I’m looking for advice from nurses or even managers who have dealt with ongoing workflow issues with their PCTs and have found ways to improve things. We’re constantly running into issues on our unit with things being missed or not completed. Baths aren’t getting done, patients who need assistance with feeding aren’t getting fed, daily weights aren’t being done on night shift, important information is getting missed during report, and call lights are going unanswered for extended periods of time. Even when tasks are completed, we often have to chase people down to get the documentation done. When we follow up on these things, the most common responses are “I didn’t know” or “day shift/night shift never told me.” We’ve also had situations where PCTs are sitting at the nurses’ station scrolling on their phones while call lights are going off and tasks are still waiting to be done. I also want to clarify that the nurses aren’t just sitting around expecting the PCTs to do everything. We’re busy trying to complete our own nursing responsibilities, pass medications, assess patients, handle admissions and discharges, respond to changes in condition, and help wherever we can. We’re all trying to keep up with everything that needs to get done, but we can’t be everywhere at once. When basic care tasks are missed, call lights go unanswered, or things aren’t communicated between shifts, it creates more work for everyone and, more importantly, affects patient care. The frustrating part is that this isn’t just happening when we’re short-staffed. We see the same issues even when we have an appropriate number of PCTs for our patient load. I’m not looking to bash our PCTs or suggest that their jobs are easy. I was a PCT once too, and I’m struggling to find where the disconnect is. I genuinely want to figure out what we can change to improve workflow, communication, and accountability and make sure our patients are getting the care they need. For those of you who have dealt with something similar: What systems or processes have actually helped? Do you use PCT task checklists, assignment sheets, or end-of-shift audits? How do you make sure important information is communicated between shifts and tasks aren’t falling through the cracks? How do you address prolonged call-light response times and inappropriate phone use? What do you do when the same issues keep happening despite reminders and education? Have you found anything that improved accountability and documentation without nurses having to constantly chase people down? I’d really appreciate hearing what has worked (or hasn’t worked) on your units. I’m especially interested in practical changes that made a lasting difference, rather than solutions that work for a week and then things go right back to how they were. Thanks!   submitted by   /u/Efficient_Pizza4739 [link]   [comments]