Best & Worst Excuses for Not Taking Report? - page 2

After having a day where I have never heard so many excuses from the floor for avoiding report, I was curious to hear others' top list of the best and worst. The worst excuse: The bed isn't ready, Funny, when I offer to come... Read More

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    Here is what happens in the ED when no one will take report at 0700. Exhausted night nurse has to either give report to day nurse , who really should n't have to bother with a pt she will not be taking care of, she then has to give a report on a pt she barely knows. O r exhausted night nurse has to stay over and wait on floor nurse to get report, get coffee, chat with friends, etc, wants to assess her pts, etc, etc. Exhausted night nurse now wondering if she will be able to stay awake driving home having stayed late to give report. The ED is also now starting to back up, as the drive time trauma is now sucking up resources and the am bus has let off its load in triage.

    Bottom line : SOMEBODY on that floor can take report and pass it on.

    And yes I have been on the other side, having worked ICU the first 12 years of my 40 year career. We were NEVER allowed to refuse report unless we were personally involved in a code situation.

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  2. 0
    I find it extremely insulting when I'm told the nurse is at lunch and no one else is capable of taking report. I've been in an ER for 3+ years now and I can count the number of uninterrupted lunches I've had on one hand. True, it's where I chose to work because I enjoy the pace and intensity. But for goodness sake, have someone else take report.

    My favorite report excuse involved a nurse I knew from school who graduated the year before me. I was told he was in with a patient. So I figure, ok, I'll discharge this patient and call him back. Going out to the driveway, I see this nurse with his cigarette, chatting away into his cell phone. Busted!
  3. 0
    As a floor nurse in a small hospital we are told of possible reports before the actual decision of admit is made. This helps because we can get ready for the possible patient. Once the decision is made to admit we get a preliminary fax of diagnosis and any setups needed (IV's, O2, seizure, etc.). This can be at 0200. We wait and wait for report. They call at 0620 We give report at 0630 to the next shift, pass meds doctor's are starting rounds, etc. They hate giving us overtime here so sometimes I have to tell them no unless I want to work for free for and hour. I actually been told by ER nurses here that they will hold a patient so that the other nurses in ER will get more pts. (don't jump on me I know that does not happen everywhere)
  4. 1
    Of course there are twelve sides to every story...especially the report story...however I believe this thread-posted in emergency forum-was to be about best and worst excuses. I believe it is way off topic now.
    BUT really...it's not about the length of time needed to give/take report. It's about the impending transfer of the patient.
    I gave report yesterday to a floor nurse who said...can you give me about ten minutes before you send the patient up...and I said no problem. Then when we get to the floor...the nurse is receiving a back rub at the desk.
    Funny thing is...I had just told the patient that we waited to move him even though he'd been in ER on very uncomfortable cart for 8+ hours---b/c the floor was very busy.
    AussieTina likes this.
  5. 0
    Quote from laught3r
    as a floor nurse in a small hospital we are told of possible reports before the actual decision of admit is made. this helps because we can get ready for the possible patient. once the decision is made to admit we get a preliminary fax of diagnosis and any setups needed (iv's, o2, seizure, etc.). this can be at 0200. we wait and wait for report. they call at 0620 we give report at 0630 to the next shift, pass meds doctor's are starting rounds, etc. they hate giving us overtime here so sometimes i have to tell them no unless i want to work for free for and hour. i actually been told by er nurses here that they will hold a patient so that the other nurses in er will get more pts. (don't jump on me i know that does not happen everywhere)
    my hospital does not have the luxury of knowing which floor a regular admit goes to let alone the room number to give report. as an er nurse we can gage who is going to be admitted and who isn't most of the time. (needless to say, that does not help us either) my er docs do not have admissions priveledges so the pcp has to be called, ect.
  6. 0
    My favorite was just the other day. I start giving report but the nurse has me stop and says "hold on a sec" then gets back on a little out of breath and notably stressed. Then again a "hold on a sec" this time for longer, she comes back on the line and is tearful states, "I just threw up". The charge nurse gets on the line and says she has to send this ill nurse home and they would have to call me back.

    Poor thing...and she didn't give us an excuse, she tried to muscle through the report so she could go to the BR and puke for the third time that shift.

    Unfortunate because I guess she made quite a mess in the nurses station. I felt so bad for her.
  7. 1
    It's a game that we all play
    First attempt to call report: I'm sorry, that nurse is hanging blood

    Second attempt: She's in an isolation room

    Third attempt: She's at lunch

    Fourth attempt: she's in report.

    Fifth attempt: She's hanging blood in an isolation room while eating her lunch and giving report.

    Once a clerk forgot to put the phone on hold and I heard her tell the nurse that I wanted to call report, The nurse told her to tell me that she was off the floor. I told the clerk that next time to make sure she had me on hold before lying to me. Report was taken.

    Seriously, I know that floor nurses are busy. The Er nurses just feel that we don't have the option of choosing when we get our patients. We certainly can't tell an ambulance to call back in 20 minutes with the code coming in, even if it is time for lunch.
    fancee free likes this.
  8. 0
    Quote from Larry77
    My favorite was just the other day. I start giving report but the nurse has me stop and says "hold on a sec" then gets back on a little out of breath and notably stressed. Then again a "hold on a sec" this time for longer, she comes back on the line and is tearful states, "I just threw up". The charge nurse gets on the line and says she has to send this ill nurse home and they would have to call me back.

    Poor thing...and she didn't give us an excuse, she tried to muscle through the report so she could go to the BR and puke for the third time that shift.

    Unfortunate because I guess she made quite a mess in the nurses station. I felt so bad for her.
    Now this is certainly a justifiable excuse. Such a pity that she was even made to get on the phone with you the first time & that she would only be sent home after messing up the nurse's station.
  9. 0
    I give a lot of leeway to med-surg nurses as they do have 5+ pts and I know it can be hectic. BUT, as a long time ICU RN, I have no patience for the ICU nurses at my facility. They don't take stepdowns so when I'm about to take my pt up, they only have one other pt. THEN, they get 30 minutes from the time I faxed an SBAR and the orders AND an EMSTAT. Which has everything that's been done in the ER double documented. WELL...

    I just luuuuuuuv it when I wait the whole 1/2 hour then get blown off with even dumber excuses...."she's helping with a sick patient" well duh, you're the ICU, all your patients are sick! And I take the patient up and then they ask me questions about stuff that was straight up on the SBAR and the EMSTAT_ so of course they didn't read them....which is the whole excuse for the 30 minutes in the first place!


    GRRRRRRRRRRRRRRRR.
  10. 0
    Where I work I can depend on medsurg to take patients, and come to the ER to help unless they are totally slammed. It's a small facility so that has something to do with it- we go to MS for codes or if they have a critical care situation that requires extra hands.

    For admits during shift report, they are smoother than during the shift. Normally MS comes down to pick up patients and get report. If they are at shift change I (ER nurse) take the patient down and help the night staff settle him/her in the room, and then go to the report room, and tell the day staff about the new patient. Nights loves an easy admission, and days loves that the patient is already settled and fits into their workflow. Day shift then has 12 hours to get the paperwork done.


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