cmbuckley

We as Nurses are human beings and not machines. Nursing is a 24/4/365 job. Do you assessment.....document it..........nursing care document it......... Prioritise and whats not done can and must be left to the next shift....... Management will soon realise RN:Patient ratio is off.

Run away you are going to be falsifying MEDICAL RECORDS that could one day end up in a Court of Law. I`m sure that`s a Felony and it`s definetly Morally Wrong.

Be carefull what you ask for. In Ireland the salaries of new grads have been reduced to a pittance in order to give them jobs.

Why are people going to the ED with Flu like symptons? Unless you fall in to a specific group ( 65 years of age, pregnant or have a comorbidity stay home nothing to be done. All that is happening is people with other emergencies such as broken bones/lacerations/head injuries/heart attacks/strokes are being exposed.

Open plan ED`S so that the patients (ESI 3,4 + 5) can see the (ESI 1 + 2) patients. Have seen it work many times when there are multiple trauma`s from 1 incident so it spills out on to the main ED (Trauma Rooms full) these patients with non acute/non life threatning complaints stop complaining.

You are a Registered Nurse not a transporter. If all your peers agreed to not transport and wait for the transport person there would be delays all the time and management would have to address the transportation issue and not have RN`S doing ancillary work.

Press Ganey Score

Though this may seem like a simple matter it is actually a complicated one and one of the reasons there is QA, PRI, D/C Planning,Case Managers, whole teams ( Social Workers, OT`S, PT`S, RN`S) involved in a patient`s care. This one fell through the cracks and naturally the primary care RN is going to be hung out to dry. It is a reason there are care plans long and short term. It is why there are consultations and why they need to be read by RN`S as they affect outcome. References should be made to these consultations in the RN`S notes especially with a patient in hospital for such a long time. I`m an ED RN and in a hospital I worked in there was a section to tick in the triage area if D/C Planning was indicated. I did this routinely with with complex cases (be it medical and social) and made a referral to our Social Worker immediately even before they were evaluated and was thanked often for foresight. Otherwise the ED was left with a patient who could not be safely disposed. Remember admitting a patient is no longer a safe dispo as you expose them to a variety of potential dangers ie: infection, falls, loss of resources such as shelter.

Recently worked in an ED where telephone orders were taken by the ED RN for newly admitted patients. Such abuse I have never seen 3 pages worth which included all tests for the duration of the patients stay. All medications irregardless of when they were due to start and for drug levels ie: vancomycin peak and trough that wouldn`t occur for 36 hours post taking these orders.This process could take a half an hour and mean while the ED RN is still getting new ED patients. It was not unusual for that same MD to appear in the ED an hour later to do their H + P, sign the orders and leave.! I did not trust all these MD`S and would have an order verified by a second RN. This was not normal practice and not looked upon kindly however in the one other hospital I worked in where telephone orders were allowed it was and then only emergent orders it was policy. Telephone Orders should be banned.