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.
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!!!
Jul 19, '11
One good source of information is your pharmacy consultant. He or she should be able to give you the up to date regs in your state. We don't keep the insulin in the fridge once it's opened. Some old habits die hard. We have many residents with finger sticks even though it's not the best way to regulate blood sugars. Lots of them don't want to have to go to their rooms for each finger stick or injection. We ask them and if they want we get an MD order and put it in their care plans
that they prefer not to have their activity interrupted for a finger stick and we do it where they sit. Even the DPH can't argue with resident wishes.
And, please don't be embarrassed about any question you ask here. That's why this forum is here and we all need to ask advice at one time or other.
Last edit by CapeCodMermaid on Jul 19, '11
: Reason: Always more to say