Published
i see this as one more casualty of the staffing change from 8 hour shifts, five days a week, to twelves, 2 or three days in a row max, and often not even that. i know that fads in nursing come and go, but the one for primary care servd so many purposes, not least of which was better communication between all caregiver team members.
so here's this nurse, who has probably never seen any of her patients before, asked to give nursing input to the care team, and she has nothing to offer of use because she has had no time to learn anything, doubtless being completely consumed with the sheer volume of tasks she has. this doesn't just make you look bad (and it's not your fault, and you will get better at it, assuming you are a fairly new nurse), it makes nursing look bad from a team mgmt standpoint, and that ain't good.
we have rounds every morning on every patient. Report from previous shift is at 630 am and they leave at 7am. Meds are not due until 8:00, and we have a half hour window to work with. So i cannot even pass meds until 7:30. So i take advantage of this 30 minutes (7-7:30) to look through patients charts etc.
Labs are always done at 5am, so we have them by this time. This way i know recent updates on the patient, recent lab results. i only chart abnormal results, because that is all the ones the doctors really care about anyway.
willowRN
42 Posts
So we had our new kind of multidisciplinary rounds where all members of the healthcare team are there today.
Let me tell you that before this I was really doing good but today I felt really overwhelmed with my patient load and their acuity I didnt have a chance to browse through the notes too much.
So when I get to the room I was expecting to be called last since I had the last rooms but they wanted my report right away. What can I say, I stammered. I'm so sad about this. I looked like an incompetent fool which I am not. But now I just feel horrible.. Thank you