I work on a step down unit that is notoriously disorganized. We've been through multiple managers (probably a large part of the problem) and our new manager, who's new to managing, is asking the senior nurses on the floor for help getting us all on one page. Administration has been implementing/changing policies frequently, it's hard to keep everyone up to date on what's new and make sure they remember to follow through. Example: We have a new policy where if we get a transfer order but no bed is available the status changes automatically after two hours. That means we have to note all transfer orders even if they haven't left the floor. I'm totally guilty of forgetting this myself. When the patient finally gets to med/surg we get complaints that the transfer orders were never noted.
We've done weekly updates, checklists, posted signs in break room and at the station,meetings, ect but for every new task we're asked to do, we forget something. Other floors are keeping up, in fact they're the reason we're realizing how bad the problem is. Every time we forget they complain to their manager who then complains to our manager. I can't figure out what they're doing differently and I've asked nurses who work on floors who very consistent as far as keeping up with changes. I need help helping my floor.