I'm embarrassed, but can use some advice on time management

Specialties Geriatric

Published

I recently returned to work in a LTC facility after a 10 year hiatus taken to have a family and return to school. I seem to be having more of a difficult time with time management now, than I ever did before. I could really use some tips/advice. Here's the lowdown:

I'm responsible for approximately 24 residents, on 2 separate wings

There are 2 separate med carts, along with 2 sets of keys

There's 1 laptop, that the battery always seems to be dying on. I am constantly going to the nurses' station to plug it in to re-charge it. This is so time consuming!

As you know, there are lots of p.o. meds, IV therapy, G-tube, many nebulizer treatments, nitro patches, lidoderm patches, and at this facility, all syringes are kept locked up and must be signed for when used.

There are 7-8 residents with blood glucose monitoring. Some get insulin at 7:30 AM, one gets it at 11:00 AM, and then there are the 11:30 finger sticks with coverage. Insulin is kept in refrigerator, which is in locked med room. There are about 12 residents on health shakes at 2 separate times during my shift. These need to be kept in the refrigerator until given. Again, these are locked in the med room.

I just feel like I'm often running around like a chicken without my head. :uhoh3: I feel I'm doing an awful lot of unnecessary back-and-forth running, from the floor to the med room, getting the insulin, getting the shakes, getting whatever. Then, I have the residents that want their meds sooner or later because they're going out with family, going to an activity, etc....so I am running back and forth between the 2 med carts. Then, of course, there is the privacy issue, so I often have to wheel residents to their room or a shower room for finger sticks, insulin, application of patches, etc....By the time I sit down to chart (which is also done on the laptop), it's already the time I should be leaving!

I'm sure many of you are probably laughing right now, and believe me, I feel very silly typing this, but I really do feel that I could benefit from any tips you may have to offer. What can I do better?

Thank you for anything you can offer!!!

Specializes in Geriatrics, LTC assessments, insurance.

Wow--I want to thank each of you for replying to my post, and for giving me some really great tips. I appreciate it! The computer is used for MAR and for charting, so it's got to be with me at all times. I wish I could somehow combine the med carts, but there are 3 wings on each floor, and each wing has its own med cart. I'm going to work tomorrow, and tonight, I am going to sit down and make a list of everyones' suggestions, so that I can see which ones I can incorporate into my day tomorrow and in the future. I really love these forums. Thank you all again! I hope that I can help one of you with something in the future!

Specializes in Geriatrics, LTC assessments, insurance.

I forgot to add something that I already do, that I find helpful. Years ago, when I worked in Med Surg, I would take report and write everything in black or blue ink. Then, anything I needed to write that occurred during my shift, including vitals, blood glucoses, etc...I would write in red ink. This way, I could easily see what was "old info" and "new info" for charting purposes and for giving report to the oncoming shift.

Why is the insulin in the med room? That's just dumb, it can be kept on the medcart as long as its dated.

Insulin should always be kept in the refrigerator (dated) in a locked med room. This is also a safety issue that JCAHO may look at.

OP, I agree with keeping a note pad with you if unable to chart notes on the laptop as you go. This helps to avoid forgetting any important that should be documented. That is something that I always did when working on a busy Tele floor. I have never worked LTC but it did help when with fewer patients also. Maybe, make a list before going to any patient's room and try to carry everything you need to decrease the running back and forth, if able.

Hope this helps. Good luck!!!

Christy, RN

I would clarify with your pharmacist what the exact policy for that facility is, we can, per our policies, open and have on med carts, for 28 days, insulin.

laughing but not for the reason you think. same way i feel when im at work! rolling on the floor laughing!!!!!!!!!:lol2:

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