jekajoy

I really just want some ways to make it better. Maybe a designated area to find the oncoming staff. Maybe only 2-3 RNs maximum to report off to. Last night I had 6 to report to before I could leave. The quality of the reports are horrible. You don't get a clear picture or any sort of pertinent hx that would be important say....if the pt codes and the MD needs certain info. We aren't getting done with report until and hour after we get there. They have also made it so that the RNs get the entire set of vitals at beginning of the shift. I'm thinking the techs could safely get everything except for blood pressures, since it is a cardiac type flood. Any other suggestions to you guys can think of? We can't do glucose checks until 0600 per management, but we are supposed to be ready to report at 0630. I&Os, PCA checks, all accuchecks, and all 0600 meds to be done no later than 0630.

I work on a 32 bed telemetry unit. Up until November we were general medical/surgical. Now 16 of our beds are for cardiac monitoring. We also changed from recorded reports to verbal reports at the beginning of our shift. It is taking me on average 45-60 minutes to receive report from the 4-6 nurses that I need. The quality of the report is SO much worse than when it was recorded. I kind of feel like if it wasn't broke don't fix it. Management wants us not only to do verbal reports, but also go in to each room with the oncoming nurse and do report at the bedside. By the time I find all of the nurses, wait in line for her to give report to me, and go into each room to do report my 1830 shift doesn't actually get started until ATLEAST 1945...and that's not including getting pertinent information off the electronic charts. Does anyone have any suggestions on how to organize this process? It's taking too much time, we are all frustrated, and any suggestion would be very appreciated! thanks in advance!