purpleiris

Hi EVeryone! I am wondering how patients are assigned in your PACU. Currently, we have a nursing assistant assigning patients, they go around the room and no matter what is happening to your patient if you are next you are next....even if the next nurse has 0 patients. I have an issue with a nursing assistant running a critical care operation...thoughts? Thanks for your input.

GRRRR I am angry at doctors! I am sick of them thinking that that the nurses are their personal lackeys, secretaries, and all around gofer. I had a doctor call me out of an isolation room all the way to the nurses desk to ask for a patients chart! What about getting off your butt and getting it yourself??? Yesterday a doctor called me because I paged him about a new consult. I spoke to my manager today and she wants me to write him up. I hate getting anyone in trouble. Why can't everyone just play nice??

Need to vent! Yesterday I got an admission from the ED. I paged the admitting physician for orders and one of the orders was for a cardiology consult. It was 5 PM so I paged the cardiologist. He called back and wanted to know why I paged him. I told him I paged you to tell you "this patient who blahblah". He repeated why did you page me? I said because the admitting physician ordered a consult from you for her patient. He started yelling at me for bothering him when he already knew about the consult. And yet again, I sit and listed to a physician yell at me for no reason not that I think there is ANY reason to yell at a colleague. I am so sick of physicians yelling at nurses. How do you deal with getting yelled at? I want a new nursing job, one with NO physicians! Doesn't that sound peaceful? Well thanks for listening...

I was working on a research paper that was requested by my level supervisor and just happened to coincide with a project due for my BSN. :typing I was hoping to find something to validate our thoughts and fears with this posting and with many internet searches -- all to no avail. I did not receive many responses that agree with me about the danger of shift change transfers. I have had many days like the night you describe and also I have had the transfer 30 minutes before shift change who has been waiting to be assessed for over an hour.... It just seems so unnecessarily dangerous to me. My intent was to prevent the danger I believe a patient is in with shift change transfers NOT to start a war between ICU & ED. I have given up and am working on another project... :uhoh21: ICURN if you find some information I would love to hear about it.

I was reteaching a 28 year old male diabetic patient on the proper diet. He had been diagnosed a year before and in the hospital 3 times for glucose levels over 600. I asked him if he had taken advantage of the hospital's diabetes support group for help working within the diet. He said no, but he knows the diet. I say, you know you cannot have cake or..when he butted it...I CANNOT HAVE CAKE???? I say nooo no cake, no pie, no candy. He said, "I am 28 years old, I'm cant live without cake". I said, "If you want to live to be 38 you will not eat cake!" Sometimes I don't think patients are told of the consequences of not following orders at all.

I recently heard that the University of Michigan is laying off nurses and Sparrow hospital in Lansing. If those two are laying off it is scary for the rest of Michigan! :smackingf

I guess I thought it is safer because of the first 45 minutes before the change of shift when in the ED the patient will acutally have a nurse who knows them instead of a nurse who tucks them in to wait until the next shift. Personally, I would rather get an admission 15 minutes after I start than get one who has been waiting over an hour to be seen and the patient and the family is ******! Our Ed shift ends one hour before the floor shift starts, so they have a mission to get the patient to the floor before they leave. The last hour of everyones shift is already so busy a late transfer just seems unfair. Maybe it would be more effective for the Ed to start working an hour later than the floor nurses?

I was wondering if anyone else thinks shift change patient transfers are unsafe. Does anyone have policies that prevent shift change transfers? Has anyone had any safety incidents? I would like to propose a change in policy at my facility but need some backup. Can anyone offer any help? We often get transfers mostly from the ED 30-45 minutes before the end of shift. The patient is "tucked" in to wait for the next shift nurse who will take over the care of the patient. Now the patient gets to the floor 45 minutes before shift change, then we have 30 minutes for report, then the upcoming shift may take 30-45 mintues to see this new patient. So this patient transfering into CCU Stepdown has been waiting up to or over 2 hours to be cared for. Thanks!

Hi Everyone, I was just wondering what you all assess in each patient? Do you do the same assessment on every patient? Just assess the issues the patient has been admitted for? Head to toe? Sometimes I feel like an idiot asking a patient with lower leg cellulitis if I can listen to his lungs! Thanks for any input!