Accuracy and Patient Safety vs Time Management - page 2

by Goldenhare 4,420 Views | 13 Comments

I've tried to post this in another area but have gotten no real feedback. Helpful feedback please. I've been a nurse for about 6 years. I've always had issues with time management, but have made progress. I am always, always... Read More


  1. 0
    I'm not sure what you're describing in the last post. Do you mean you went through the patient's personal belongings, such as a purse?

    Other than on a psychiatric unit or other special situation ... a hospital is not the airport ... belongings don't get searched. If the patient brought in meds, or had visitors (who had been there a day or two prior) bring meds with the intent of taking them when s/he felt like it -- there's not a lot that can be done about that. Unless the patient is ordered a sitter, no one can be expected to have eyes on an alert & oriented patient every second of the day.
  2. 0
    Quote from MomRN0913
    I may get flamed for this myself...... but I learned something valuable from my first preceptor when I was med/surg tele float as a new grad.

    Chart by exception. If nothing happened, no need to document it. There is not point writing "pt ate lunch, tolerated well, ate 75% of meal" just to fill in dead space. In the charting at the hospital I worked at, there was a section you initial for their meals and write in the percentage. No need to double chart.
    I only have one thing to add about charting by exception. You have to be extra sure that your facility allows this. I did clinical at a hospital that there was sign posted in the break rooms to NOT chart by exception.
  3. 0
    Quote from Altra
    Other than on a psychiatric unit or other special situation ... a hospital is not the airport ... belongings don't get searched. If the patient brought in meds, or had visitors (who had been there a day or two prior) bring meds with the intent of taking them when s/he felt like it -- there's not a lot that can be done about that. Unless the patient is ordered a sitter, no one can be expected to have eyes on an alert & oriented patient every second of the day.
    While I agree that you don't search belongings, some hospitals have a policy against keeping home meds at the bedside. There have been a number of times that I have seen the pharmacy bottles at the bedside, informed the patient and/or family that it was against policy for safety reasons, then took them away from the bedside for safe-keeping per policy until discharge.

    Apparently, a confused patient was overdosing himself on heart meds, which led to this policy at my workplace.
  4. 0
    I used to try to be more efficient at everything. Then I realized that I was doing too much. Before doing a task, I now ask "Should this be done at all?" This has helped me tremendously!

    The idea was inspired by an article in a tremendously inspirational blog, which is here 6 Things The Most Productive People Do Every Day . (Point #3 in the blog addresses this).


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