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Running late?, during report stay on topic so I can go home!

Nurses   (2,688 Views | 32 Replies)

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12 hours ago, Sour Lemon said:

I've (nicely) said things like, "I've got five minutes to be out the door." You can point at the door for emphasis. If they start going off topic again, I might say, "Four minutes." or "Three minutes." 🤨

I like that you give a departure time.

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8 hours ago, TriciaJ said:

Except it was so excrutiating to be on the receiving end:  "Room 203, uh-h, Mrs. Jones, uhhh, had a um, TAH, um yesterday.  Uhhh, she's  uh A+Ox3 and uhh, vital signs stable, uh, temp 38, HR 104 uhhh blood pressure 87/50, oh I guess they're not stable, uhhh, still has a Foley,  ummmm..."  😖

Ummm Umm, o man. Not good. I once had a nurse that acts a a charge nurse at times (whom was giving me report) tell me everything went well and the patients BP is 70/40. I was like go sort that out  before you leave. He did and came back to me with the new BP. Really like I am suppose to start out my shift dealing with a BP that low.

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Pixie.RN has 12 years experience as a MSN, RN, EMT-P and specializes in EMS, ED, Trauma, CNE, CEN, CPEN, TCRN.

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6 hours ago, TriciaJ said:

God, I love it when things work out.  😎

Not only that, but actually seeing it in action! 🙂

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1 hour ago, Workitinurfava said:

She made coffee. Geez. She was stalling because she didn't want to start her shift. The notebook.....all things that take up so much time.

I don't care if she gets coffee.  I care that she's already late and making ME later.  I don't care that she doesn't want to start her shift....I want to END mine, and I'm entitled to do so after 12+ hours.

The notebook did take up unnecessary time, added to all the above, so NO, I wasn't happy with her and neither was anyone else she kept waiting daily like this.  Don't remember why she was eventually fired but at least that worked out.

I have no patience for inconsiderate, inappropriately entitled people.  

Edited by Waiting for Retirement

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MrNurse(x2) has 28 years experience as a ADN and specializes in IMC, school nursing.

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I work on a unit that has cards that give running history on the patient with assessment results. Honestly don't understand why nurses take 40-50 minutes to give report on 4 patients. I don't need to know how many nose hairs they have. This is a huge issue when I am trying to leave and have set up my morning so I am ready to give report immediately and coworkers sit and talk to people they are working with all day. I will let them know they are now on my time and can do all they want when I am out of there. Most irritating is your own shift coworkers who decide to take 40 minutes to give report on 2 patients and you can give your 2 patients in 4 minutes and they make you wait. So rude.

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llg has 43 years experience as a PhD, RN and specializes in Nursing Professional Development.

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I would be charging the unit for overtime -- and documenting the reason as "relief did not arrive on time for report."    Eventually, the management would notice and address it with the habitually late employee.

If that's not possible for some reason, I would report off to the Charge Nurse (or whoever the proper is when the relief nurse is not present).   Again, if that happens repeatedly, the Charge will "kick the problem upstairs" eventually.

The one thing I wouldn't do is enable such bad behavior by allowing it to continue.

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3 hours ago, Waiting for Retirement said:

I don't care if she gets coffee.  I care that she's already late and making ME later.  I don't care that she doesn't want to start her shift....I want to END mine, and I'm entitled to do so after 12+ hours.

The notebook did take up unnecessary time, added to all the above, so NO, I wasn't happy with her and neither was anyone else she kept waiting daily like this.  Don't remember why she was eventually fired but at least that worked out.

I have no patience for inconsiderate, inappropriately entitled people.  

Exactly!

1 hour ago, llg said:

I would be charging the unit for overtime -- and documenting the reason as "relief did not arrive on time for report."    Eventually, the management would notice and address it with the habitually late employee.

If that's not possible for some reason, I would report off to the Charge Nurse (or whoever the proper is when the relief nurse is not present).   Again, if that happens repeatedly, the Charge will "kick the problem upstairs" eventually.

The one thing I wouldn't do is enable such bad behavior by allowing it to continue.

This is the first time I have encountered this with this person so I am now going to be two steps ahead.

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1 hour ago, MrNurse(x2) said:

I work on a unit that has cards that give running history on the patient with assessment results. Honestly don't understand why nurses take 40-50 minutes to give report on 4 patients. I don't need to know how many nose hairs they have. This is a huge issue when I am trying to leave and have set up my morning so I am ready to give report immediately and coworkers sit and talk to people they are working with all day. I will let them know they are now on my time and can do all they want when I am out of there. Most irritating is your own shift coworkers who decide to take 40 minutes to give report on 2 patients and you can give your 2 patients in 4 minutes and they make you wait. So rude.

After 12 hours, I am like, it is time to go. I give my reports as fast as I can. 

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10 hours ago, MrNurse(x2) said:

I work on a unit that has cards that give running history on the patient with assessment results. Honestly don't understand why nurses take 40-50 minutes to give report on 4 patients. I don't need to know how many nose hairs they have. This is a huge issue when I am trying to leave and have set up my morning so I am ready to give report immediately and coworkers sit and talk to people they are working with all day. I will let them know they are now on my time and can do all they want when I am out of there. Most irritating is your own shift coworkers who decide to take 40 minutes to give report on 2 patients and you can give your 2 patients in 4 minutes and they make you wait. So rude.

It usually takes 40-50 minutes to do report, but that's because we are expected to do it bedside, AND we have to do a 2 RN skin check as part of the hand-off process.  So, you can imagine that while nurse A is verifying the incontinence associated dermatitis nurse B has stated is on patient XYZ's buttocks, there's a pretty good chance they're going to find the patient needs changing.  Which means they're going to have to clean the patient before they can go on to the next patient's report.  I have had mornings where I've literally done 4 linen changes in the course of getting my assignment. 

Today I was giving my patients to a nurse being double floated from another unit, so she had to hand off her patients before she could come receive mine.  So, yeah, while shift change is at 1500, I started giving report at 1540.

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Crash_Cart has 11 years experience and specializes in ER OR LTC Code Blue Trauma Dog.

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If you're taking 40 minutes to do this, then it's no longer called a report because you're giving them a powerpoint presentation.

Edited by Crash_Cart

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13 hours ago, turtlesRcool said:

It usually takes 40-50 minutes to do report, but that's because we are expected to do it bedside, AND we have to do a 2 RN skin check as part of the hand-off process.  So, you can imagine that while nurse A is verifying the incontinence associated dermatitis nurse B has stated is on patient XYZ's buttocks, there's a pretty good chance they're going to find the patient needs changing.  Which means they're going to have to clean the patient before they can go on to the next patient's report.  I have had mornings where I've literally done 4 linen changes in the course of getting my assignment. 

Today I was giving my patients to a nurse being double floated from another unit, so she had to hand off her patients before she could come receive mine.  So, yeah, while shift change is at 1500, I started giving report at 1540.

You do have a valid point. 

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On 9/11/2019 at 2:27 PM, Waiting for Retirement said:

oh lord sing it!  It's a sonogram now, it will be baby pictures before long and then whatever Darling is up to as he grows.  Change the image so it works for two or three nurses with similarly-aged offspring and you just want to kill yourself at report-off time.

I remember one young nurse, rather on the new side or at least too new to be pulling crap like this, who would come in five minutes after 7a routinely, I worked nights and wanted to give the patients away.  Not a big deal for five minutes except she didn't come in and sit right down for report.  No sir she had to get her coffee set up and then find a pen and then write down her assignment in her Special Special Notebook and then get a new CAL printed up (because she was late enough that there weren't any left) and then, maybe, she'd be ready to listen.  😡

Not to ignore all that you said, but I am just wondering - how come there weren't enough CAL's printed up?

 

Did you ever speak to her?  Let her know that you were super exhausted and needed to give Report so you could go home?

Did anyone ever correct her for being consistently late?  And for being unprepared to start working the instant the clock struck 7?

This is so ridiculous.

A nurse once relieved me on time.  That is, we counted, but she refused to take Report until 2300.  She purposely stood around talking with other staff about nothing work-related.  She made me wait until 23 to let me give Report.  Except that my shift ended at 2245.   

I told the Sup, explained why I had OT that day.  It never happened again.

Edited by Kooky Korky

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