One On One

[buildingmyfaith57]

have any of you ever had to do a one on one with a client or resident ? if so did you ever fine it hard to fine someone to relief you to take a break, or get some fresh air or coffee ? and have ever fine someone doing a one on one falling asleep or dosing off if so what was you action for that person?

[Indy, LPN, LVN]

I'm very confused. One on one what?

[Nurse Ratched, RN]

I believe we're talking about a "sitter" situation for a person who requires one on one supervision for safety.

It's the charge nurse's responsibility to make sure sitter staff aren't forgotten in the rush of the day (or night) but if you're in need of your break and one doesn't appear to be forthcoming, it's important to advocate for yourself. Ideally, sitter staff should be rotated out onto the floor so one isn't stuck the whole shift, but this doesn't always happen.

The only time I ran into a situation where a staff person fell asleep while doing a one on one, that person had worked a hideous amount of OT that week already, and was offering to sign up for another shift when the house supervisor came around. Advised the super that staff person was effectively impaired d/t fatigue and absolutely should not work another shift, and really shouldn't be on the one she was staffing at that time.

[RN and Mommy]

sure, i have done this many times. yeah, sometimes you might get forgotten, but that's when you need to let the rn or cna assigned to the patient that "hey! i need to go take a break. when will you be available to sit with ____________?" it's usually not too bad, sometimes the patient is very confused, combative, or restless and sometimes they sleep most of the time. i usually bring a book to read for when it is quieter because it can get boring staying in one room all day, but then again...sometimes you work harder with that one patient.

[NurseLatteDNP, MSN, DNP, RN]

I have done it many times. Sure the nurses offer to let me get a break, but I see them running around all day long, I just don't want to ask them to do my job too. The worst night was a 12 hour shift that turned into 13 hours because of the time change (clock was moved to winter time). I had to sit there all that time. Now I only agree to do it for 8 hours straight.

[buildingmyfaith57]

a one on one is when you monitor someone all day long or all night long where you have to keep an eye ball on this client. sometime you will get a break sometime you won't. it depends on who is working.

[buildingmyfaith57]

i don't think i was asking someone to do my job. a person does need a break rather you're a regular staff or agency.