So, as a night shift LPN at my facility, one of our duties is to perform 24 chart checks for new orders. This being a large 500+ bed facility, one nurse might find himself responsible for upwards of 80 chart checks depending on staffing. So it can be fairly time consuming.
And, as is standard in LTC, each unit has a 24hr communication board on which days/evenings notes which residents had new orders written that day. Simple enough. And, this being LTC, it's not at all uncommon for only a dozen or so residents to actually have new orders on any given day on a given unit.
But what dives me nuts is that most of the night nurses I work with think that checking each chart is unnecessary cause "you only need to check the ones who're on the 24 board".
It goes like this:
Other nurse: "Sweet! I only got six charts to check tonight!"
Me: "You realize you have to check every chart, right?"
Other nurse: "That's stupid, there's only six residents on my 24hr board."
Me: "Yes, but you don't know there weren't other orders"
Other nurse: "Yes, I do" *waves 24hr board like I'm an idiot*
Me: "Yeeees....but what if an order got missed?"
Other nurse: *blank stare*
Me: "If the day nurse missed an order, wouldn't it stand to reason that order wouldn't
be on the board?"
Other nurse: *blank stare* "But there's only six orders on the board!" *once again waves the 24hr board as though I'm an idiot*
Me: *seizes board from them and proceeds to beat them to death with it*
So, as a night shift LPN at my facility, one of our duties is to perform 24 chart checks for new orders. This being a large 500+ bed facility, one nurse might find himself responsible for upwards of 80 chart checks depending on staffing. So it can be fairly time consuming.
And, as is standard in LTC, each unit has a 24hr communication board on which days/evenings notes which residents had new orders written that day. Simple enough. And, this being LTC, it's not at all uncommon for only a dozen or so residents to actually have new orders on any given day on a given unit.
But what dives me nuts is that most of the night nurses I work with think that checking each chart is unnecessary cause "you only need to check the ones who're on the 24 board".
It goes like this:
Other nurse: "Sweet! I only got six charts to check tonight!"
Me: "You realize you have to check every chart, right?"
Other nurse: "That's stupid, there's only six residents on my 24hr board."
Me: "Yes, but you don't know there weren't other orders"
Other nurse: "Yes, I do" *waves 24hr board like I'm an idiot*
Me: "Yeeees....but what if an order got missed?"
Other nurse: *blank stare*
Me: "If the day nurse missed an order, wouldn't it stand to reason that order wouldn't
be on the board?"
Other nurse: *blank stare* "But there's only six orders on the board!" *once again waves the 24hr board as though I'm an idiot*
Me: *seizes board from them and proceeds to beat them to death with it*
Or something like that.....