Its just a damn shame when folks get too busy doing their job to think about the patient. This is not the fry line at McDonald's.
This week my patient was readmitted to the hospital with c/o coffee ground emesis less than 24 hrs of being discharged for the same problem.
I started my shift with instructions from my nurse to d/c my pts NG tube. I completed this and assisted the pt in ordering the 1st real food in about a week.
As things go, dietary had not yet rec'd the chg from a clear liquid diet. 3 hours later as I am about to d/c the IV, the tray comes. I ask dietary to wait to bring in the tray so I can get the IV out.
No problem except that my instructor is nowhere to be found. Another 40 minutes and the IV is finally out.
My patient is eating (finally) and the nurse comes in to go over discharge instructions (because her students were "nowhere to be found"-did u try the pts room?)
Within 20 minutes my pt is showered and out the door.
Progress notes state that "pt tolerated diet chg well." Really? AEB what? I wouldn't be surprised if the pt left their meal on the dashbooard of the car on the way home.
This nurse discharged 2 patients in a span of 20 minutes. The other pt had to come back because a script was not in her paperwork.
I guess it seems to me that another person will be placed in the room as soon as it is emptied so what is the point of pushing the pt out the door before they are ready? It's not like u serve ur 5th pt so now u get to go home.
Am I just too new? When will we stop pushing pts out the door?
The one idiot that wrecks it for the rest
3 months ago