Who Should Clean Up, Offgoing Shift or Oncoming Shift?

Nurses General Nursing

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You are the Day RN 7-3:30.

You see Docs come in to Round about 1515. You do not see which patient they see first.

You go in to Report Room a moment later, come out at 1528, sit down to chart (first chance all day to do so). You have had no break that day except a quick potty run, including no lunch. You have about 1/2 hour's worth of charting to do and you will be on overtime, which is highly discouraged.

3-11 RN comes to you at 1540, tells you that Room 3 has a mess in it and you have to clean it up. She is loud and angry and speaks none too calmly.

Docs had done some procedure on Rounds while you were in Report and had left the aftermath (trash, sharps, bloody stuff - this was a long time ago when blood and sharps were left wherever).

On the one hand, you did not know there was a mess because you did know the docs were on the unit, but you did not know what they were doing because you were in Report. Also, you still had to chart and were already on OT.

On the other hand, is it right for the 3-11 nurse to walk into a mess which, she argued, happened before she was on duty? She was on duty, technically, at 1500, came out of Report about 1528.

So who should do the clean-up?

Specializes in ICU; Telephone Triage Nurse.

Everyone should try to clean up after themselves. It's the same old argument going on at my house for umpity-ump years, though on a much smaller scale. To date there is no resolution (at my house) because no one admits to creating said mess du jour. All I know it I didn't do it. :)

Specializes in Pediatric Critical Care.
Unfortunately the day shifters are, and will forever be, the golden children. They are the ones that "have it so bad" and doctors "hover over them unlike night shift"... Yeah right.. All the night co-workers feel the same, but we have very little say. If I find my rooms are messy and the day didn't seem that terrible (I can look at the intervention lists and the orders and know that it was a low maintenance day) I might "accidentally" forget to stock things such as needles, syringes, flushes, ect.. in the med room. I've also been known, when day shift has really crapped on me, to wait to give my 40mg lasix right before end of shift (doc likes to round at 0600 and orders it as IVP Now x1 at 0630, giving me a 30 min window).

Never do I do things that would remotely harm patients, but I find a little satisfaction knowing that I might have inconvienced them a little bit. :sarcastic:

You really do those things? Sorry, but I'm just kind of shocked that someone would proudly admit to behaving that way! I'm sure that almost everyone has days that we are, shall we say, not our "best selves", but you seem proud of it.... :down:

You really do those things? Sorry, but I'm just kind of shocked that someone would proudly admit to behaving that way! I'm sure that almost everyone has days that we are, shall we say, not our "best selves", but you seem proud of it.... :down:

I sleep well at night knowing that day shift had the same level of inconvenience that they placed on me, plus I'm in complete and total compliance with the medication. Remember, they could have stocked the syringes and needles too. ;)

Plus lets look at it from this point of view: The day shift nurses make a mess, and the night shift cleans the mess. What does that tell the patients? Oh the night shift nurses must not be as qualified so they have to clean.. It goes beyond simply cleaning the mess.

Hey if day shift has 2 patients each and they're admitting someone and intubating, and a central line is getting placed in another room yeah okay you didn't have time. But if I come in and your googling recipes for dinner, yeah no that's not okay. You need to refer to my original post, if day shift could have cleaned and they didn't, that's when all bets are out the window.

Specializes in Nursing Home / Prison / Hospital.

I'm not asking any questions. See a cell phone out with a no cell phone policy, it goes under the DON door. It must be lost.

VT247

You really do those things? Sorry, but I'm just kind of shocked that someone would proudly admit to behaving that way! I'm sure that almost everyone has days that we are, shall we say, not our "best selves", but you seem proud of it.... :down:

I think she meant inconvenience her peers, not her patients.

Specializes in ER.

As the offgoing nurse I'd apologize, say I didn't realize, and that the docs had just left. If the ongoing nurse insisted I had to clean it, I'd agree, but point out I'd just gotten into my charting, I'd complete that, and then go tackle the mess. Most procedure messes are five minute jobs, but charting can go on quite a while. She'd get sick of looking at it and clean it herself, or I'd go do it in my own sweet time, and put in for OT, with a note about the reason why. If the boss states we cant do OT for clean ups, well, that ruling is not my fault.

