Hi everyone. I work on a sub-acute rehab floor in a LTC facility on evening shift. I am a new grad and have been working there for 4 months. It is my first RN job. When there are days in which I have an admission, I get quite frustrated. Here is a checklist I made of all of the steps in the admission process I have to do:
[TABLE=width: 655]
[TR]
[TD]General Assessment -
[/TD]
[/TR]
[TR]
[TD]Pain or PAINAD Assessment
[/TD]
[/TR]
[TR]
[TD]Urinary Incontinence Assessment (If Urinary Incontinence Present or Urinary Catheter in Place)
[/TD]
[/TR]
[TR]
[TD]Psychotropic Medication Assessment (If Patient is Taking Psychotropic medication)
[/TD]
[/TR]
[TR]
[TD]PUSH Tool (If Pressure Ulcer Present)
[/TD]
[/TR]
[TR]
[TD]Skin Sheets (If Skin Alteration)
Also Include Dry Skin, Bruises, Surgical Scars
[/TD]
[/TR]
[TR]
[TD]Tasks for GNAs
[/TD]
[/TR]
[TR]
[TD]Immunizations Records –
Includes Immunization Packet and Data Entry into Immunizations section of Electronic Health Record
[TD]Care Plan- Include ADLs, Pain, Skin, Falls, Monitoring
[/TD]
[/TR]
[TR]
[TD]Labs if Ordered
[/TD]
[/TR]
[/TABLE]
What's sad is that all of these steps have to be completed on my own. My supervisor (who usually sits around and does nothing) refuses to help put orders into the computer or help complete the care plan. In addition, it's really hard when admissions come late like at 8pm when I'm starting my 9pm med pass. I often stay several hours past 11pm (when my shift "officially" ends) to finish admissions and charting on all my other patients. My questions to you all is this: Do admissions at your facility/hospital have the same number of steps as mine? Do you get any help with your admissions? How long do admissions usually take you? For those that work in hospitals, what are hospital admissions like? My supervisor said you're supposed to spend no more than 2 hours on admission, but I definitely have to spend more time than that because perhaps I'm slower as a new grad. Do you have any suggestions for a new grad like me for making the admission process go smoother? Thanks for your help!
Hi everyone. I work on a sub-acute rehab floor in a LTC facility on evening shift. I am a new grad and have been working there for 4 months. It is my first RN job. When there are days in which I have an admission, I get quite frustrated. Here is a checklist I made of all of the steps in the admission process I have to do:
[TABLE=width: 655]
[TR]
[TD]General Assessment -
[/TD]
[/TR]
[TR]
[TD]Pain or PAINAD Assessment
[/TD]
[/TR]
[TR]
[TD]Urinary Incontinence Assessment (If Urinary Incontinence Present or Urinary Catheter in Place)
[/TD]
[/TR]
[TR]
[TD]Psychotropic Medication Assessment (If Patient is Taking Psychotropic medication)
[/TD]
[/TR]
[TR]
[TD]PUSH Tool (If Pressure Ulcer Present)
[/TD]
[/TR]
[TR]
[TD]Skin Sheets (If Skin Alteration)
Also Include Dry Skin, Bruises, Surgical Scars
[/TD]
[/TR]
[TR]
[TD]Tasks for GNAs
[/TD]
[/TR]
[TR]
[TD]Immunizations Records –
Includes Immunization Packet and Data Entry into Immunizations section of Electronic Health Record
[/TD]
[/TR]
[TR]
[TD]Admission Note
[/TD]
[/TR]
[TR]
[TD]Inventory Sheet
[/TD]
[/TR]
[TR]
[TD]Weight
[/TD]
[/TR]
[TR]
[TD]Vital Signs
[/TD]
[/TR]
[TR]
[TD]Physicians Orders – Medications, Skin treatments, Oxygen, Immunizations, Diet, and Advance Directive
[/TD]
[/TR]
[TR]
[TD]Care Plan- Include ADLs, Pain, Skin, Falls, Monitoring
[/TD]
[/TR]
[TR]
[TD]Labs if Ordered
[/TD]
[/TR]
[/TABLE]
What's sad is that all of these steps have to be completed on my own. My supervisor (who usually sits around and does nothing) refuses to help put orders into the computer or help complete the care plan. In addition, it's really hard when admissions come late like at 8pm when I'm starting my 9pm med pass. I often stay several hours past 11pm (when my shift "officially" ends) to finish admissions and charting on all my other patients. My questions to you all is this: Do admissions at your facility/hospital have the same number of steps as mine? Do you get any help with your admissions? How long do admissions usually take you? For those that work in hospitals, what are hospital admissions like? My supervisor said you're supposed to spend no more than 2 hours on admission, but I definitely have to spend more time than that because perhaps I'm slower as a new grad. Do you have any suggestions for a new grad like me for making the admission process go smoother? Thanks for your help!