Jump to content

Primary nurse assessment

Professionalism   (1,356 Views 26 Comments)
by Mgrn Mgrn (New Member) New Member

73 Profile Views; 4 Posts

You are reading page 3 of Primary nurse assessment. If you want to start from the beginning Go to First Page.

subaquatique has 1 years experience as a ADN, BSN, RN, EMT-B and specializes in Critical Care.

18 Posts; 865 Profile Views

I am a primary care RN, but I pick up shifts as a float.  In our hospital, we are not allowed to do the admission assessment for the primary care nurse because "passing along prudent information" is like playing telephone- stuff gets missed.  Personally, I like doing my own admission assessments because they tell me so much about my patient!  When I am float, I will do my due diligence and do an assessment of a patient while I am tucking them in, but we have a policy that it is the responsibility of the primary nurse to do their own admissions and full physical assessment, regardless if it was done twenty times before already.  Obviously, a charge nurse will jump in and help, but it is still the full responsibility of the primary nurse. Granted, I live in California and we have low patient ratios.  I can't imagine that this would be possible if you have more than a few patients.

Share this post


Link to post
Share on other sites
Are you a credible source? Add your Credentials, Experience, etc.

9 Followers; 3,250 Posts; 23,895 Profile Views

On 8/10/2019 at 8:35 PM, subaquatique said:

In our hospital, we are not allowed to do the admission assessment for the primary care nurse because "passing along prudent information" is like playing telephone- stuff gets missed. 

 

I don't understand. How is giving a prudent report like a game of telephone in this particular circumstance but not others? We generally do not refuse to report on significant physical findings when giving report, and we don't consider it playing telephone to report our own physical findings.

The practice/idea that the primary nurse must compete the admission physical assessment is arbitrary. I haven't heard any rationales that make any sense other than the idea that time-consuming work such as an admission shouldn't be dumped off onto a coworker just because it is tedious and the primary doesn't feel like doing it.

 

On 8/10/2019 at 8:35 PM, subaquatique said:

we have a policy that it is the responsibility of the primary nurse to do their own admissions and full physical assessment, regardless if it was done twenty times before already.

 

Except to the extent that each nurse assigned to a patient is responsible to perform his/her own assessment appropriate to the situation, this is utterly nonsensical.

It is not a matter of actual prudent nursing/patient care ethics.

Edited by JKL33

Share this post


Link to post
Share on other sites
×