ER handoff report to floor - page 5
by PatricksRNMommy 19,290 Views | 47 Comments
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 to the floor, the ER nurse... Read More
- 1Feb 16, '13 by Sassy5dI 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.
- 0Feb 20, '13 by ADeksI 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.
- 0Feb 20, '13 by RoosterreadWe 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.