There’s quite a debate at my work regarding the responsibilities of the RN charge nurse vs. LVN medication nurses. When any change of condition happens (falls, vomiting, new pain onset, falls etc) the medication nurses immediately call on the charge nurse to attend to the patients. Their argument is that they have too many meds to pass and they don’t have time for anything else. The charge nurses say while they don’t have meds to pass (besides the occasional IV) they also have a full plate, and the medication nurse should at least take some kind of action to help the patients. Often times, if something happens to a patient, the medication nurse will chart “informed charge nurse” or “charge nurse aware” and then nothing gets done for the patient.
For example, we had a patient that was alert x 4, for angry at another patient (confused) and began yelling at the confused patient. The medication nurse saw this, but was in the middle of passing meds and told a staff member to tell the charge nurse.
Now this can of worms has been opened, medication nurse vs charge.
What are your thoughts? I know every facility is different, but generally shouldn’t medication nurses take some kind of action with changes in condition? It’s seems a prudent nurse would do something to help patients, not just expect the charge nurse to do everything.