Jilissa

Hey I don’t have the most experience out there but hopefully this helps some. 1.I’m not quite sure what you mean by this question, but if there is a problem with a patient and you need the attending during nights I think (although they may not like it) they should be contacted because you both are responsible for the patient and the problem should be addressed when it occurs (things like an I&O cath can be ordered by the on call, but more serious issues should be addressed asap). 5. OTPT, at my work starts as early as 0830, this could be different for other hospitals. It also depends if a patient is doing ADL’s with them, because in that case they may come earlier. 6. I think you’re going to get different answers from people about this one. In my opinion you should let them know that you are starting their antibiotics because you want to assess for reactions (in case). You also might end up waking them up when you double check their armband to ensure that it’s the right patient anyway. 7.When you have patients who are asking for all of those medications you want to know why..why do they need it? I think breaking it down, ask them where the pain is and suggest other means of relief aside from medication (unless they’ve had surgery, chronic issues, etc) something like a warm blanket i.e. for a sore leg (this can also aide them in sleeping)..it all depends on where the pain is coming from and if it could be avoided prior to “bedtime” (should their feet be elevated while up during the day to avoid pain from swelling later?) Then address the sleeping, why? Is it too loud, do they need their curtain closed/door shut...what is their routine at home, maybe their sleep pattern has been thrown off, or they are worried about something...Some patients just need someone to talk to and explain what is going on with them and the hospital, etc. As for the anxiety, it’s common for people to be anxious when in the hospital, is it a previous issue or did it start when they came in...I know this seems like a lot to address on a night shift but I guess it’s better to go at the situation while it’s happening as opposed to another time? Just don’t go in with the mindset that they don’t need all of these pills and one, two or all shouldn’t be needed, because they very well may be needed.