Lpn or RN

[britmansf18]

I'm so used to being responsible for everything about a patient, like monitoring the status of a Foley catheter like whether it's patent or not and any issues with it but if I'm RN supervisor and not directly caring for it by either doing an assessment or emptying the bag who is monitoring it / documenting on it ? Where do my responsibilities lie with things like this ? I know I can't do an assessment on

every resident in the building

[Liddle Noodnik]

I'm so used to being responsible for everything about a patient, like monitoring the status of a Foley catheter like whether it's patent or not and any issues with it but if I'm RN supervisor and not directly caring for it by either doing an assessment or emptying the bag who is monitoring it / documenting on it ? Where do my responsibilities lie with things like this ? I know I can't do an assessment on

every resident in the building

It IS crazymaking. And not knowing the staff it can make it feel like a huge responsibility! Ultimately we SHOULD be looking at all our patients.

I remember working in a hospital where I had a nurse assigned to a patient of mine, I was charge nurse. Back then LPN's could do their own IV's and I trusted this nurse to monitor his IV - lo and behold at the end of shift he calls me to come look at a patient, and the guy's arm is HUGE from infiltrating. I felt so horrible! Like you are saying, you can't be everywhere at once. But I could just about have shot myself after this happened.

After a while of course you will get to know which staff you can trust and which need a little extra monitoring. You still have to keep an eye on all your residents but you'll be more confident about who will be the best pair of eyes and hands for you.

Welcome to allnurses and keep posting!

[ktwlpn, LPN]

Why not ask the DONs and ADONs in their forum? They should be able to give you good feedback.

[britmansf18]

Good thinking