Quote from RNinIN
As they shouldn't, unless they know mobility status, diet, etc. So it really doesn't help to have a no pass zone
My workplace passionately promotes the "no pass zone."
But, as in the case of (one of) my demented NPO patients last night, who would yell, "I need WAAATEERRRR" to every passing individual, the NPZ is more of a hindrance than a help. Because each of those interactions resulted in, "I'll let your nurse know" and "Let me get your nurse." So much time
spent explaining that this pt who failed every swallow screen CANNOT have water right now.
As a new RN of about three months' tenure, I've learned that we really are the gatekeepers of our patients' safety and plan of care. Corporate strategies like NPZ are great in theory but in reality don't benefit the patients (or nurses for that matter).
Full disclosure: I will admit that I am sometimes guilty of bypassing call lights for patients not assigned to me (while en route to a patient care task/duty/reassessment). Maybe it's due to being new, but I struggle with finding time for other patients when I have six of my own. Especially on my unit, where entering an unknown patient room can lead to a 20-minute "I need to go to the bathroom" scenario.
Or maybe I am just unpracticed at finessing these unexpected situations. Sigh.