Acute Care-How do you prioritize your day?

[sparkygirl]

In an acute care setting how do you start your day?

Do you do your news first ?or do you look at yesterdays failed discharges and trouble shoot them first?

Do you use canopy for you reviews? When your patient doesn't meet criteria , who do you hand that off to.

I am trying to put a pathway together for my new staff.

[CaseManager1947]

Sorry that no one has answered your question...First of course, I have to print my list in canopy, then I prioritize my day by who's going home, nh, rehab etc. I finish up those, tweak paperwork, check on dme etc. Those are my first priority. We do use canopy for our charting and reviews. if they don't meet (which most all mine do) I deal with the MD directly... We have 2 nurses who do reviews in canopy on all our Medicare and Medicaid OP cases. So those we don't have to do. I would say, get your list, get those that can, out the door. Surely your nurses can tell who is ready to go, can't they, by looking at the labs, post-op days or whatever. The problem I see with canopy, is it only gives you one dx/procedure. It doesn't account for the guy with 2 broken legs, pelvis fx, and upper extremity in wound vac for open humerus fx. DUH!

[canoehead, BSN, RN]

I do the sickest person first, and move down from there. If someone needs only a quick something to be ready for discharge they move up on the priority scale too, but usually I go and assess the sickest.