nurse121

We do not have peds patients all the time; however when we do have them it does not decrease to workload. our systems seems to be number based. every patient is worth one point unless they are immediate post op or less then 5 years old. However the number of patient and the acuity level are different. up to 8 eight pts with an acuity of 10. What system are other hospitals using to assess the acuity of the patients? thank you for verifying that 8 is too many. Sometimes I feel like there is something wrong with me, I can not get out on time and given good care. I feel like I have to choose give good care or chart and get out on time.

Is there any accountability for your aides at your hospital. Our don't seem to have any they are sitting down charting while call light are ringing or worse texting on their phones. I agree lazy aid is going to be a lazy aide, but I also think that we have to give them instruction and expectations. A possible solution another nurse and I were talking about at work (has not been implemented) having a pre-made sheet of duties listed for each patient that the nurse fills out after report and gives to the aide with the expected care for the day. this would eliminated the excuse they did know what we wanted done. I don't know what to do if they do not do these things then. I too want to get along with my coworkers, but why should I have to work hard while they are playing on their phones.

I would like to know what other hospitals are doing for staffing. I work on a medical surgical pediatric unit in small hospital. How many patients are you taking? what systems are being used to assess the acuity of the patients? we are taking up to 8 patients any comments will be appreciated.