OKAY...I've been told I expect too much of my nurses. I need some opinions. Subacute floor--40 patients(not all subacute by any means). One nurse for meds and treatments on each wing and a nurse manager who does the admissions, care plans
, care plan meetings, morning report....
Nurse manager is at care planning for hours today. Gets back to the floor and one of the nurses says...oh 'YOU need to call the doc to get a script for Mrs Jones' oxycodone". ??????????????????? YOU???? The first nurse counted the narcs at 7am and knew since then that we were out of the pt's oxycodone, but she waited till 2:15 and then told the nurse manager to do it.
I think these nurses are spoiled beyond the pale if they think the nurse manager should be the one ordering drugs. They expect her to call the docs with everything and think they should only be responsible for meds, treatments, and charting.
Am I expecting too much? When I worked the floor I had 30 subacute....5 IV, 6 Gtube, trach care, and 3 people in the end stages of HIV and I managed to get everything done...including ordering my own meds and calling the docs with updates and labs...
What do all y'all think?
Sep 19, '06
Are you talking LTC? or hospital? Opps sorry just picked up on the forum. I would think that any nurse could call and get narcs reordered. However have they been told that it is the nurse managers job or been chastised for doing it when maybe the nurse manager wants to be the one to do it? I dont know,,
but ya maybe 30 with the care of those you described seems quite a bit for one nurse.
Last edit by meownsmile on Sep 19, '06
Sep 19, '06
Wow - 40 patients? That seems unfathomable to me.
Anyway, I think there is always more to the story than the nurse is incompetent, lazy or doesn't care. Is she/he forced to work with inefficient systems? Does the pharmacy not keep their inventory up to date? (For example, why were you out of the patient's oxycodone? If it was stocked in the first place, there never would be an issue.) Is there poor communication between docs/nurses? Are the nurse's resource people not caring out their responsbilities? Or maybe she/he isn't trained properly? Or is the ratio just not realistic? I would look further than the person - usually problems can't be traced to any one source. Give the person the benefit of the doubt first and take the time to really find out what's going on.
Granted, there are some bad apples, but I think most nurses want to do a good job and provide good care for their patients. If they stray from that, there's usually a good reason for it. Unfortunately, some managers just complain and blame their employees. If managers are willing to do their homework and make some changes to improve conditions for their employees, they'd be surprised at the benefits.
Last edit by anne74 on Sep 19, '06