phillipians413

Thanks for the reply. That makes sense. In my scenario, the first problem was pain with breastfeeding due to breast engorgement. The interventions relieved the pain and the pt was able to bf successfully and was discharged later that morning. Since it had not been 24 hours since a nursing intervention was done when pt was discharged, could I still chart it as resolved?

I am working on a PIE charting assignment. I understand the process, but on the chart that we have to fill in, it has a column charting when the problem is resolved. In the scenario we are given, the patient is discharged. In the text, it says that a problem is considered resolved if there have been no nursing interventions for 24 hours. If you provided nursing interventions in the hours prior to discharge, how would you chart in the resolution column? Where I work, we chart that all the items are resolved at discharge.

i am a long time lvn and a student in the rn program. i have been working in a newborn nursery for 6 months. i know there is much discussion these days about staffing ratios. our hospital ratio is 1:8 in the nb nursery. that would be ok if we took care of the same babies throughout the shift, but it doesn't work out that way. on a recent day, i started with 8 babies. 2 had to be taken to xray in transporters for hip sonograms 1 had a cardiac consult ordered (i had to do an ekg, bp's x 4, arrange to have the baby there for chest xray and echo). i had 5 discharges and 4 newborn admissions. both the discharges and the admissions require a lot of teaching. we have to make sure we have the amount of each feeding and all wet and dirty diapers logged on the flow sheet which means lots of calls or trips to the rooms. each baby taken off the warmer needs a 1 hour temp after being placed in the open crib. there are also the moms who need help with breastfeeding, the poor bottle feeders, the babies who get cold and have to be put back under the warmers, and on and on and on. how can this be safe practice? in researching for a school assignment, i found texas hb 1707. the following is from this bill: sec. 241.257. minimum nurse staffing levels. (a) each hospital shall have on duty at all times at least one direct care registered nurse for each: (1) patient care unit in the hospital; (2) operating room to serve as circulating nurse who is not otherwise assisting with the surgery; (3) emergency department to triage a patient when the patient arrives in the emergency department; (4) two patients in a critical care unit, including an intensive care unit, burn center, coronary care unit, or acute respiratory unit that provides care to patients who require: (a) continuous monitoring; (b) complex nursing interventions; © direct observation by a direct care registered nurse; (d) intensive assessment or evaluation; or (e) specialized education for the patient or the patient's family or representative; (5) two patients in a newborn intensive care unit; (6) patient who is in active labor or has medical or obstetrical complications; (7) patient who is undergoing cesarean delivery or for whom epidural anesthesia is being initiated; (8) three antepartum patients who are not in active labor; (9) three mother-baby couplets in a postpartum area of the perinatal service, not to exceed six patients for each direct care registered nurse in the event of a multiple birth; (10) four mothers on a postpartum service for a direct care registered nurse assigned to mothers only; (11) five well babies in a nursery; (12) newborn who is undergoing resuscitation or who the direct care registered nurse determines is unstable; (13) four recently born infants; our manager says nann guidelines are 1:8. we live in texas. how can they get away with this?