change over

[mozella]

how does your facility do change over? where I work the rooms are split up between all the nurses on all the shifts. when I worked nights I would complain because no other nurses on other shifts would get theirs done. now I am on day shift and I rarely get my change overs done. talk about putting my foot in my mouth.

[Flo., BSN, RN]

I have never heard that term. What are you referring to?

[classicdame, MSN, EdD]

what is change over?

[mozella]

I have never heard that term. What are you referring to?

I work in a LTCF. at the end of the month we have to put the new MAR/TAR's in. We have to make sure that new orders and dc'd orders are on the new MAR/TAR and any labs and appt's that are scheduled are on there. We call that change over. Is there another name for it?

[LaneRN]

I think what she is referring to is in LTC change over consists of the new MARs for the month, these have to be checked an placed in a chart or book that contains the patients MARS, usually takes place on the last day of each month. At our facility there are a few nurses that do 1st and second checks, then if new orders come in after 2nd checks are complete then all nurses are responsible for placing these new orders on the MARs for their residents. our third shift nurses are responsible for doing the actual changing out of the MARs. All of this starts taking place abou 4 to 5 days before actual change over and the third shift nurse do the changing out of the new MARs on the last night of the month

[mozella]

I think what she is referring to is in LTC change over consists of the new MARs for the month, these have to be checked an placed in a chart or book that contains the patients MARS, usually takes place on the last day of each month. At our facility there are a few nurses that do 1st and second checks, then if new orders come in after 2nd checks are complete then all nurses are responsible for placing these new orders on the MARs for their residents. our third shift nurses are responsible for doing the actual changing out of the MARs. All of this starts taking place abou 4 to 5 days before actual change over and the third shift nurse do the changing out of the new MARs on the last night of the month

yep, thats what I'm talking about.

[systoly]

When I worked nights, 11-7 did all of it. The CNAs helped a lot and whatever we didn't get done on nocs was picked up by the sup or days. We mostly got it done though.

[classicdame, MSN, EdD]

in hospitals that is done every night and we refer to it as 24 hour chart checks. It can be a real challenge but would be worse if held over for more than 24 hours. Day nurses have to review all new orders of course and sign off on those. So technically, two sets of eyes are reviewing the order. Found one today for Humalog insulin but patient was getting Novolog 70/30.OOPS

[morte, LPN, LVN]

Sometimes called "flip noc"....best thing to do is keep the orders current to the pharmacy, so that the new printed MARS need the least editing.

[LoveMyBugs, BSN, CNA, RN]

Where I am at, there is a nurse who comes in on night shift and goes through all 8 books, checking the MAR and TARS, when she is done with the book, any new orders the RN needs to write in both books one for the current month and for the upcoming month

[iceprincess492]

In our building the unit managers do change over every month.