fed up and set up - page 4
feel really fed up with work.learnt something today .dont just believe what you are told in handover. double check doctors orders.and if its not in writing it doesnt exist.Also upset the same nurse... Read More
Sep 19, '06It would be great to have time to check all the charts and orders, but it has never been possible for me unless there is a question in my mind or problem. I have 12-15 patients as an LVN on a med surg floor and trust me most days I never look at the main chart only the bedside charts. I do however check the chart whenever I am in doubt about an order, etc. In a perfect world (not nursing) we would have time to check everything we would like to. Unfortunately when we are overloaded with too many patients we have to do the best we can to keep them safe. It's overwhelming to me most days just trying to get the meds out and not be 2 hours late. Lord help me.
Sep 19, '06Quote from LPN,RNNowI issue you a challenge! The next time you find yourself with some free time (I know, I know, it'll never happen!) or stay a few minutes at the end of a shift and clock yourself pulling all 40 charts, quickly flipping them open to the doctor's order page, looking for a doctor's order on the first page or two that hasn't been noted and signed off by another nurse, closing the chart and putting it back in the rack. Without interruptions--10 minutes, tops! Let me know your result.Maybe in a small setting this is possible, but not LTC for the most part. I work weekend shift. If I went through all 40 of my residents charts checked the new orders for the past week before I started my 8pm med pass (which by the way as it is does not get completed until 8:45 or 9:00pm) I would not even be starting that med pass until 10pm.