Being in charge and having patients
28-Jun-2011 6:57 pm
I am a band 5 nurse working on a 34 bedded Trauma & Orthopedic unit. It is a very busy ward. The manager will assign a nurse to be in charge and if we are fully staffed, we don't take a bay of patients in the morning, but take them in the afternoon.. However, if we are a nurse down you are expected to be in charge of the ward and have a bay of patients - inculding admissions/ discharges and dementia patients..I find this very dfificult and extremely stressful as the manager will expect you to chase things up and make sure other nurses are completing all their tasks as well as taking phone calls from relatives/doctors/ clinical site managers etc. I find that I cannot spent as much time with my patients as I think I need and as such I feel things get missed...my concern is that legally & professionally my first priority it to my patients and that in these situations the manager should step in a be in charge....but they don't. To add to the pressure the managers sometimes walk around a check up on paperwork etc when thay can clearly see we are struggling. I enjoy the ward but what should I do? Should I refuse to be in charge? What's my legal standing to refuse? Lots of questions, sorry!!! I'm just a bit annoyed that we don't seem to get help but are criticised if things aren't right!!....
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5-Jul-2011 8:58 am
'managing your time better'
oh, in the UK as well? this is also used by managers in a European hospital where I worked. must be a universal manager mantra. they swanned around from ward to ward and picked up on anything which had not been done, no matter if you had to drop everything for a resus, urgent attention for a patient, working out dosages, preparing and administering a complex chemo regime which had to be done on time, an unannounced emergency admission or you were working on a shift on your own (where suddenly several patients want a bed pan at the same time or it is already too late) and on a ward where the staff had suddenly been reduced to half by the new administration for the same number of acute patients!
sometimes a word of praise, finding assistance or rolling up their own sleeves might have been more helpful for the patients. The best way to dodge this comment was to try not to appear stressed!
25-Oct-2012 4:54 pm
Your manager is blinking lucky if they can swan about and do sod all. I'm counted in the numbers on a daily basis. I manage a 20 bedded ortho ward and a 3 bedded HDU. Patient care and safety is paramount and that as a band 5 should be your main concern. If they are supervisory then they can do all the admin / management stuff. Safeguard your registration as nobody else will!!