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:Melody: can't say in polite company. We have a lot of turn q2hrs, feeding tubes, hip replacements, pneumonia cases, and doctors that won't send them home. ICU is packed 13 Pt, and we will get them on med/surg soon. ICU sends them out to the floor and we have no beds, we have a ECF here too and there full. Then we have a thing called SWING BED thats when we transfer them in the computer like a medicare bed, but we still have to do all the paper work like a new admit. That takes about an hour for the paper work. now on days there are 4 nurses, 3 CNA's, unit clerk just to put orders in the computer, this they can justify. I guess they think all we do on nights is sleep 
we don't have the time. Getting the call lights,
Franlpntorn
48 Posts
thanks for every one who took the time to respond.
went to work last night, we had 12 pt - 3 rn's , 1 cna.
we got a new admit for blood. well when the mananger came in she said " we have to many people here" 3 rn & 1 cna is to much. one of us should of gone home. well who the cna who was turning the pt getting the call lights every 5 mins for one pt yes q5 mins :angryfire ,getting i&o & vs. or one of the rn's who were still doing the paper work and there is more each day new paper work a check off sheet of a er review???.
we have a lot of repeat pt. but if it has been 45 days- then we can't get the old chart hx, this would speed up the the time it takes to do a med/surg admit. these pt should have there information in the computer at all times, then when er admits them the info would be there. we are not a truma center, they have more time with the pt then we do before there admited. we have computers in the hall and at the nurses station that's not the problem, it's just getting through the way it's set up. hand held pda's with a check off sheet that goes faster would be nice. :stone sorry for the ramble
back to......
who goes home. then you have the night manager who won't send anyone home early.
last might was the first time that i got to work the full night in a week becuse of low cenus. and they wonder why they don't keep help. if i don't work there's no pay check. we go on call if were on the schedule, and that means if the number go up then you get called in maybe for 5-6 hours. we have pto paid time off but you have to put it in 30 days before you use it. i ask you how do you know when your going to have low census and if your not working you not getting pto.
so the question is why is there a shortage...... pt load poor schedules, too many or not enough help. our manager was telling pepole that there was to much ot for a few, of course she was'nt looking at the census numbers and the ot time. 2 weeks ago we were up to 20 on the unit, 3 rn's and 3 cna's , 1 ua in the am but pm had 3 rn's -1 cna/ ua that went home at 11pm that was 7-7-6 . so what does this say... if you can do this then why should have so many people when you only have 13 pt. the bigest problem is they don't look at the medical condition of the pt.
the 13 we had last night of the them 7 were a fall risk & turn q2, of the 13, 4 were - pt with one to one needs, i was lucky i had the 4 who were alert and oriented x3. so i helped with the call lights , bed changes, iv fluids & beeping's and all the rest of the stuff that is ...
. 
guess i should be glad i was working but to be told one of us should gone home. it was'nt a bad night because we had the help but try and do this with 1 less rn or no cna.
what :angryfire got me the most was when i heard the word pt satisfaction is'nt that when you have the staffing of no more the 6 pt to 1 rn.
of course there is the problem of the pay ( 14.77 base is't a lot to begin with)for the nurses, it goes down when you have more rn's to pt's.
it's good to vent
do the hospitals realy want nurses???? and what will they do to keep them?????
this is off the subject but 5 years ago my dad was in the same hospital, went back to see him later the same night he was confused. he is never confused( old does not always = confusion) !!! --2 nurses that night with 15 pt had to hunt down the nurse and get her to do an accucheck. of course there is no order for it. the time that passed was around 20 mins before his blood sugar was taken, was 46. when the blood work came back it was 32. his doctor came in and we got 2 bolus of glucose before it was back to 80's and stable. the reason for the 2 bolus was his bs went down from 85 to 60 in 10 mins.
now the nurse had just hung his piggy back 30 mins ago and he was fine. so the only factor was the ivpb and it took over an hour to get them to stop it.
ask your self was this becuse of the rn to pt's numbers or something else. the worst part is how long would the bs have been low before he would of been found???? he was not a diabetic he was on steriods. they( not his reg doc) put him on glucophage becuse of the higher then normal bs. the ivpb was vanocomycin. :uhoh21: