Time Management
Planner
Medications for the entire shift
Admissions
Pt Diner & breakfast (teeth wash)
IVAB
Long acting opioids
Other opioids
Paracetamol
Pt regular medications look at the times been given over the last few days and ask pt when they usually take them.
Physio
Dischages
Laxitives
Clexane
ASK physio when they may see pt
Drains to be clamped for 1/2 an hour before removal
At the top as a to do list as able to
CWS
Wash
Linen change
Pre Medications pre OP
Mobilisation
Ask preceptor have I Prioritised well would you have done anything different ??
Prioritise
ABCD #1 Priority
OBS #2 priority
MEDS
Regular if possible but better to be late than unsafely given
Toilet don't want a mess
Encourage the pt to call so you can change linen once you've got them to toilet.
Put things in the room when you can for an admission
Discharge is by 10 if possible
then pain relief if necessary
Under controll? up to date?
Do OBS
Offer help
Check pts
Never leave a pt in toilet after GA
If possible do OBS first for BP
Review plan regularly
look at the time often so you don't loose track
Tick what's been done
Leave space between pt for Clarity.
Delegate where two priority pt can be separated eg with one patient in the toilet who has had a hip replacement and 1x assist and a post op patients 1/2 hourly observations who is not stable.
BREAKS at scheduled time to aim for.
TALK to PT When do they like a shower?? etc