From being inadequately prepared with enough staff to handle crises, to providing little or no help when nurses call for it, patient lives are too often at risk in a system without a Standard of Care.
Patient required a stay of over 9 hours in the hospital and had a blood reaction that was provided minimal observation due to lack of staff.
During shift hospital was working with our skeleton staffing and had a compliment of ED patients. Code Blue in another building required hospital staff to respond. This left a full hospital of patients, including a new mother and newborn baby, ER patient, and an incoming ambulance to be managed by one RN and one aide.
At 3:00 p.m, patient’s discharge paperwork was mostly done and personal arrangements made for pick up. Yet she didn’t walk out the door until 5:30 p.m. because I didn’t have the 20 minutes to devote to going over her discharge instructions until 5:00 p.m.
Unit has 12 beds with a staffing assignment of 4:1 max. Upon shift change, there were 12 patients and only 2 nurses to take them on, thus causing the nurses to take 6 patients a piece.
RN on our shift had to leave at 2:00 a.m. to help in surgery. When supervisor was contacted about being short-staffed, was told “there was no one,” and we were lucky to have her until 2:00 a.m. because she was supposed to be in surgery the whole shift. When asked who was to cover her patients when she left, supervisor had no answer.