3-11 Admits

PS: I wasn't quite clear. How do you all manage to do all that I posted PLUS everything that needs to get done for a new admit. I had my first admit last night and had a lot of labs come in for existing residents that I had to call the MD on and enter the new orders. My shift started at 3pm. I didn't leave work til 5am! My shifts are only supposed to be 8 hours. Lordy help me.

Hmm.. at my other place I also worked the 3-11 shift and thats when the admits mainly came in. When the report came in for the oncoming patient and it was a patient that was coming under a main doctor for the facility I would notify them and ask what medications will be given? Continue with the same orders from the hospital? etc etc that helped out alot! Because I was able to get the meds faxed to the pharmacy and be done with that part way before the patient would come in. Then with the labs also, I would prioritize which labs needs the most attention from the MD and fax those out then the rest. Then when the patient came in I would do my initial assessment and providing orientation to the room and then have the aides assist the resident/ patient with any other things they needed help with so you can finish the admission paperwork. Hopefully that helps but then again I'm not sure how your facility policy is on admissions and what needs to be filled out at the time of an admission.

Viva - Your previous place was incredibly lucky/fortunate/blessed to have an Admissions Nurse!!! My last places did away with the position for budgeting reasons and regular staff was expected to do the admissions. And the next shift was expected to help finish an admission if nec. I even took admissions on 11-7 (want to talk about fun!).

Admissions were time consuming but I could get through most of the paperwork and again, what I couldn't complete the next shift was expected to. The advantage to that was that there were several levels of staff able to double check for completeness and fine details. It would cut down on omissions or errors.

To OP - typically the 3-11 staff gets slammed. Teamwork helps as does having a supervisor pitch in if poss. Because you're new, EVERTHING takes a bit longer for you and you're being hit with all the ROUTINE floor requirements AND admissions. Even experienced nurses take longer when they're new employees to a new place. It takes time to adjust.

But admissions are the revenue makers. And as much as it pained me, I recited "we don't get paid for empty beds" and grit my teeth.

Having some help would definitely be a plus. I realize you may be stretched to your max so you have my sympathies, but just a word to the wise - be careful about your overtime or the higher-uppers will be grousing about that.

I am do admissions for my short term rehab floor. And when there are no admissions, I clear out the orders at the desk, various assessments and treatments for both halls. Admissions take an insane amount of time. We typically have 1 or 2 a day because the turn over is so great.

No way I could get done in 10 minutes! Especially if that person has a wound, SI (which they most times do bc it's rehab).

I would say pass your critical meds when you know an admission is imminent. Then do the admission. Then hand out your vitmins and artificial tears, etc.

That's the reason I left LTC/nursing facility and never looked back. Dangerous and down right impossible expectations. Awful awful awful. No offense to anyone who loves it. I worked in at least 4 facilities and believe me they were all the same if not worst. Hopefully things get better for you and good luck in your career.

Our nurses and CNA's...heck ALL staff, bust their butt. (We have "Bed Makers" in the AM. How awesome is that?) But that doesn't help much when we are short staffed. It's so disheartening seeing that if we had just ONE more CNA on each shift and unit, that it would make a world of difference in our resident's lives, the CNAs lives, and the nurses', but greed keeps the money from being in the budget for it. Our unit needs a sitter. Misnomer since the role would be contantly on their feet getting fall risks to sit back down. After activities after dinner the biggest fall risks, about 15 of them, are parked at our nurses station. Oh how wonderful it would be to have a "sitter" so to speak to free up the CNAs and nurses' time. The idea is wonderful. I'll continue to dream of that. I spent an hour and a half just forcing residents to sit back down last night. I was TRYING to chart, but it was chaos. Our Internet went out by the time most residents were in bed, so I couldn't finish charting. Now I have to go on my day off to finish charting. Big shock, one of which is a fall I have to finish charting on. I have a love/hate thing with LTC/SN. I can be called an angel and a racist in the same hour. I can be smiled at and patted on the hand and kicked and spit at in the same hour. I know you all know what I'm talking about.