I am sorry that where you may work Carollady that you do not have secretary's. As for the facility where I work the floors do have secretary's, sometimes more than one. They are there to answer the phone and give the appropriate nurse the fax when it comes across. So in my opinion that is not an excuse where I work.
And for the record I do not feel that abnormal lab values are "irrelevant". On our fax reports, which are very in depth by the way, there are several spaces for all abnormal lab results, xrays etc. They also include dx for admission, pmh, allergies, current vs, heart rhythm, lung sounds, skin assessment, diet, IV, IVF, whether they are receiving oxygen and by what means, abd assessment, diet, and a place for what meds they have received.
And yes I do get irritated by having to answer these questions that are already clearly written on our fax report. It is a waste of time. And another thing Carol, I have been a floor nurse before, I know what it is like up there. But have you ever worked in the ER? Do you know what it is like to have a drug seeking pt laying on the call bell for his Dilaudid every 45secs, 2 pt's on vents with multiple drips, and get a brand new pt that is having chest pain and needs a line/labs/Ekg, an assessment done and documented and needs nitro but you have to be careful because his BP is hanging around 100 systolic. And you better hop that this pt is not having an MI and needs to be ready for the cath lab in 30mins. In those kind of situations no I do not feel sorry for the floor and I do not want to hear that the nurse is at lunch or that you just got a new pt, or your shift ends in 20mins. That is Bull-S%&t. I am sick and tired of the Er getting dumped on. We get blamed for everything and written up left and right. Do I ever right the floors up...NO...because I don't have time!