EL CAMINO COLLEGE LCM TCU CLINICAL ROTATION
TCU ROUTINES HANDOUT

The unit uses a functional nursing delivery system with the following assigned
roles:
o Treatment nurse - does all the dressing changes
o Medication nurse – administers all the medications except via IV
infusion route
o Intravenous nurse that gives all the IV medications and fluids.
o Charge nurse, who sits at the desk and is in charge of assessments
and contacting the physicians for orders or problems,
o CNAs – ADLs for all patients.

Other services present: Respiratory Therapist (RT) Physical Therapist (PT),
Occupational therapist (OT, Speech), Dietician, and Case worker.

Vital signs to be completed by 0800 and documented in a unit flow sheet for
physicians to reference.

Routine medication administration times: Daily at 0900; bid 0900 & 1700; tid
0900, 1500 & 1800.

Diet, BM, and pain are documented on the medication sheet q shift.

Caterers bring in food at 0800, 1230, and 1700.

ac finger sticks for lunch and dinner are to be done at 1130 and 1600.

Special instructions regarding patient care are written on the white board
behind the patients’ head of bed. Examples: Activity levels, any patient
limitations, NPO, special instruction on feeding a patient, what arm not to use
for taking BP etc.

Patients’ assessment sheets (both daily and weekly) and VS flow sheets are
kept in individual patient files.

The following documents for all patients are kept together in individual folders:
o MAR
o IV therapy Sheet
o Diabetic flow sheet
o Patient ADL sheets used entirely by CNAs
o Treatment book (dressing changes)
INSTRUCTOR: Maryam Ibrahim RN, MSN, CCRN, CNE