LandofMaybe

There are circulator that chart in the or during a procedure and those that don't. The problem with charting during a case is you are taking your eyes and attention off the field. If you chart during a procedure does the computer face the field? Do you wait until after the case to chart? What is your practice?

Help. Help. My employer wants us to chart why we didn't increase pitocin on the ordered 30.minute interval and that the physician was notified. most of the time that's easy to do. But many times it is because we are busy in another patients room. Someone suggested RN unavailable due to.patient care in another room. but that sounds like we are unable to watch our patient that is on a high risk medication. Unavailable? Maybe, RN unable to complete task while assisting another patient? It is the same really but maybe less...? how can we word it so it is accurate but not a sitting duck for lawyers? What do you all do?

Help. My employer want us to chart why we didn't increase a medication at a scheduled time - everyb30.minutes. most the time that's easy but many times it is because we are busy in another patients room. Someone wrote RN unavailable to increase medication because of care with another patient. Itnisntrue but it also sounds like we are unable to watch our patient that is on a high risk.medication. how can we word it so it is accurate but not a sitting duck for lawyers?

Hello all, I am starting a new role as a staff educator. The educator is swamped with admin duties and this role will be in place of 2 of my 3 days of work. Is anybody else out there doing this role or have experience with someone in their unit ?

Greetings! I have been a BS nurse for 26 years. I have many hats- I held one primary area as my home unit and also branched out many times to learn or experience something new. I am now officially stepping into a role as a nurse educator with a nursing school. I have experience teaching students in a class setting but this is a little different. I am excited! There is much for me to learn in the adult learning realm. So far there are many things I want to tweak or change for the students. Mostly learning aids and discussion methods I would like to add to their world to help understanding (there are no second chances for anything under 100% in this school?). Besides the ongoing turmoil of APA corrections and reminders, do you have any advice you are willing to share with me? Thank you

One mother -baby would be amazing. Unfortunately most the time we have other patients. We need to find someone to watch the other patient/strip while transferring off the floor.

Do you transfer delivered patients to PPu or does pp come to get patients? It was brought to my attention recently that labor nurses are high acuity and should not be leaving the floor to transfer. Post partum nurses are lower acuity and should be retrieving patient. It is more appropriate for them to abandon the floor for transfer then labor nurses. This made sense to me. I think we move to ppu because that what we have always done but now I think we need to reevaluate. What do you do?

PP began a no fly zone from 6 to 7 about a year ago. During that time no patients from L&D are allowed to be transferred to post partum. This has created unrealistic expectations from PP and frustration from both departments. Patients come into L&D continuously- there is not a period of time when we can say stop for an hour and let us get caught up. When there us a delivered patient that we can move we should be able to move them not wait an hour. Which really becomes an hour to 2 because then it is change of shift and they recieving department will require time to get report. We cannot block transfers we have to keep the flow going from one unit to another. Maybe the process of admissions should be looked at. Maybe they can stream line what that looks like. Really the admission was done whe. They arrived in l&d so greeting the patient and explaining the unit routine and an initial assessment is what's left. I say a no fly zone is inappropriate for labor and delivery and post partum and the emergency department for that matter. It is appropriate that transfers take into account shift change whole the nurses are focused on report. And even then they may need to break out of report to tuck someone in. That is the nature of what we do.