The ENA says triage level 3 patients need vitals Q15min. So do my hospital standards. How do you get vitals done and documented that frequently? What is actually enforced at your hospital? How do you get actual care done between vitals?
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If you get a 1-1 patient, how do you pass off your other patients for coverage, and have it documented? Obviously there's no time to write a hand off on the chart.
If the doc takes a patient from one of your rooms, and adds another from the waiting room...how do you give/get report. Do you document every hand off for breaks, shift change, room change?
Currently our hospital has stellar standards on paper, but they are impossible in real life. So they get ignored, unless someone has an axe to grind.