ER handoff report to floor - page 4
In the past when receiving patients from the ER, they printed a report to the floor and then called to give a verbal report. Now the process has changed to improve pt flow. Now, the report is printed... Read More
Feb 12, '13At my hospital, the ER nurse calls gives the floor nurse report via phone. There are no printed report sheets. The floor nurse should have the computer in front of them with the patient's chart opened so that they can clarify anything from the ER nurse's report. Usually our patients are stable enough to be transferred to the floor.
Feb 15, '13Currently, we call report and then send the chart up once the patient is transported. We are trying a new program out now where we fax everything, and then call the charge nurse before the patient is sent up. Seems to be working well.
Feb 16, '13I thought of you all last night.
Calling report, the nurse tells me she's pulling up the chart to look at it while I talk. Then I talk and she tells me to slow down, she can't write that fast.
If you're looking at exactly what I'm looking at why do I need to slow down, especially when it's petty stuff like : he came in at 1140 today after drinking a bunch of hard liquor.
I keep it short and sweet anymore.
Alert? Oriented? Walks? Demeanor. Cooperative. Heart Rhythm, vitals, IV access. The end.
always end the call with the time I will be working until and please call with any questions.
Feb 20, '13I have worked on a cardiac step-down unit and would receive patients on all kinds of gtts and in various states of chest pain. We do NOT get a verbal report. We get a page from our on-line system with the patient's name and ID number; 25% of the time the transporter will call to notify that they are bringing a patient up tot he floor. The idea is that all our charts are computerized so that we can look up all the information such as meds given, IV access, VS, Pain scores, and any notifications that the nurse/tech charted. When we DID get a call it was usually bad news.
Now, I am working in an ER at a different hospital in the area and we have the same computer system BUT we are to speak nurse to nurse. Now, I am told that only ICU patient's am I supposed to give a full report to. The rest, I'm supposed to call and basically give you the diagnosis and tell you the patient is coming up. Now, I COMPLETELY understand that most of the time, that floor nurse didn't know they were getting a patient. I also will tell you the abnormals and the most recent VS. I however do not want to to run through your whole Brain Sheet so that you can fill EVERYTHING in. I understand that at times I am sending a heavy patient to a tele unit, but for XYZ the MDs have decided that the patient does not require an ICU bed. This is, by all means, not because I let it go. I tell the doctor multiple times and sometimes they listen sometimes they don't. I also, have felt the repercussion of letting a floor nurse know that I am sending a very heavy patient to the floor and basically the patient is there 10 minutes and they call a rapid response in hopes to send this patient to an ICU bed. I have to say almost 80% of the time the patient stays on the same floor.
So what can you do? Also, we in the ER have EMTALA laws and we're supposed to send the patient up to the floor in 30 minutes from receiving a bed. So we get the push to rush our patients up to the floor asap.
Feb 20, '13We have computerized charting, so the only time we give a verbal report is if the patient is going to ICU. If they are going to the OR, there is a quickie face to face with whoever picks the patient up, usually anesthesia. We get the orders, the charge nurse calls the supervisor and gets a bed assignment. The transporter picks up the patient and takes them to the floor. If the patient is going to a tele unit, there is a 15 min wait for the tele pack to be tubed to us. A nurse only accompanies the patient if there is blood hanging or if they are going to ICU.
Feb 20, '13I work on peds and the ER nurses call report. I know the ER can be extremely busy. I get frustrated when they call report at change of shift. It usually means I have to stay longer to settle the pt.
Feb 20, '13It's not always our fault. Usually at shift change there seems to be more beds available.
Feb 20, '13Quote from cmarnEvery single shift on the floor is like a day getting slammed in the ER? Really? For many reasons I have to disagree. Both are tough for very different reasons. Kudos to all nurses
I laughed out loud when I read this.