Dear CNA:
What part of delegation do you not understand?
You have report and I am going home. While I am down the hall walking out the door is not the appropriate time to complain that I did not clean someone up when I found out about the person's status thirty seconds before I started walking out the door.
I choose delegation of an appropriate task to you today, as I have reported off to your shift and to the charge nurse and I really wanted to get to my car to get to Bubba's baseball game. I know you can't believe that I actually wanted to leave on time, since it so rarely happens, but it was true.
And no, I will not hold this against you, unless you decide to ruminate all week over this "injustice" of making you work immediately out of report, which is great for me, but not for you.
Sincerely not,
RehabRN
Showing posts with label delegation. Show all posts
Showing posts with label delegation. Show all posts
Friday, June 10, 2011
Tuesday, November 25, 2008
What happened?
I wonder this often when I work and when I see things such as....
...the urine bags that are always full.
On our unit, everyone is assigned patients, including the nursing assistants. In many places in our grand state, those assistants could be delegated to by folks such as the LPNs and RNs. Our assistants regularly refuse delegation, and often neglect their own tasks, such as this, that seem too "demeaning" or "boring". Or my personal favorite...they'll only do the task for you if they "like" the patient.
One of my patients was assigned to the escapist assistant I mentioned before in this blog. Again, his Foley bag was getting ready to explode. If only the boss paid attention...maybe I can ask Santa for that for Christmas.
...a new patient assessment that is not done at 2345.
This patient arrived around 1130AM and said nurse supposedly did all his documentation. It's not unusual for some of the paperwork to be floating around on people who arrive at 1500 or later, because our daytime people leave not long after that, so we on evenings, finish up whatever they don't do. This nurse didn't do much. We had two lowly notes for the patient: one the H & P from the admitting doc and the generic "patient arrived at xx time" one for the admitting nurse. Not a nice surprise!
...that someone who refused a shot got one.
This is what one of our elderly patients told C. tonight that the med nurse (same as the admitting one mentioned above) gave him a vaccination that he did not want. I guess she missed that class on assault and battery in nursing school.
My trainwreck came back from dialysis in a happy mood. He barely rung his call light all night.
Off I go for off-day errands...back later!
...the urine bags that are always full.
On our unit, everyone is assigned patients, including the nursing assistants. In many places in our grand state, those assistants could be delegated to by folks such as the LPNs and RNs. Our assistants regularly refuse delegation, and often neglect their own tasks, such as this, that seem too "demeaning" or "boring". Or my personal favorite...they'll only do the task for you if they "like" the patient.
One of my patients was assigned to the escapist assistant I mentioned before in this blog. Again, his Foley bag was getting ready to explode. If only the boss paid attention...maybe I can ask Santa for that for Christmas.
...a new patient assessment that is not done at 2345.
This patient arrived around 1130AM and said nurse supposedly did all his documentation. It's not unusual for some of the paperwork to be floating around on people who arrive at 1500 or later, because our daytime people leave not long after that, so we on evenings, finish up whatever they don't do. This nurse didn't do much. We had two lowly notes for the patient: one the H & P from the admitting doc and the generic "patient arrived at xx time" one for the admitting nurse. Not a nice surprise!
...that someone who refused a shot got one.
This is what one of our elderly patients told C. tonight that the med nurse (same as the admitting one mentioned above) gave him a vaccination that he did not want. I guess she missed that class on assault and battery in nursing school.
My trainwreck came back from dialysis in a happy mood. He barely rung his call light all night.
Off I go for off-day errands...back later!
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