Quote from Nursinist
My Manager has told us we are "not to chart" when we have an unsuccessful attempt at calling report to the floor or ICU. We are a very small facility and have no nursing supervisor or even a charge nurse to intervene when the floor refuses to take report. We are especially vulnerable at change of shift. I have offered to participate on a committee to look into the causes and am still waiting for our first meeting after 2 months have gone by.
In the past, I have always charted 1. The time I called for the bed assignment 2. The time or Times I have attempted to call report & 3. The time I actually transfered the patient.
Anyone else out there had this problem? What do you put in the chardt?
I document every phone call attempt and refusal to take report and the times each incident occurred. I work ICU, not ER but it happens here as well.
I try to send stable patients to the Med/Surg floors and I often get the run around:
1. "The nurse taking that patient is at lunch."
2. "They are in report right now."
3. "The room's not clean yet." ---4 hours later!
I understand if the room isn't clean yet but I feel that they are jacking me around a lot of the times. And since when is it acceptable to say that the nurse is in report or at lunch?
If I'm at lunch, another nurse will take report for me. Change of shift, although inconvenient, is not a valid reason to not take report.
I get change of shift reports from the ER and Med/Surg floors all the time and that's just the way it goes. I never refuse to take report.
If I don't have an immediate need for the ICU bed, I even ask the receiving nurse if he/she is caught up or behind and if they need me to delay sending the patient to give them some time to get ready. I understand that sometimes it gets hectic and the last thing you need is another patient sent to you.
But a lot of times, we really need that ICU bed with a stable ready-to-go-to-the-floor patient still occupying it.
Sadly, I've had to get the supervisor involved a few times when I've waited 4 plus hours to give report and send a patient. There shouldn't be a need for that but there will always be some nurses who will try everything to get the least amount of work for themselves and put it on everyone else around them.