Was I wrong? - page 3
I normally work in a cath lab and on rare occasions, we will have no procedures scheduled. On these days, we are floated to various floor as "helpers" (BTW, we are all RNs doing the floating here).... Read More
Mar 23, '02I agree Kimberly, As a 'float' out of ICU many times I will be 'admit nurse' on the floors and do ALL the admission asessments for the nurses. I am always careful to document " admission asessment report given to patient care nurse_____" on the form.
I guess one could do the same with daily asessments but it seems like a waste of time relaying all that info to the care nurse.......
As a float, I don't blame you for speaking up as you were not comfortable and we are all accountable for our practice. In reality, floor RN's sometimes must do asessments for other nurses; in my facility policy requires a full RN asessment q 24 hrs, so if I'm working with an all LPN staff it can get hairy...LOL!
Mar 23, '02I agree that the assessment is the primary nurse's responsibility. I think that in this very busy job, I see people so overwhelmed they try anything to lighten the load. Assessments are not the thing to get out of. It is the foundation of taking care of the patient. I would much rather do my own assessments. Sorry it got so nasty for you....take care and know you ARE supported
Mar 23, '02I agree with your stance 99.9%. The only way I've experienced another nurse doing anothers assessment work positivly was during my preceptorship in SICU...We all stormed the room of a new admit and while the primary nurse interviewed and wrote on the chart we all set up and called out the physical assessment findings, but the primary nurse was IN the room and gathering all the info.
I too hate to be thought of negatively....I hope i will be able to have the courage you displayed when faced with a similar situation.
Mar 23, '02I won't comment on whether she was right or wrong because I don't know what she was thinking, but I do want to say that I just wouldn't feel comfortable with someone else doing my assessments. That really is my baseline for how I am going to prioritize my day (well, night). Also, I want to know what is going on with my patients.
Mar 24, '02fergus
You are lucky enough for them to crump mid-shift mine always wait until right before shift change
Mar 24, '02I, too, insist on doing my own patient admits and initial assessments. I also insist on double checking vital signs with patients who have high risk diagnosis, too.
Mar 25, '02My initial response to your story was "lazy floor nurses, doesn't surprise me a bit."
My next response was "snotty cath lab nurse, doesn't want to do that crappy floor nurse stuff...:roll OK, you can laugh now, I was just kidding...I actually want your job!!
Then someone said that maybe the nurses didn't like drowning in paperwork (me neither!) and would like to be nurses, so if you did the paperwork it would really help. Makes sense to me.
Except there's a problem. If the nurse ultimately responsible for the patient does not ASSESS the patient, how can s/he possibly care for the patient? It would be like planning your day's actions from report without going in and checking for yourself. I can't believe someone would do it.
As for the admission assessment, the floor nurse could do it and someone else could enter it in the computer. We do that all the time; the same goes for orders as well.
Our hospital policy is that the nurse caring for the patient has to do an initial assessment at the beginning of their shift. In ICU we assess every two hours; if I have to pick up a patient for only 4 hours, I still have to do that long initial assessment again that the former nurse had done only eight hours earlier. But if the patient had had the same nurse for the entire twelve hours, there would have been only one long assessment. Sigh...paperwork really sucks! I feel when I'm writing that I'm really only covering my ass, because the only people who ever look at the chart again are the attorneys when they supoena it for their malpractice suit...
I think I'm too new to already be this jaded!