Influenza A, respiratory viruses and other seasonal illnesses have hit BIG time here. And that's on top of all the "usual" illnesses and diseases that we treat every day, like COPD, diabetes, and Congested Heart Failure, just to name a few. The hospital is nearly filled to 100% capacity throughout all the medical-surgical units, intermediate intensive care unit, and intensive care unit. To put it simply, we are busy, very busy. Last night I had 6 patients under my care the whole shift. PA is not one of the states that has determined that it would be prudent and safe to set a limit on the patient to nurse ratio as some other states have done. But that's a different post for another time. Back to me and 6 ill patients last night. I had 2 hours and 15 minutes from the end of getting report from the day shift RN until 18:00 to get all my assessments done on all 6 patients, calibrate the telemetry (heart monitor) strips on 4 patients, check blood sugars on 3 patients, dispense med for all 6 patients- oral meds, IV antibiotics, insulin, pain meds and some additional afternoon meds that the day shift RN ran out of time to do, plus answer call bells when my aide was busy with other patients, talk to family members in person and on the phone about their family member's health, and update the patients who had questions about their plan of care, which meant spending some time deciphering the hospitalists' and specialists' notes from the day. All of this I needed to get done by 18:00 if I was going to be on time. On a typical day with 4 patients, it is reasonable to get it all done on time. On a busy day with 6 patients? That was quite a feat. But, I did manage to get it all done by 18:00. I was quite proud of myself!
I was standing in the hallway with my computer catching up on all my charting when a couple walked by to visit a patient. I greeted them as I do everyone that passes me in the hallway. After they were done visiting, they passed me again as I was still charting on my computer, trying to finish up so that I could squeeze in my own supper before the next round of antibiotics, evening meds, blood sugar checks, insulin administration and pain med administration was due. As the couple passed me, I started to wish them a "good evening" when the husband turned to his wife and said, "Look, she must be playing a Winnie the Pooh game on there or something. She still standing in the same exact spot."... 8O Yes, I'm playing a Winnie the Pooh game, that's exactly what I am doing.
After I picked my jaw up off the floor, I simply replied, "Yeah, or something..." :roll: