Leave It Till The Next Shift–

Talking to many nurses, students and care assistants in all fields, owned by all bodies eg care homes and hospitals. there are many situations that are not due to short staffing although certain bodies prefer not to speak of it

www.nursingtimes.net/…/rcn…patients-association…/5005657.article‎ 27 Aug 2009

For example, leave it till the next shift. How many feel the frustration of “Mr Brown arrived at 9am this moring “Can you (afternoon nurse) start care plan ?” Surely on admission we talk to him and check his pressure areas etc??

Or can you put the great drugs order away? A lengthy procedure, often left to nightsaff who have less staff and are often extremely busy.

Such procedures as checking the oxygen, are often left to the one who knows how to do it.

Many overseas nurses are reluctant to phone the doctor- language? Knowledge? Different systems in whatever country? ie some care homes do not use Doctors in some countries–

Weighing, doing dressings, or bathing patients are other issues. It may be documented to bath Mrs Smith but sorry, we did not have time- can you do it? Now not having time is not always the reason. Some indeed, may forget to look in the diary etc. If this occurs for days, GPs are not rung and orders not made etc.

Studying reaons for this, offers reasons for the failure to do certain aspects of care, but not excuses. For example, do many staff avoid certain tasks, or hide in the office, because they feel incapapable or fear doing something wrong? Such staff need to be able to say, how do you do this, without feeling stupid. Some may  argue it is shear laziness and wonder where the manager is in all this.

If you know any more examples- please let me know.

 

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7 thoughts on “Leave It Till The Next Shift–

  1. Checking in drugs can be a nightmare. They can arrive en mass in 20 holdall bags and stand in a spare room or if big enough, a treatment room, in one case the hairdressers room where all members of staff have keys. The drugs can sit there for 3/4 days when agency staff are on each passing onto the next shift until the contracted RN arrives on duty.
    The RN, as well as having to do the everyday work, be responsible for a further 50 residents on non nursing units, catch up on updating care plans, 24 hour updates, checking hygiene lists are compiled, weights charts are up to date, not forgetting covering on the floor when HCAs take their breaks AND the checking in of all medication other than CDs. This can be 100 – 200 medicines for a small unit .
    I took out a grievance in 2012 stating that the treatment room was not fit for purpose. Since then the staffing levels were dropped to a dangerous level when I took out another grievance stating the staffing level was dangerous. CQC and the county safeguarding were informed of both and the possible outcomes. Nothing was done about either until an incident occurred, then CQC & Safeguarding moved in The home got XXXXX report and the company had to refurbish and upgrade at a cost of £100,000. A new manager was installed and finally I the victimised RN, had false allegations thrown at me, was sacked.
    Things are moving on and the NMC are now under fire!!! Watch this space!

  2. “Leave it for the night shift is common in care homes, also includes putting residents to bed despite care plans” ack True Leslie twitter

  3. Yes- 3 staff to put 30+ residents to bed from 8pm is unreal– other dilemmas all suffered from extreme dementia =but—

  4. Lenin Nightingale recalls- nurses not knowing how to turn Oxygen cylinder on, not knowing what a suction machine is, not knowing how to do suction, not knowing how to do pain control, not knowing how to change Ivacs, etc– all left to the nurse who does—-.

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