Would like your input as a RN if your hospital has room service
- 0Apr 16, '13 by RNshealNursing team--I have been a RN for many years. Our hospital has decided to embrace the concept of room service (although I know that some of you may feel--hospital first hotel second--many patients do eat more nutrioously for wound healing when the patient can pick his own meals. Evidenced based research tends to support this). I am hoping for those RN out there whose hospitals have room service--you all can give me some guidance on issues you have had concerning patient room service. Any helpful hints that would help both the nursing team and dietitians as we begin our quest. Pro and cons of the system and if you ahd ulimited powers--what would you fix...
AS you have figured --I am the RN on the room service team :-).
Thank you in advacne for your help
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- 0Apr 16, '13 by Little Panda RNWe have room service at our hospital. The pros are the patient can call anytime from 6 am to 9pm and order anything off the menu. So those who eat breakfast at 10 am don't have to eat a cold breakfast that came at 8 am. The patients seem to like this. Also if you have a patient on a cardiac or consistent carb diet, dietary is aware and will guide them in the choices they have when the patient calls. We have different menus for the different diets.
The cons are some patients are unable to call for themselves either due to hearing difficulties or just not remembering they have to call an order if they want to eat. Hope this helps.
- 1Apr 17, '13 by dandk1997RNInsulin timing has to be an issue. We don't do this at my hospital, but one of my clinical sites did. If you have a heavy pt load, a less-than-with-it pts food might get overlooked. I mean, I had two totally A&O pts today tell me they never got fed...WAY after it was too late to call for a tray, and after the previous RN had gone home. And they don't have to even order at my hosp.
- 0Apr 17, '13 by PediLove2147We have room service where I work and I think patients really like it. We like Little Panda RN have menus for each type of diet so patients can choose what they want and have it delivered when they are hungry. Issues I have seen include: patients that are unable to order for themselves occasionally do not get dinner. Our techs most of the time do a very good job but if it's a very busy day a patient can fall between the cracks. Our kitchen calls patients' rooms/secretary close to 630 (this in it self is a problem, who closes the kitchen at 630?!) so it happens rarely.
Insulin administration isn't actually an issue for me. I mean there is the occasional A&O patient that forgets to let us know they are ordering so we don't get a FS but like I said it happens rarely. Our patients that need help with ordering just get a FS when the tech orders the dinner.
I think once it starts and you get past the initial "newness" of it all you and your coworkers will really like it.
- 1Apr 17, '13 by RNlmkWe have room service but meals don't arrive at shift change. They can't get breakfast til after 815. Dietary calls the floor ahead with delivery times for all the diabetics meals and the nurses are given the list. If a pt forgets to order a meal by the end of the meal time 8:15-11a breakfast -dietary rounds the floor when they deliver and reminds pt to order if they haven't. If you don't order dinner by 7pm you automatically get a "bag dinner" Pts unable to order are flagged and get a standard meal or the family can order for them. I thought it would be such an inconvenience but really if your facility does it right with a good dietary service dept it is great for the pts
- 1Apr 18, '13 by gcupidInsulin timing is the biggest issue. I've had a couple of patients use control tactics based off of food arrival. I don't feel comfortable admin sliding scale insulin for blood sugars taken hours ago and if I recheck the blood sugar and decide to give insulin it is far out of scheduled time compliance to admin insulin. The correct thing to do would be to come up with standard sliding scale insulin time protocols for food delivery times as oppose to calling the doctor to see if its okay to admin insulin every time a patient is eating at a different schedule.
I had morbidly obese patients ordering outside of diet guidelines. Also had obese patients using the majority of their calories on one meal and starving the rest of the day and being a complete b**** to the staff in the process. And I've experienced patients that ordered a dish every 3 hours...
- 0Apr 18, '13 by amoLuciaMy first thought was about the insulin timings with fingersticks. But then I also thought of all the meds that are "before meals", "after meals", with meals", and "give on n empty stomach". If the pts are ordering meals at varying times, how in the world do you schedule meds?
- 0Apr 18, '13 by eatmysoxRNOurs works by dietary calling everyone starting an hour before delivery. They can choose something within their diet to eat and trays are delivered like they want. If they don't answer or don't call back to order something specific, a standard tray is brought. Everyone with a diet entered gets a tray. It includes what you want only if you call. Patients like it pretty well.