Should critical care nurses have scribes too?
I noticed that managing a dynamic case required more than 1 nurse at the bedside. So there were 2 nurses and 2 doctors managing the patient with divided labour. Now... 4 hours of resuscitation later, no one had remembered to note the hourly urine output. My task was counselling of the family and taking written consents from them for any and all procedures, keeping them updated with what's going on, and leaving the unit to attend codes if any.
Later that day the nurse expressed the frustration of not being able to do basic charting because of the dynamic state of the patient. In a way.... I felt that it was also harmful for the patient that there was no nursing scribe. Without the hourly output how would we suspect or rule out kidney injury?
I wonder if this is me feeling too entitled or if it's a reasonable suggestion?
Later that day the nurse expressed the frustration of not being able to do basic charting because of the dynamic state of the patient. In a way.... I felt that it was also harmful for the patient that there was no nursing scribe. Without the hourly output how would we suspect or rule out kidney injury?
I wonder if this is me feeling too entitled or if it's a reasonable suggestion?
26-30, F