curley64

When I have a resident with behavior issues I have to call my DON to ask if I should be charting this or not..she said we have to monitor what we chart otherwise the state will address it.. is omission legal???

We were told to like it or leave.... We just remodeled our ER so it's new, big and beautiful....I just wished we could take better care of our staff and our patients...I don't know what it will take to make a change...we have already lost several staff members in the last 2 months...very sad...

Our pt's are not triaged based on ESI levels because the manager is not on board with that....we have a RN greet.(cake job of the day! waste of an RN I believe)...looks at the pt and has the CNA place them in a room...no vitals, ekg nothing...the greet RN calls the charge RN and said I placed a CP in rm 1, I placed a abd pain in rm4 , toothache in rm 3...ect, we can see any type of pt in any of our rooms they all have monitors; then the charge RN calls the RN and says...can you take the pt in rm 1...then the RN goes in the room and does a quick triage...name, cc, wt, ....then later goes back and does the full triage..the doc can get in there pretty quick but then the RN can't seem to get the IV's started...complete the triage...meds...before they have 2 more patients...we have several LWBS and AMA daily, or pt sat scores are low...our staff is soooo very unhappy...I don't know what to do to help them..

We are attempting to do bedside triage...it is a nightmare the nurses are running around in circles. we have a greeter...they eyeball the patient and send them back..we do not have a fast track so it's a free for all....we have 38 beds..we start out with 9 nurses..1 greet, 1 charge..the others take patients. then at noon we get 3 more nurses. I don't know what's going wrong but this bedside triage is not working for us and I don't know why..we lack teamwork, it's a mess....any idea's