I was working the night shift at UCSF. I remember it all so clearly even though it all happened so long ago. Almost twenty years can you believe? I went into a patients room at 5.55 am to get a set...
Whether this is off topic now or not I will stick my two cents worth in. I have jumped around different areas of nursing, a little stint in the ED, a little one in the Cath Lab etc etc etc. I have...
I need some advice before I decide to go to the powers that be. I moved to a new hospital at the start of the year. I do a lot of agency so I am able to see how things are done on multiple units. One...
As promised here is a quick update on the new report system. All nursing staff RN/CNA in patient report at the start of the shift and report starts with Safety brief Patients at clinical risk (...
This is why you must always document Urine red, ? Hematuria, await further testing. Or just document nothing at all until you have strip tested it. But there is nothing wrong with writing ?...
Thank you for the reply. First of all I am not taking this personally I have come on here to get advice from everyone to figure out a better way to deal with patient report and I am taking all of the...
Do I get paid to take charge of the unit on some shifts. No. So it is like I never bring who gets paid to do what into nursing. When I do take charge I give out the assignments and then I take one...
??Oh those nurses who go on and on and on so much that I actually after patient number three have many times had to read up on the remaining patients myself because I started to loose interest and...
Ugh......the neverending debate over what can you chart at night. How many ways can you write it. Lol. I continue to write what I have always written. 2am. Patient appears to be asleep. No clinical...
And on the sitter one......at what point does HIPPA stop you from telling the perfectly competent sitter from another floor whether the patient is DNR or not. She actually did not know. That is so bad...
You are totally right. What I see here is a communication issue amongst all staff groups. It actually is quite bad here. The reason I ask about this issue is because in a previous setting the patient...
I second what that tech said! It is so true. I think that my concern is at least there is some kind of hand off to the techs/CNAs on your unit. As there are here. But some units basically give less...
Patient mobilzed out of bed when they have a low BP which was checked by the RN, not reported to the CNA and therefore not reported to the incoming CNA. CNA gets patient out of bed. Disaster. Patient...
I would have, always do, and will continue to chart hematuria when I see it. It to start with is NOT a diagnosis as previously pointed out and you could I guess write Self voided 250mls urine. Rose...
I think these two things will be left for band 5s. Specifically the charge part. There needs to be those set boundaries. I am super happy that the ones who have progressed into this role have done...
There is also one other aspect that applies here. Whilst I do see band 4s and band 5s as equal nursing skill wise in regards to a lot of things one thing they can not do is take charge of a ward....
That is actually a valid point. If a RNA makes a mistake with care that person goes to court or sits infront of the NMC. However somewhere along the line they had to have properly registered...
I think for the answer to this you must look at the US Canada and Australia. All places where this role has been firmly lamented in their nursing system for
I just think it all went a little big wrong post degree. I for sure have always found most of the time that old school nurses whether is be diploma or certificate made much better nurses. Should they...
This is true. I have of course seen the aide that I asked an hour ago to get vitals sat chilling on the phone or hiding in a cupboard somewhere. There is always that one or two. I have also seen that...
Customer service! It has just really a long time ago become a big business to the powers that be. It is so shocking. You mention that and I remember an orientation week for one hospital. The guy said...