There isn't enough time to do them as an inpatient either. My last shift we had 27 patients for 3RN 3HCA (the norm) but those were: 11 needing line of sight care. 8 needing 2hrly turns, 1 unstable tachy. 1 sliding scale. 1 epidural. 1 chest drain. 3 pre op for #NOF. 1 end of life. 1 needing blood transfusion. I then got a call to accept another ICU stepdown oh but I would need to start hyperk+ treatment when they arrived cos they wouldn't have time, they needed to get another patient in. I got called 'obstructive' for not accepting this and I suspect there'll be some kick bsck from it. I also discharged 14 people and the beds had to be filled up within 30 mins.

I don't think we can do this anymore. I really don't. The NHS is broken.