Quote from Angie O'Plasty, RN
What's worse is, many of these required forms are so time-consuming that their existence creates a time crunch for the nurse to document nurse's notes.
Ever notice that when a new form is generated, it is always blamed on JCHAO?
Sometimes I feel like nurses are treated like hamsters on a wheel--faster, faster, faster!!
People need to face the fact that no one person can possibly do all the things nurses are expected to do in one shift.
I have been in LTC for 18 years. When a patient falls, instead of having one paper to fill out, we now have 10. In the past, if the patient was oriented and could tell you they did not hit their head, you didn't have to do both V/S & neuros. Now, whether the patient is oriented or not, if you didn't see them fall, you have to do neuros, V/S etc/ And of course you didn't see them fall...you were probably pushing pills or doing paperwork.
We also are required in the middle of our med pass to pass out dinner trays and feed. During dinner we have to go on a different floor to pick up the patients from the hairdressers. And many times she calls ahead of time, so you have to wait until she is done. In the middle of a med pass!
If the CNA needs a different item to someone's diet, they don't call the kitchen...the nurse does. If we get Coumadin & PT/INR orders or other paperwork at that time, it has to wait. We have to observe all patient hoyer or 2 person tranfers. Still, all the while trying to do our med pass! Nursing duties are pushed aside constantly for our nonnursing duties.
Years ago your med pass was sacred and inviolable. We used to have signs on our med carts: Do NOT disturb the nurse unless it's an emergency. NOW, they have NO respect...NONE of interrupting you constantly. It's a wonder there are not more med errors than there are!