No cart concept

[harlee89]

Hello, so our facility's transitional care unit is wanting to switch over to a "no cart concept" and I am wondering if there is anyone out there working in a similar facility that currently does this? None of the staff seem to this is is a good idea, but I would like to approach administration with a solid concept and plan on how we can integrate this into what we already have.

Background info: nursing home with transitional care unit. Hallway is in the shape of a "T" with 33 rooms split accordingly and includes 2 double rooms. We currently have nursing carts with a lot of supplies on them including med cups, water glasses, water, glucometers, dressing supplies, gloves, tissues, all stock meds and a locked narcotic box. As well as our laptops, phones, and vitals equipment.

Without a cart, admin is expecting us to carry most of these supplies on our body or have every room supplied with them.

Problems we currently face:

PCC: which is slow and does not allow us to quickly access pt info if we put a computer into each pt room.

Narcotics: pt rooms currently have a key locked drawer for their meds, they want us to put narcotics in those drawers in pt rooms and count them 3x a day at shift change---we have lots of problems with this concept.

Stock meds in every room: this will expire before we use most of them contributing to mass waste.

Please help us!!!

[GeminiNurse29]

In my experience, suggest someone from admin shadow one of you during a med pass or something. All too often higher ups like to come up with these great ideas without a clue how they actually work in practice. I bet they'll change their minds real fast.

[Cat365]

I especially think 99 narcotics counts a day is excessive. I wonder if they really thought out/calculated the time that would take. You might point that out from a financial (how much they will spend in wages to do this) standpoint.