.I think we need to put our selves in the others shoes more often and not always assume that "That ED" is dumping again. These days the biggest impact to a floor nurses day (most of the time) are the ED admissions and ICU transfers. If The ED is busy....EVERYBODY's busy. There are times I think that the abrupt manner of the ED causes hard feelings and the floors take it personal....when it's not personal at all. The ED nurse when delivering that patient already has their mind on the radio report they heard on the way out of the department and the 17 stat things that need to be done when they return.
ED nurses need to be able to accomplish task after task and don't have time for "emotional investment" until the tasks are done. Patients in the ED are made anxious by the level of noise and activity they witness while they await their bed. Anxiety makes winners out of the best patients so we need to understand why they are so crabby and demanding when they arrive to the floor. There is NO hiding that chaos (controlled but chaos just the same) and patients feel "ignored" ....it is very difficult to explain to most patients that they aren't the sickest because frankly they don't care. Our assesment is focused....on what brought them in......a head to toe on every patient which is the ICU nurses goldern rule(lovingly said), just isn't possible so please forgive.
But those of us in the ED we ALL know that one or two nurses that the delivery of the message and the message itself leaves much to be desired. There are those who feel it's beneath them to apologize or take the time to say Thank you. We all know those people that as snot to most people and do think themselves "above" others in most things not just the floor. I think it's up to us to try to reign these folk in a bit and soften their blow when possible....because we ALL know how abrasive they are
I have been both an ICU nurse and an ED nurse and at one time both at the same time and hospital (the perfect job by the way) and I will tell you from all points of veiw.....it's really hard to fluff and buff any ED patient to the ICU nurses standards (lovingly meant) so try to understand. As a supervisor I see how hard the floor works and how stressed they are. They don't have enough help they are under the gun....the whole shift. There are patients comming and going like the ED but just don't have the resources (but who does these days)
. They have to discharge to get the ED or ICU patient and rearrange everytime they turn around to accomodate the next OR, PACU, cath lab. isolation, detox, confused, 1:1......or request, peacemaking leg saving (for the frequent call light user at the end of the hall) room transfer to get the patient out of the ED.
But those on the floor you know those nurses that drag their feet, discharges and empty room reports to house keeping until caught so they can delaly that admission sometimes long enough to get their admision tossed to you and your (that's comming later) given to them because you're the prepared one. You need to reign them in and get them to play nice with the rest of you and make them pull their fair share and stop dumping on everyone else.....and we all need to recognize how many patients have come and gone to get those patients out of the ED.
If we all remember that we are all worked to the bone and maxed out and EMPATHIZE with our peer and acknowledge that we don't really want to work on the floor/unit but they work hard too......to not engage ond argue
who's worse off like it's some sort of contest, send the patient the way we would like them recieved and remember to say I'm sorry, please and thank you.....it really does help.