Opinions please re: Phase I - page 2
by sharann | 3,555 Views | 16 Comments
Ok, what do you all think about the common practice (more like Mal-practice) of one RN being in PACU with a patient. This of course is usually on a weekend or at night when resources are at the most minimal. How do you justify... Read More
- 0Jul 26, '08 by All4SeasonsWe never have less than two nurses in PACU - if I was expected to work by myself -and I have to say that I believe this practise to be foolhardy at best and a practise designed by penny-pinching fools (who shouldn't be allowed to get away with it)....I'd work elsewhere. It's an INSANE concept.
Not hard to guess my true feelings,eh? :wink2:
- 0Jul 26, '08 by canoeheadI used to work on my own in labor and delivery, and I am currently on my own at night in the ER. It's not ideal, but the beancounters aren't going to budge. The trick is to have all your equipment ready and waiting for anything you can think of, and not be afraid to use the code button to get help on the double.
- 0Jul 29, '08 by Babs0512Sharann, I have the same problem. Our nurse manager gets around the 'two" nurse rule by saying that the OR nurse can help you if you need her. That's only true if certain OR nurses are working, some will tell you outright "NO' if you ask for help. Most of the time, the OR is gone within 15-20 min, while I still have the PACU patient. Then what??? My boss always has an excuse. Like you, we too are EXTREMELY discouraged to call our second call in. Of note, our second call DOES NOT do FIRST CALL - so if we are sick or in an MVA on the way to the hospital, there is no one to recover the patient.
I don't know what the answer is. I've talked to the the nurse manager and HER manager, but I've gotten no where except on the bad side of my boss. Administration is home warm and safe while we are on call working all kinds of ungodly hours - nothing is going to change.
If the PACU nurses would stick together, maybe something would get done, but they won't *T is too busy kissing mangerial butt, *V - is a two faced (female dog) who cares of no one but herself, *K is just too sweet and trying to be everyone's friend. *P doesn't care, as he will be leaving within a year, going to nurse anesthestest school, *N likes to stay on everyone's good side and she's up for *P's day position. *Me, I'm willing to raise cain, but no one willing to stand up with me. So, we're going no where fast.
Good luck to you, I feel your pain
- 0Aug 26, '08 by Babs0512You are correct, we are suppose to have 2 RN's "available" to PACU according to ASPAN, how my boss gets around this is she says "Ask the circulating nurse to help if you need it." Well, I just got back from recovering a C-section. It's 0020 my time. My circulating nurse dropped of the patient, gave me a report and said, "night". Then left.
We've told our that we cannot always depend on the circulating nurse to be there. So far, it's gotten us nowhere.
Well, I have to try to sleep, gotta be back to work by 0700, hope I don't get called in again for anything.