insurance to have for when all hell breaks loose.
If my feedback is completely inapplicable and useless to you, I apologize. I do know what it's like to be so crazy busy that by the end of your shift, you're just glad you didn't kill someone, and I'm just trying to help.:heartbeat