I am not one to complain, BUT I am getting very tired of never being able to start my shift by getting report like the other shifts ALWAYS do. I work 3rd shift and everytime I come on the unit the report book is NEVER completed. Either 2nd shift is working on finishing or needing the report book so I cannot take it (many chart in computer and print out and cut and tape their notes in book so have to wait-takes them forever and many times they have not started charting when I come on the floor).
The few times I take the report book and go in report to read (I am only RN on unit at NOC) but difficult to get the whole picture when no 2nd shift notes added or an admission is not in book yet. 1st and 2nd shift always start by going in report. They do not do ANY DIRECT PATIENT CARE for first 30+ minutes. Depending on census there are 2-4 nurses on unit (days and pms)and ALL of them go in report and get report on ALL patients (regardless of assignments). This takes well over half an hour as they do like to take their time and I do not mind I do what I can and pass any pain meds or prns and finish any unleft charting that needs to be done. When 1st shift gets out report will give verbal on any questions they have for me..(shifts overlap by 30minutes) I am never out of there on time either. So why is it okay for them to get report and take over 30minutes when I don't even get it many times at all.
Many times report book is not finished until 2 hours after the beginning of my shift. And there is NO WAY I can wait that long. Many times, I walk on the unit and have admissions waiting for me, patients up at desk asking for prn's, someone needs something and I jump right in and do what needs to be done. Next thing I know its 3-4am and realize I have not even read report because its been so busy so rush through it quickly and when day staff comes in and has a question like how many discharges are there? i look like a COMPLETE idiot since many times I don't know.
I was always taught in nursing school the importance of getting/giving report for patient safety and I want to refuse to start work until I get report but it is not realistic to wait 1-2+ hours for it either. Anyone else have these concerns?? Or suggestions?? One nurse (my preceptor) told me while I was on orientation "We don't do report like the other shifts" but I think that is just plain wrong.
Is it okay to refuse to start work until I get report? Only been a nurse for 6months so this is somewhat new for me.