How Long Do You Take To Answer Call Bells?

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Yesterday, my director came over to me and said one of my patient's call bells was ringing for almost 4 1/2 minutes. I was stuck in an isolation room hanging blood. The aide leaves a lot to be desired, but I spoke with her and sounds like she was also in an isolation room cleaning up a big mess.

The director's ego seems to have been hurt because she mentioned family members were visiting and think "we don't take care of our patients." This director never yells or even raises her voice. She just has a way of letting you know about things. Kind of like "that look" your parents would give you when you were growing up! I'm pretty tough on myself about getting to patients quick, but wonder, what do you all do about call bells? I just think there's always things going on where you can't leave. We wear pagers and I knew this was a very stable patient thus didn't leave my other patient. The director did mention I needed to speak to the aide about moving quicker, but even that makes me wonder. I do believe this was just a time we couldn't get there in two seconds. Four minutes wasn't the end of the world in my opinion. I worked in LTC and those bells can ring for a very long amount of time. I really hated that and left soon after starting. While you never know what a ringing call might be for, you need to prioritize. I do find it crazy I had five patients spread out all over the entire floor. Why is it we can't have our patients on side of a floor instead of running from one end to the other?? At least that's the way it is or us. Once in a great while I have patients in closer rooms and it's so much easier and quicker!!

What are the rules on your floors? Thanks all!!

I work in LTC/rehab. During my orientation we were told that it is EVERYONE'S responsibility to respond to call lights. I answer as many call lights as I can as soon as I can. However, I have no choice but to prioritze my tasks. If I am dispensing meds and stop what I am doing to answer every light as soon as it goes on I could not possibly get my meds passed in compliance, nor get everything done that only a nurse can do. There are many times that I cannot just stop what I am doing to answer a call light, like when I am drawing up insulin or other injectable, changing dressings, doing an assessment, administering meds to someone, responding to labs coming in, etc. Doing so would increase the risk of a serious mistake. Having said that, I have yet to see the dietition, activites person, PT or OT, medical records person (who is an LPN), HR person, or anyone not directly assigned to work the floor answer a call light. I hae seen several of the above mentioned personnel just walk right by. I will certainly point that out if I am ever spoken to about a call light going off for too long. A couple weeks ago I needed help on a "hell day" and the DON was on the floor dispensing meds. I did not see her answer one call light.

Specializes in LTC, assisted living, med-surg, psych.
I am pondering this.

If the director knew the call bell was ringing for 4 1/2 minutes, why didn't she answer it? If she had the time to time a call bell, she could have walked into the room to see what the person needed!

Just my idle thinking. :)

That was my thought as well.........:uhoh3:

We also have a speaker system. Whoever (RN/LPN/CNA/maintanance man) is at or near the nurses station will pick up the receiver and see what the patient needs. If they can take care of the request, they do. If their nurse is needed, they let the patient know that their nurse is with another patient and will be down to see them ASAP. We are very good about answering call bells for each others patients. If the patient requests a prn med but the pt. belongs to another nurse, i find the nurse and ask them if they want me to give it for them. Patients seem pretty happy with this system since they get to talk to someone pretty quick, since there is usually someone at/around the desk. This way they do not feel ignored and don't mind waiting 5 or 10 minutes to go to the bathroom as long as someone knows they have to go. It works well for staff too so we can answer at the desk and prioritize several call bells that way instead of a first beep first serve way. It also saves time since you know what you will need to take into the room with you instead of running up and down the hall a million times.

O that might be why i am always asked by someone else what i needed. oops:banghead: :imbar I always just said i need my nurse. my bad

We also have a speaker system. Whoever (RN/LPN/CNA/maintanance man) is at or near the nurses station will pick up the receiver and see what the patient needs. If they can take care of the request, they do.

Does the matinence man do things offten?

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