Lesle

hello, ten patients on day shift are unsafe. i would have refused the assignment, remember it is your license. you and the patients were lucky this time, but who is to say the next time. administration and the md over the unit should be made aware of this situation in detail and in writing. that is unsafe nursing practise. sounds like your immediate supervisor doesn't care about the staff or the patients, and will use the fact that nothing "bad" happened this time to justify increased patient load. what a way to ruin good nurses! hats off to you for keeping it together through out the day!

I never liked "brain sheets" I don't like the space siuation with them. I start my shift with a plain sheet of paper stapled to each patients nursing worksheets. I write in the same spots all the info needed... patient activitys and orders in a list at the left corner with a line for me to add in my info such as I&O, accuchecks, tele reading, cardiziem drip rates, ect. Bottom of page left corner goes hx old labs the sory if you will. right upper corner goes all new orders, next to that the things still needed pending labs, stool sample ect. down the center is assessment info iv spot O2 spot and I write report I recievd in red and anything new in black. I then stack sheets cut the corners for easy access to each patients pages and place on a cip board which I carry as a tray for meds water iv eqipment, basically for what ever I need to bring into each room. It takes a while to find a system that works for you. Most nurses at my new hospital carry around very large three ring binders, that just blows me away but it is really a peronal preferance. I worked floating the house for 10 years and now have settled down to the tele unit. My paperwork is able to chage for every situstion and worked well for me on all types of units.