3.28.2009

1900-0730: if all goes well

1900-1915
get assignment
1915.01-1915.99
pray that everyone is stable
1916-2000
make sure everyone is alive and relatively happy
get report from out-going nurse
follow-up on immediate patient needs
2001-2045
review patient history, medications, labs, tests, x-rays, new orders, patient care plan
2046-2100
stock cart with supplies needed for the shift
2101-2245
full body assessments
1st round of med passes, stock rooms, change tubing as needed
2246-2250
make first pot of coffee
breathe
2255-0015
sit down at computer with a hot cup of coffee
chart Acuity (software they use that tells the bosses how much time each patient requires) (mandatory)
chart everything I did in the first four hours (also madatory)
0016-0100
check blood sugars and give insulin as needed
2nd round of med passes
0100-0115
make second pot of coffee
breathe
0115-0400
baths and wound care
0401-0500
replace tube feedings
replace IV bags
make sure everything is ready for the next shift
0501-0615
3rd round of med passes
2nd round of blood sugar tests
0616-0715
chart what I've done all night
prepare report for on-coming shift
0715-0730
give report
0731
breathe

It's just a matter of basic math

12 hour shift-4 hours of menial work that has no relevance to patient care =8 hours for patient care

8 hours/8 patients=1 hour per patient

3.08.2009

Cute!

3.03.2009

Ha! this kid makes me smile.