Report: 0700 to 0730
Look up lab draws taken at 0600 for my five to six assigned patients
Check five to six charts for stat, now, recent order changes
Begin my patient assessments
In the process of beginning my patient assessments, I may get held up in one patients room for over thirty minutes to an hour due to that patient either being on isolation and very very sick and needing pain meds, respiratory treatments, etc., or the patient who was suppose to be "stable during nights" is no longer "stable" but going down fast......more time involved at the bedside, and a possible to definite transfer to ICU. A situation like that took over an hour from start to finish.
Running around looking for pulse ox machines, dinemaps that work, wall blood pressure cuffs that work, running to pharmacy for meds that have not arrived, or needed stat or now; ordering IV pumps for new admits, or IV pumps to change out the pumps that aren't working any longer on patients. Running around trying to find Bedside Commodes for those who can't make it past their beds to potty. Dealing with the "Visitors" who think I should roll out the red carpet for them and their loved one which ends up becoming a PR issue. Answering call lights because no one else can do it. Feeding the patients who can't feed themselves because there aren't any other hands to call on to do it for them....the techs are at lunch or on break.....
Calming an upset patient, listening to a doctor baffle on about what "he/she" wants, yaddy yaddy yaddy..........
One day I had two patients on isolation and three others to care for with discharges to do, and report to take for the incoming patients that I'm being assigned before the discharged ones are gone........ Isolation patients alone are one on one and time consuming.
Let's not forget the patients who have to take a cupful of meds, yet can only swallow one at a time....veryyyyyyy slowwwwwly at that.
I've stood by some patients bedsides for ten minutes alone until they swallowed their meds with the three cups of water I've had to fetch in between time because the water "didn't taste right" or they needed "more water to swallow one pill with...".........and so forth.
Then, the constant ringing of the phones we have to carry around wanting this or that from us, etc. and our having to go fetch it, or call a doc for it, etc.
Every department coming to see the patient wanting to know things that nurses used to have time to know about way back when...
Then.....those darn Acuities that don't do any good anyway.
Don't forget the acuities......have you put your acuities in yet?......update the board?..........discharge a patient who is having a fit because they have to wait their turn to be seen.....where does it all end?
All this and then some while telling my bladder it doesn't have to pee, or my stomach that it doesn't need to eat, and my emotions that I can wait until I get home to "let loose" and scream, cry, etc.
I can continue if you like........