Hi all you special nurses out there!
How does call work for you? Ours is really unsafe. The biggest problem is late afternoon, evening or weekend admits. We have to take call 1 or 2 evenings a week after working all day and every other weekend. The call nurse does not have info on the new pt except for telephone verbal report , if that. We have had medication errors and IV pump malfunctions to name a few. I'm so stressed over call that I'm thinking of quiting. I have asked my supervisor for help when getting overloaded on weekend call with schedualed admit, 4 schedualed visits, 2 prn visits and an unschedualed admit IV ATB BID, and she does not help, only offers encouragement. The last time I asked for help, I ended up working 14.5 hrs that day. It's not that I can't work hard, I do all the time. What I can't do any more is risk pt injury and my license that I worked so hard for. By the way, my sup was the one who made the med error while on call with bran new admit and no info due to weekend admit. The pump failure happened to a pt who was allergic to the ATB she was getting via picc line and had been desensitised prior to recieving same. Turned out ATB needed to be continuous or allergic reaction would occur if restarted. Luckily the pt knew this and informed the call nurse who was about to take out a new pump and restart ATB!!!! This was reported to the sup. who did nothing and then reported to the Dept Director who said," Well don't tell the DON, that's a sentinal event, I'm not going through all that BS". We don't have a system at all for call nurse, we just do the best we can. Out of 10 nurses who can do call, only 5 of us cover it. 24 to 26 days of the month. The other 5 nurses are mngmnt who cover the rest of the days which is never a weekend. I am so stressed over it. How does your agencies cover call? Thanks for listening.