--- In mpoweryournurses@yahoogroups.com, Dawna Cato <dcatomsn@...>
wrote:
>
> That's great Kathleen, I have worked in a hospital for three years
with no educator at all. It is very true that new grads are often
found on the night shift, this along with fewer resources; it is no
wonder we have poorer outcomes.
> Dawna
>
> Kathy Mac <mccarthy6613@...> wrote:
>
> We have night educators 1 for critical care and 1 for med surg
that work during the 7p-7a shifts each of them 4 days a week and may
not necessarily be on the same night. They also work weekends, round
on the units and respond to every code.
>
> Kathleen McCarthy
>
> "Education costs money, but then so does ignorance"
> - Sir Claus Moser
>
>
>
> ----- Original Message ----
> From: "tourette@..." <tourette@...>
> To: mpoweryournurses@yahoogroups.com
> Sent: Tuesday, March 18, 2008 9:51:05 PM
> Subject: [mpoweryournurses] Re: Cardiac arrest survival is worse on
nightshift and weekends.
>
>
>
> On day shift there is ususally enough MD's around to respond. Having
> access or should I say, no access to MD's at night has always been a
> problem. Also the response time when calling a MD at night can
impact
> patient outcomes.
>
> Joan
>
> --- In mpoweryournurses@ yahoogroups. com, "David Woodruff"
> <dwoodruff@ ..> wrote:
> >
> > In a recent study reported in the February 20, 2008 issue of JAMA,
> > Dr. Peberdy and Associates found that survival from cardiac
arrests
> > was worse on nightshift and on weekends. Many previous studies
have
> > also determined that other medical errors are higher at night and
on
> > weekends as well. The author suggests some explanations for the
> > discrepancies such as differences in staffing levels, expertise of
> > personnel, and monitoring practices.
> >
> > Given that staffing levels will probably always be less on
nightshift
> > than on dayshift, the nurses working the nightshift need to have
more
> > resources available to them to appropriately respond to emergency
> > situations. In addition, the nightshift often hosts the more
junior
> > staff who may be lacking in their assessment skills. The
researchers
> > did not suggest a specific mechanism causing the decrease in
survival
> > but it is likely that a delay in assessing and/or treating the
> > cardiac arrest is what caused the poor outcomes.
> >
> > Nightshift staff need training, mentors and additional resources
so
> > that they can respond appropriately to emergency situations when
> > staffing is lacking.
> >
> > From:
> > Perberdy, M.A. et al. (2008). Survival from in-hospital cardiac
> > arrest during nights and weekends. JAMA, 299; 785.
> >
> > Best wishes,
> > David W. Woodruff, MSN, RN, CNS, CEN
> > President, Ed4Nurses, Inc.
> > www.Ed4Nurses. com
> >
>
> I find the comment about new grads very interesting. The new grads
we see haven't experienced the off shifts, and have no intention of
working them. Weekends in many hospitals are staffed by bonus
workers who have no idea of the system, lousy orientation, and no
vested interest, except work 24 and get paid for 36. I may sound
cynical, but I've earned it!
cak131343
>
>
>
>
>
>
>
>
>
>
> Dawna Cato, BSN
>
>
> ---------------------------------
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