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How often do EMS crews show up to your dept unannounced?



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No. 30
from nurseladyk
Old Oct 14, 2009, 05:53 PM

Default Re: How often do EMS crews show up to your dept unannounced?
This only happens occasionally in my department. Of course it only seems to happen when we are slammed, and have no place to put a patient. Even a 1-2 minute warning is so helpful and really gives us the opportunity to shuffle if necessary. We give the EMS crew a pretty hard time for it though. Out protocol is to receive a radio call for every ambulance and I really can't think of a reason why a call couldn't happen. If they are capable of calling when they are in the middle of a cardiac arrest, all out of breath and busy as hell, I can't think of any reason why they are not able to call for your average run.
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No. 31
from canoehead
Old Oct 16, 2009, 06:36 PM

Default Re: How often do EMS crews show up to your dept unannounced?
I simple "here I come!" is much appreciated in a critical situation.

Otherwise complaint, vitals, and ETA. I'll never forget as a new nurse I asked for a temp on someone pulled out of an icey lake. They politely answered, but when they got to the ED "effing COLD!" was the actual reply. Never lived it down.
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No. 32
from OldnurseRN
Old Oct 26, 2009, 02:14 PM

Default Re: How often do EMS crews show up to your dept unannounced?
From most of the posts it's easy to see that most of you are in big EDs. We are a critical access hospital with 2 ED beds and 2 PACU beds that we can fill and 1 procedure room. We have 3 nurses on duty, 2 may be LPNs and we are also the floor nurses, the registration people, the RT techs and everything else ... we are IT! Fortunately, we hear the page go out to the county dispatch and have a heads up before the EMS calls with report and if needed can get the physician, radiology tech, and lab person on the way. (They are "on-call). I guess we all have our own trials.
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No. 33
from Larry77
Old Oct 26, 2009, 10:15 PM

Default Re: How often do EMS crews show up to your dept unannounced?
Originally Posted by OldnurseRN View Post
From most of the posts it's easy to see that most of you are in big EDs. We are a critical access hospital with 2 ED beds and 2 PACU beds that we can fill and 1 procedure room. We have 3 nurses on duty, 2 may be LPNs and we are also the floor nurses, the registration people, the RT techs and everything else ... we are IT!
I did some agency shifts in a 8 bed ER once and i thought that was strange and they always had a doc, secretary/tech and 2 nurses. The hospital only had 22 beds--you walked around the corner to give report to the "ICU" which was basically a telemetry floor or the other hall was med/surg. I was used to either a 40 or 80 bed trauma center...quite the culture shock. It must be tough in a whole different way for you.

BTW, I have yet to receive an apology from the crew I complained about but I'm pretty sure they hate me...but hey, the have called report every time! Now if I could just get them to start lines and give more adequate care...:-)
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