I transfered to ER from tele/step down unit about 1 1/2yr ago. This is the number one c/o ER nurses I work with. For some reason they honestly believe that when the floor says the bed is dirty, it really isn't. Or when the sec says the nurse is in a pt room in the middle of a complicated drsg change,.she really is sitting at the nurses station reading a book. I will admit I only know for sure about the specific floor I worked on and the shift I worked (7p-7a),.but when we said we didn't have a clean room, we didn't. I often hear nurses offer to come and clean the room,...wish it were that easy,..first on the floor we weren't even allowed access to cleaning supplies to clean the room and the cleaning process involves a computer entry to bed control so that addmitting can actually assign a pt to that bed.
I remember several times ER bringing a pt to the dirty room,..the pt had to sit in the hallway sometimes for hours before someone arrived to clean the rooom and admitting could assign the pt to the bed. W/o the pt assigned into the computer we did not have access to meds or treatments for this pt,.couldn't order a meal tray, couldn't chart (computer charting) etc. Then when you look at the electronic med records,.it shows this pt dc'd from ER at 1918,.but not admitted to the floor until 2114,..where was the pt that whole time and who was responsible for his/her care?
Another big c/o was from the floor,.when an ER RN would call report and start by saying "this hasn't been my pt but...". The floor would be furrious that the RN giving report hadn't even taken care of the pt. Well guess what,.ER nurses get to go home too,.and our shift change is the same time as yours,....so if I call the floor at 0635 to give report on the pt I've been taking care of, and you are in report (so am I by the way) and no one on your floor can take report until 0710,.then I'm going home,.I'll give report to my ER replacement and you will get report from someone who doesn't know much about my pt.
This whole debate is a very sore subject for me. I've been on both sides and I so know that sometimes I was so overwhelmed that I couldn't possible take report and another pt at that minute. I also know the frustration of waiting for a bed assignment for hours (not the floors fault I know) and then being told 3 times in an hour and a half that "the nurse is busy, she'll have to call you back",....all while we have 40 people in the waiting room to be seen,.many whom have been there for 4 hrs or more!
The obvious answer here is what we all have been begging for for years,..more staffing,.in the ER,.the floors/units, housekeeping, admitting etc! Until that happens I soooooo wish we could all just play nice together!!
Healthcare is a 24/7 job period end of sentence. We all have to work together to facilitate the best care for our pts. I see many people who seem to have the idea that they work harder than anyone else in the hospital and that others should somehow go out of their way to help make life easier for them because "they just don't understand how stressful the ER/ICU/NTICU/PICU/Floor etc is." We're all in the same boat here folks,..we are all over worked, understaffed and underpaid. To assume that when a nurse says the room is dirty or for some reason she/he can't take report right now, that the nurse is actually lazy or sitting around reading is not fair and is an attitude that causes unnecessary tension and resentment in the work place. Same goes for the floor/unit who goes on about "that ER nurse that tried to give report when she/he hadn't even seen the pt."
So sorry to have hijacked the thread,....I'll get off my soapbox now