burnsie15

I work on a step down unit with 3-1 patient to nurse ratio and techs have 9 patients each. We used to be 2-1 ratio without a tech. It’s heen several years now since the change but ever since the beginning there has been arguing and complaints between nurses and techs on roles. It is written out what the roles of the techs are but everything falls back on the nurse. Techs currently get report from the previous shift tech. I have read about nurses giving the incoming tech report to help with communication. Are there any other things floors have come up with to improve communication or cooperation?

Today I observed an atrial septal defect repair on a 3mo old using a cardiac catheter and my professor wants me to write a care plan for this patient. I am completely stuck. Any ideas for the diagnosis and maybe I could figure it out from there?