ok....got a possibly dumb ? here.....our don just gave an aide a ward clerk job...on 2nd shift. the thing is....this position, regardless of who it is, is supposed to help take some of the load off us nurses as far as the phones &paperwork.....yet...all shes done is answer phones, file a few lab sheets, & read books. our nurses station is tiny, no more than 3 of us can actually fit behind it to do our charting etc....and we have alot of charting and tons of admissions, most of which come in on 2nd shift. i asked the don exactly what she could do....didnt get a straight answer. i asked if she could do the 24 hr chart checks, she told me no...that she didnt know anything about meds...well...my problem with that is this....if you can read you can do a chart check because all it requires is that what the order is should be on the mar or lab book or tx record....then its just stamped ,initialed &dated....i dont see what the big deal is. its become a real hassle trying to get things done with an extra body at the desk just taking up space reading books. not to mention all the aides try to hang out there knowing they arent allowed behind the desk. ive tried to help her get the idea of things....that its not just about answering phones & filing....i had her to fill out lab sheets and get charting papers ready for the next shift...but if we dont tell her to do it...she will just sit there and do nothing but wait on the phone to ring. i know of alot she can do....chart checks, filing, getting shifts report sheets ready, handle staffing issues, putting admission charts together which means putting all that paperwork that they come to us from the hospital with in the appropriate spots in the chart, checking to make sure that the nurses have the papers they need in the charts, handling the pharmacy when they call instead of pulling us from our med passes 3 and 4 times in a row because the pharmacy needs to know the new admits dob/ssn!!!!!!!!!!!!! etc.....sooooo my ? is this....if you use ward clerks at your job....what do they do??????? what can they do???? is there a scope of practice for them? ...if so how do you find out where and what that is? i did some research and found that they can also transcribe telephone orders......how can we get her to realize that when we show her and tell her to do these things it doesnt mean thats it just for that one time.....that it needs to be done every day when she comes in? fyi this particular person has always been super super slow....not dumb or anything....just physically slow even when she was an aide...it would take her over an hour to get 2 sets of vital signs...no kidding. shes smart, nice, & easy to get along with minus the slowness....we all have certain sections we sit in at the desk because of where our charts are located...never fails so far, she clutters it up and gets right in the way when its time for us to do our paperwork. ive had to kindly tell her to scoot over several times....still .....help! i wish that the boss had given me a straight answer the first time i asked. i know its not this girls fault because she was just stuck behind the desk and has had no training as this is the first time a ward clerk job has ever been done. ..so i am at a loss as to what i need to do for her to get her to be more ........quick and productive with the desk work.
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ok....got a possibly dumb ? here.....our don just gave an aide a ward clerk job...on 2nd shift. the thing is....this position, regardless of who it is, is supposed to help take some of the load off us nurses as far as the phones &paperwork.....yet...all shes done is answer phones, file a few lab sheets, & read books. our nurses station is tiny, no more than 3 of us can actually fit behind it to do our charting etc....and we have alot of charting and tons of admissions, most of which come in on 2nd shift. i asked the don exactly what she could do....didnt get a straight answer. i asked if she could do the 24 hr chart checks, she told me no...that she didnt know anything about meds...well...my problem with that is this....if you can read you can do a chart check because all it requires is that what the order is should be on the mar or lab book or tx record....then its just stamped ,initialed &dated....i dont see what the big deal is. its become a real hassle trying to get things done with an extra body at the desk just taking up space reading books. not to mention all the aides try to hang out there knowing they arent allowed behind the desk. ive tried to help her get the idea of things....that its not just about answering phones & filing....i had her to fill out lab sheets and get charting papers ready for the next shift...but if we dont tell her to do it...she will just sit there and do nothing but wait on the phone to ring. i know of alot she can do....chart checks, filing, getting shifts report sheets ready, handle staffing issues, putting admission charts together which means putting all that paperwork that they come to us from the hospital with in the appropriate spots in the chart, checking to make sure that the nurses have the papers they need in the charts, handling the pharmacy when they call instead of pulling us from our med passes 3 and 4 times in a row because the pharmacy needs to know the new admits dob/ssn!!!!!!!!!!!!! etc.....sooooo my ? is this....if you use ward clerks at your job....what do they do??????? what can they do???? is there a scope of practice for them? ...if so how do you find out where and what that is? i did some research and found that they can also transcribe telephone orders......how can we get her to realize that when we show her and tell her to do these things it doesnt mean thats it just for that one time.....that it needs to be done every day when she comes in? fyi this particular person has always been super super slow....not dumb or anything....just physically slow even when she was an aide...it would take her over an hour to get 2 sets of vital signs...no kidding. shes smart, nice, & easy to get along with minus the slowness....we all have certain sections we sit in at the desk because of where our charts are located...never fails so far, she clutters it up and gets right in the way when its time for us to do our paperwork. ive had to kindly tell her to scoot over several times....still .....help! i wish that the boss had given me a straight answer the first time i asked. i know its not this girls fault because she was just stuck behind the desk and has had no training as this is the first time a ward clerk job has ever been done. ..so i am at a loss as to what i need to do for her to get her to be more ........quick and productive with the desk work.