Last week, handed a booklet detailing my job expections; I work 7am to 7.30pm on a surgical/tele floor.
7am meeting huddle, 5 -10 mins, mostly on what more we need to do; then get assignment, paperwork, do walking rounds, check all lines, answer lights, be on top of meds, phone calls, escort any pt with a chest tube, heparin drip. etc, to various tests, chart your assessments on 5-6 pts, mostly post op, within two hours.
We have CPOE, which means the docs enter their own orders, except they enter nursing comunictation orders, which mean i have to enter them. Check every pt hourly and sign a sheet. We take high dependency type pts, despite being med/surg floor.
The Unit secretary, and LPNs, can no longer imput orders, check orders do admits, give narcotics., and all post op pts must have a full history and admit done on arrival. Discharges must be done within 60 mins. Meanwhile Im supposed to give pts the best experience ebver by sitting with them, making eye contact etc.
Is this normal now? Just wondering what other facilities do. Been a nurse for 20+ years, and I can't handle it.