I think everyone develops a reputation, hardworking, or not so much. Some days you cant stand to start out with a disaster in the room, and asking the offgoing nurse to take a moment to help would be ok, if you are the hardworking sort, and you ask nicely. Yes, I would help immediately, if the asker is a team player!

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
I think she meant inconvenience her peers, not her patients.

Inconveniencing her peers is bound to inconvenience her patients at some point. This seems like a very immature thing to do.

As the offgoing nurse I'd apologize, say I didn't realize, and that the docs had just left. If the ongoing nurse insisted I had to clean it, I'd agree, but point out I'd just gotten into my charting, I'd complete that, and then go tackle the mess. Most procedure messes are five minute jobs, but charting can go on quite a while. She'd get sick of looking at it and clean it herself, or I'd go do it in my own sweet time, and put in for OT, with a note about the reason why. If the boss states we cant do OT for clean ups, well, that ruling is not my fault.

I think everyone develops a reputation, hardworking, or not so much. Some days you cant stand to start out with a disaster in the room, and asking the offgoing nurse to take a moment to help would be ok, if you are the hardworking sort, and you ask nicely. Yes, I would help immediately, if the asker is a team player!

Why apologize? Seems like accepting blame. The rest of your reply is, I believe, right on.

Specializes in Pediatric Critical Care.
Why apologize? Seems like accepting blame. The rest of your reply is, I believe, right on.

I dont think that apologizing always has to mean accepting blame or admitting fault. Sometimes it can just mean something like "im sorry that happened to you" or "im sorry to hear that".

Besides, even if they think you are admitting blame.....I don't know that it really matters in the grand scheme of things.

I think she meant inconvenience her peers, not her patients.

Nah, I knew exactly what she meant. Its a poor way to behaved, period. And, like Ruby Vee said, affecting the patients is inevitable. But that isn't even the point for me.....its a crappy want to treat your peers. (I don't feel that it matters what they did to you first. You choose how you respond, and this is an immature response.)

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
Why apologize? Seems like accepting blame. The rest of your reply is, I believe, right on.

Sometimes, an "apology" is just social grease rather than acceptance of blame.

Inconveniencing her peers is bound to inconvenience her patients at some point. This seems like a very immature thing to do.

Meh, "immature" isn't quite the word I would use considering the mess is just getting re-cycled from the patients rooms to other areas. Day shift has an equal part and management doesn't want to hear about it. I simply displace the mess they make into another area to keep them accountable. Hardly seems unfair.

I dont think that apologizing always has to mean accepting blame or admitting fault. Sometimes it can just mean something like "im sorry that happened to you" or "im sorry to hear that".

Besides, even if they think you are admitting blame.....I don't know that it really matters in the grand scheme of things.

Nah, I knew exactly what she meant. Its a poor way to behave, period. And, like Ruby Vee said, affecting the patients is inevitable. But that isn't even the point for me.....its a crappy want to treat your peers. (I don't feel that it matters what they did to you first. You choose how you respond, and this is an immature response.)

Some immaturity from time to time might be a good alternative to always swallowing their doo doo. LOL

I don't see how the pts are affected if she gives a diuretic at 0630 when it was ordered just a short time earlier, or how letting the Day nurses hunt for a couple of items is going to hurt the patients. There should always be enough for handling an emergency without delay, but leaving them with no more thn that might get them to thinking about how they should treat those who follow them. Probably won't, but it's a safety valve if you've asked them before, asked the boss to speak to them.

I have arrived at work more than once to find the cupboard totally bare - not even enough to deal with an emergency. Have had to restock before I could start pouring up meds because there were no med cups, had to get alcohol pads and insulin syringes because there were none of these essentials. No excuse unless everyone was on a code, and they weren't, or they totally had an hellacious day.

Some people are just lazy or the stock closet on our ward was empty, in which case someone needed to go to Central Supply or another floor and not leave us oncomers without essentials.

And if the preceding shift was just too busy, they could have asked the clerk or an aide or Central to provide the essentials. No help there? Get the Manager involved. At least try to help us be able to come in and get to work.

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