Nursing Supervisor, Grand Island, New York - September 5, 2016
Get report from the outgoing Nursing Supervisor, make rounds in facility, monitor al patients with change in condition. Review any A & I's. Checking to see the times IV's were to run and any PICC lines that needed flushing. Review all M.D. orders from any admissions into the facility from the previous day. Make skin rounds with skin team and document weekly. Order all supplies needed for the unit twice weekly. Attend morning report. Complete all treatments of wounds in facility. Frequently at end of shift I would find out that several admissions were being admitted into the facility and the admission orders would have to be done before I could leave facility. I learned the Kodiak, point click care on the computer. I found that the staff nurses were not always held accountable for their duties. Some of the nurses stated that they did not know what to do when there was in change in condition and when the Supervisor was notified the nurses did not have the vital signs and necessary information for the Supervisor to contact the M.D. right away. CNA's did not notice a change in a patient's condition as they should have because they had the same patients daily. There were frequent bruising of unknown origin. The patients and families were very grateful for the care they received, and it was always rewarding at the end of the day to know that I had done everything that I could to give each patient the best care possible and make sure they were given medication as needed to make sure each patient was as pain free as possible..