So, the other night we walk onto our unit to get report. One of the nurses wasn't there yet and she's usually about a half hour early. We are supposed to start report at 7. We waited and at 715 split her team up and we all took an extra patient. 4 nurses with 7 patients a piece on a tele floor.
I start getting report on my patients. One pt with a recent stroke that failed the MBS that had a new NG tube. Dayshift got the order to start tube feed at noon but did nothing with it, could I please start it. Ok. Next patient with a PEG and tube feed running in restraints and on continuous BiPap. One patient that was an ICU transfer--just had a central line removed, it was bleeding through the pressure dressing, and there's no peripheral site. Next patient had a thrombectomy of her dialysis fistula. Was told everything was good and that she had +bruit/thrill. Come to find out when I do my assessment 30 minutes later that there was NO bruit/thrill and her dressings were saturated with blood. And there were also no post-op orders. They were "lost." One elderly patient with a family that needs a lot of attention.
Talk about patient safety concerns! I felt like I was the only one concerned at that point, dayshift had a full staff and I know they get busy but this was overkill.
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So, the other night we walk onto our unit to get report. One of the nurses wasn't there yet and she's usually about a half hour early. We are supposed to start report at 7. We waited and at 715 split her team up and we all took an extra patient. 4 nurses with 7 patients a piece on a tele floor.
I start getting report on my patients. One pt with a recent stroke that failed the MBS that had a new NG tube. Dayshift got the order to start tube feed at noon but did nothing with it, could I please start it. Ok. Next patient with a PEG and tube feed running in restraints and on continuous BiPap. One patient that was an ICU transfer--just had a central line removed, it was bleeding through the pressure dressing, and there's no peripheral site. Next patient had a thrombectomy of her dialysis fistula. Was told everything was good and that she had +bruit/thrill. Come to find out when I do my assessment 30 minutes later that there was NO bruit/thrill and her dressings were saturated with blood. And there were also no post-op orders. They were "lost." One elderly patient with a family that needs a lot of attention.
Talk about patient safety concerns! I felt like I was the only one concerned at that point, dayshift had a full staff and I know they get busy but this was overkill.