Yet another interruption on nights

[sistrmoon, BSN, RN]

So we are now doing some sort of quality control study which requires one nurse to compile data on all the patients with central lines or foleys, make sure that all the nurses are checking the appropriate checkboxes, but also they have to enter the room to physically check for the presence of foley or central line. The primary nurse can't just report it to the nurse compiling the data. The nurse compiling the data has to go in. When is this done, you might ask? Why 1 AM of course! I'm sure this is a case of "well, they have the time on nights" but our satisfaction scores are going to plummet. We are Oncology so a ton of people have central lines.

[Wile E Coyote, ASN, RN]

What, it's not like we do much on nights anyway, right?

[RunBabyRN]

Fun! Geez. I bet your patients are THRILLED! My goodness. SMH. Somehow I don't see this one lasting long... at least I hope!

[hiddencatRN, BSN, RN]

Uh, who is going to do quality control to make sure the noc QC nurse is actually going in to rooms and not just taking the primary nurse's word for it? >:-|

[classicdame, MSN, EdD]

fudge the time and do it when you assess the patient or empty the foley bag.

[HouTx, BSN, MSN, EdD]

This is part of the national CLABSI initiative. Central Line Infection Very important quality/safety initiative for healthcare. All major regulatory folks have jumped on this bandwagon, including Joint Commission, CDC, CMS, etc.

It's a shame that rather than devote additional resources to this very important function, they are foisting it off on staff who are already overloaded with other tasks. I hope that they take the results seriously rather than simply paying lip service.

[Muser69]

Unit clerks take care of this in our unit. They ask each nurse individually and compile the results.

[NoviceRN10]

We have been asked recently to audit each other's charting. It is a big pain and I think someone is taking a huge break while they make us do it. The day shift and night shift are both doing it, though.

[Dranger]

Unit clerks take care of this in our unit. They ask each nurse individually and compile the results.

You have a unit clerk at night? Must be nice....

[sistrmoon, BSN, RN]

fudge the time and do it when you assess the patient or empty the foley bag.

The problem is that it is not the patient's nurse doing the quality activity, it is a different nurse. And they can't take the word of the patient's nurse.

[sistrmoon, BSN, RN]

This is part of the national CLABSI initiative. Central Line Infection Very important quality/safety initiative for healthcare. All major regulatory folks have jumped on this bandwagon, including Joint Commission, CDC, CMS, etc.

It's a shame that rather than devote additional resources to this very important function, they are foisting it off on staff who are already overloaded with other tasks. I hope that they take the results seriously rather than simply paying lip service.

My management has repeatedly asked for suggestions to reduce central line infections and I have told them a dedicated team for dressing changes has been shown to reduce them. They will never do this though. Even though it would save money and lives in the long run, it would take an initial investment. We can't have that.

[ArtClassRN, ADN, RN]

I am going to take a second to thank my lucky stars my hospital does not use bedside staff for this kind of data gathering. Because they do a lot of it.