Aurora77, BSN, RN 11,634 Views
Joined Aug 4, '08 - from 'Midwest'.
Aurora77 is a RN.
She has '4' year(s) of experience and specializes in 'Med Surg'.
Posts: 888 (60% Liked)
Are you sure it's not your responsibility? What's your facility policy?
I only take labs if I trust the nurse to follow up. Our lab records the name of the person taking the lab, not the name of the primary nurse. It has to be addressed within 30 min. It doesn't matter who the primary nurse is, the person who took the lab is responsible for follow up. Documentation by anyone within that time frame is sufficient.
What always amazes me is that the actual Really Sick People and their families tend to be the nicest, easiest to work with, while the not so sick can be PITAs.
It is ok for a nurse not to be comfortable doing something.
It is ok for a nurse to choose not to do something.
This does not make them less of a nurse.
Perhaps if nurses showed a bit of compassion to each other, the way we're supposed to be towards our patients, then there wouldn't be a problem.
What's your patient load like? Do you use computerized charting--what about it is taking 2 hours to chart? Something that helps me is to take notes immediately after my assessment. I write a little outline on my notes so I can fill in the blanks. Maybe making up some kind of more extensive flowsheet would help so all you have to do is circle what you need to chart.
Can you delegate more to your CNAs? Sometimes it's easier and faster for me to help out pts when I'm in the room, but if there's something you can delegate while you get back to passing meds (or whatever else), do it.
How do you prepare for your day? I work nights and pharmacy leaves at 2300, so the first thing I do is set up my meds for my pts--basically verifying that everything is there. They stay in the locked drawer ready to go when I need them (with the exception of narcc). That way I can just pull them out, do a quick recheck and admin.
I hope things get better for you!
Edit--I realize I'm not sure how I'm coming across with this post; I hope you don't take offense to anything I've said.
I've only been a nurse for a few months, but I worked for years in a production environment (I was a professional potter). I was really good at what I did and was very efficient. The thing that helped me develop my art as well as make a living was that I had a routine. I did the same things, in the same order, every time. It may sound restrictive and counter-intuitive, but by having a semi rigid routine, I had the flexibility to create works of art and be part of a successful business.
I have tried to use these same skills in my new nursing career. I realize that it's not the same and there is always the unexpected. BUT, I try to have a routine when I come for my shift and do things the same way every time (as much as I can anyway ). I try to do this with all of my skills, so that don't miss a step. I do this with my assessments and with my med passes. I still have to spend a lot of time looking up meds, but I know I'll learn more as I go.
Now I really am done. I hope this helps.
I just switched from shift work (nights) to a day shift Monday through Friday position. It's the best decision I've made in a long time. I never felt rested and while in theory I had four days off a week, at least one of those, if not two, were spent recuperating. Yes, I have to go to work more days a week, but I'm not exhausted all the time. I should add that I went from a bedside role to an office job. I can't imagine being at the bedside five days a week.
So you're telling me that when 11 out of 30 students fail a class then that is because they ALL magically failed themselves?
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