Non nursing duties

Specialties Psychiatric

Published

Does your unit have nurses going around with the checks board, looking through patient's belongings, doing beverage and snack breaks and handing out meal trays? Our unit has nurses running around doing all of this stuff because of staffing issues. Just wondering how many psych units out there function this way......trying to get all charting and meds done in between, there's barely any time to talk to the patients. Typically we have 1 MHC on duty, and when they are on break or monitoring visitors, nurses are covering the check board etc. it's not that I mind once in a while, however it's becoming a steady diet and I feel like a glorified waitress!

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Wendy

Specializes in Pediatrics,Adult/Pediatric Psychiatry.
Does your unit have nurses going around with the checks board, looking through patient's belongings, doing beverage and snack breaks and handing out meal trays? Our unit has nurses running around doing all of this stuff because of staffing issues. Just wondering how many psych units out there function this way......trying to get all charting and meds done in between, there's barely any time to talk to the patients. Typically we have 1 MHC on duty, and when they are on break or monitoring visitors, nurses are covering the check board etc. it's not that I mind once in a while, however it's becoming a steady diet and I feel like a glorified waitress!

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Wendy

Oh honey, you hit the nail on the head with this one!! I work in a 40 bed adult acute care locked unit. We have 3 maybe 4 nurses on...2 to pass meds and 2 to do desk duties, admissions, discharges, etc. We are supposed to have 4 PCAs on the floor and get floats for the 1:1s we may have. The nurses make hourly rounds to see where the patients are/what they are doing. The PCAs make q15minute checks on the patients that are ordered on it and they make q30minute checks on everyone. (these rounds are part of our new policy that was implemented due to a sentinel event we had a few months ago). When the PCAs have to relieve the 1:1s for break, that leaves less on the floor, then we have visiting from 11am-1pm and 6pm-8pm. That takes another PCA off the floor. So who picks up all that extra work?? You guessed it...nurses. Now throw in a couple of delusional, psychotic, highly disorganized patients who decide someone looked at that them funny, and you have to de-escalate a patient or many patients!! And if that doesnt work, IM medications to be given and having to wait for security to come to the unit because we are short on PCAs!! We also need to have a nurse in the dining room during mealtimes in case of an emergency. Add to that not having a unit clerk so phones are ringing off the hook!! Hahaha....just thinking about what we do over a 12 hour shifts blows my mind!! And it has been this way since i started here 3 years ago. So do like i do, take a deep breath, curse to myself...LOL...and keep on moving unitl 7pm. Then go home and go to bed to do it all over again :-)

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