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Discussion

3 pm orders

I work the skilled hall and some of us regulars were called to the office because no one wants to pick up on our hall. Apparently, we leave a ton of orders and I'm the "Queen." Now I've learned the hard way to NEVER leave an order. If for whatever reason the person I left the order with can't complete it, whose buttocks is it?? I know whose and that's why I don't pass on orders. I've done some serious thinking and the only orders they can be referring to are the ones the MDs are writing as we're giving shift report. I'm not going to lie, I leave ALL of those. So how should I handle this? If I run to the office, we all know what they are going to say, "Pass it on and punch out." Is there another way to handle 3 pm orders that doesn't create so much "tension" or is this just the nature of the beast?

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    • Featured Replies

    What Ronald Reagan said about Russia, "trust but verify."

    If no one allegedly wanted to follow me, I would find out who is making these comments and on what days these incidents occurred.

    Your manager doesn't know how to manage. She needs to send an email or written communication that specifies that orders written after a set time fall to the next shift.

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    • Author

    I know who and what day. It was the day the MD kept interrupting report. But there is more to it. It's the supervisor's assignment and somehow the full time pay rate for it got out. There hadn't been any complaints until they didn't have an RN to cover our off days. Lpns don't want to float to that hall unless they get a bonus and they're not giving them a bonus.

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    • Experts

    I would just pass them on and check first thing next shift to make sure that the oncoming shift did not "forget" to handle them. Nobody is going to pay you overtime to do them after your shift ends are they? The oncoming complainers need an attitude change and a lesson in the 24 hour operation and what it means to patient care continuity.

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    • Experts

    Orders written during shift change should belong to the new shift. Except when I have a really sick patient that I'm anticipating orders on or something STAT, I will stay to help with those.

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