cskjjk
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I work in an orthopedic,neuro unit. We have a lot of surgeries. We have had 10 patients per nurse on days with 1 aide for 20 patients and a charge nurse.I am talking 7am to 7pm. Most of the time we have a ratio of 7 or 8 patients each. RN's and LPN's have same # of patients. We have so many pts coming from surgery and others discharged that we might end up charting(by hand) on over 10 patients a day. night shift 7pm to 7am has it bad also. If we do have a couple of aides scheduled, they will float one elsewhere cause they are short staffed worse than we are. I work for a "for profit" hospital in Fl. I have been a nurse a long time and this is the worst I have ever seen it.
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We give it in our hospital on a daily basis after orthopedic surgery. It is cheaper and easier for the pt. to take themselves at home.WE still have some old school doctors who still order the Lovenox sub q and don't use Xarelto. I look at Xarelto favorably since it is a pill, not a shot so patient likes it better.
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I was working in a nursing home that was having some "state" issues and one entire wing of the building was empty because we had temporarily lost Medicare patients. Anyway, we had to do rounds of every wing of the building every shift and I would not go to that wing alone because there was one room that the call light was always on. You could turn it off and get down the hall and it would come back on. It was so spooky!! When we got our accreditation back and got that wing filled with new patients, there was never a call light issue again.
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I have been asked to serve on a committee to improve patient satisfaction in our 5 star hospital. What are some things your workplace has implemented that has helped? We have surveys, after discharge feedback forms and we send thank you cards for choosing our hospital.Those are some of the things we already do. Any ideas greatly appreciated.