ER vs ICU, how did we get there? - page 4

Ok... In my hospital the lines have been drawn. I don't like them...the lines I mean. Somewhere along the way the ED has become the enemy of the ICU and I am not sure how that happened. So I... Read More

  1. by   parkernurse
    [QUOTE=Dinith88]Apologies are in order..i have to clarify the dork thing. I was speaking about a few er nurses i know personally..not all of them.

    And i'm not anti-er nurse either. I suppose the point i was trying to make is that er nurses have alot more (all of it?) control over when report is called. It seems that most of the friction i've experienced w/our er nurses is when we ask them to wait just a few minutes as we're busy (for whatever reasons). The responses we/i SOMETIMES get (huffing and puffing and accusastions and occaisional reporting) are worthy of 'dorkhood'...straight out of 'dorkville'...and as a matter of fact i refuse to apologize for calling these dorks out for what they are....dorks dorks dorks.


    I can understand it being busy sometimes when I call to give report but EVERYTIME??? I usually have to call at least three times to give a report or threaten to bring the patient and give a verbal bedside report before I get someone to take report.. It is very frustrating !!! As for no new patients close to shift change--I dont have the option to tell the ambulance to take another lap around the block, because I am getting ready to go home. I am expected to smile receive the patient and punch out when I can.
  2. by   RNin92
    i was going thru these posts again...i want to thank everyone for proving my original point...

    we ARE at an ER vs ICU place!!

    to set the record straight...

    we ALL know that there are nurses everywhere who will stall, not do their job, dump a patient, etc...etc...etc...
    but that should be the exception not the rule

    EVERYONE is busy, overworked and understaffed.

    all the more reason to work TOGETHER

    and for the floor nurses everywhere that think "well, at least there's a doctor 5 feet away"...forget-about-it
    once the patient has benn "admitted"...the ER docs are moving on to the next train wreck that rolls in the door.

    they will NOT step in unless someone is coding...and they do that up on your units as well. so we are trying to call the attendings just as you are.

    i guess i was hoping that we could get past the BS...and figure out something that works

    :uhoh21:
  3. by   veetach
    Quote from RNin92
    i was going thru these posts again...i want to thank everyone for proving my original point...

    we ARE at an ER vs ICU place!!

    to set the record straight...

    we ALL know that there are nurses everywhere who will stall, not do their job, dump a patient, etc...etc...etc...
    but that should be the exception not the rule

    EVERYONE is busy, overworked and understaffed.

    all the more reason to work TOGETHER

    and for the floor nurses everywhere that think "well, at least there's a doctor 5 feet away"...forget-about-it
    once the patient has benn "admitted"...the ER docs are moving on to the next train wreck that rolls in the door.

    they will NOT step in unless someone is coding...and they do that up on your units as well. so we are trying to call the attendings just as you are.

    i guess i was hoping that we could get past the BS...and figure out something that works

    :uhoh21:
    I TOTALLY agree with you, Rn. I wish I had the answer to this problem. I think we all need to take a step back, and think of the patient. For those of you who work in the ICU/CCU please understand that we are not trying to make your life difficult, we just have someone else needing the bed.......
  4. by   RNin92
    Quote from veetach
    I TOTALLY agree with you, Rn. I wish I had the answer to this problem. I think we all need to take a step back, and think of the patient. For those of you who work in the ICU/CCU please understand that we are not trying to make your life difficult, we just have someone else needing the bed.......
    amen my friend...amen
  5. by   teeituptom
    always
    we cant get any more back untill we get some up or out
  6. by   RNin92
    Quote from teeituptom
    always
    we cant get any more back untill we get some up or out
    it's funny isn't it...

    we fight so hard to get our patients up to the floor only so we can start all over with other patients...really making our workload much harder.
    we should really just sit back and let our friends from the floor take as much time as they need so our jobs can be much more relaxed...

    who cares if patients are waiting?
    who cares if people may be suffering in the waiting rom?


    hmmmmm...
  7. by   teeituptom
    For about a year now everytime I take a pt to the unit or the floor I always introduce the nurse to the pt and end it with. "You are lucky, you have the best nurse in the hospital to look after you up here"
  8. by   RNin92
    Quote from teeituptom
    For about a year now everytime I take a pt to the unit or the floor I always introduce the nurse to the pt and end it with. "You are lucky, you have the best nurse in the hospital to look after you up here"
    Hey my friend...whatever it takes!!
  9. by   teeituptom
    Sometimes I shovel it pretty deep :chuckle :chuckle

    Then you have to realize they already had the best nurse in the hosp while in my ER, ME
  10. by   RNin92
    Quote from teeituptom
    Sometimes I shovel it pretty deep :chuckle :chuckle

    Then you have to realize they already had the best nurse in the hosp while in my ER, ME
    ya gotta love a man with a sense of humor!!

  11. by   caroladybelle
    Quote from RNin92
    Someone said earlier that communication is key, and I would agree.

    I think part of the problem is personality. To work in either ED or ICU you have to be assertive and strong. So two people with those attributes can be a dynamic team...or horrific adversaries. I'm sorry that so much of the time we seem to be the latter.

    Sometimes I think that the administration LIKES it this way...

    If we are fighting with each other...we certainly cannot be fighting with them!

    If the reason we are overworked and underpaid is the ED/ICU (depending on which floor you live!) then the REAL issues do not have to be addressed.

    Kind of makes you think a bit!!!
    This is true of most all nurses in most all specialities, not just ED - ICU.

    And I agree that administration does little to solve it, as it deflects problem perception away from them.

    I have been dumped on by both departments. And received the perpetual stall from other units and ICU. As well as from coworkers on the same unit, etal. As I am sure that we all have.

    We need to stop fighting among ourselves and work to solve the problems that initiate dissension between departments.
  12. by   teeituptom
    personalities is an issue


    as that old song saya


    youve got personality
    walk with personality
    talk with personalty, too

    cute song

    very apropos
  13. by   marcicatherine
    I had a patient come in the ER a few days ago. CP, diaphoresis, vomiting, SOB, and ST elevations through the roof. We did the whole nine yards on her, NTG, Heparin, and Retavase. Finally by the second dose of Retavase she started to reprofuse.....which, in itself, can be a touchy, scary time. Luckily she didn't fibrilate. I had her for about 90 minutes before I transported her to ICU. When I got to the unit with her, I attempted to give report to the nurse taking over, all she was concerned about was why the patient still had her pants on!!!! Who cares that we just freaking saved this lady's life! I calmed explained to her that removing the patients pants was not a high priority in an acute MI situation and walked out the door. Is it just me?? :angryfire

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