Ok guys...Something NEW to add to the stress. I don't know how big the ED's are that you work in. Ours has three sections. 1) A Fast Track or Prompt Care with 5 beds...2) The regular ED with 2 Trauma beds, 18 regular beds, 12+ hallway slots.....and 3) a so called "Holding Area" with 12 beds. We have just recently..over the last several months, started to utilize these beds to their fullest , of course due to all the patients we are now BOARDING in the ED because of a FULL HOUSE or not enough staffing on the floors.
Now to my problem... The "Holding Area" is mostly staffed with Tele nurses that like to float down to us and want to eventually work in the ED, sometimes it is staffed with our ED nurses, sometimes it is not staffed at all...and people BOARD in the reg ED (this is a whole other subject). Sometimes this area is used as an OVER FLOW for ED patients to stop potential diversion. We have always felt our ED nursing assessments and ED nurses notes were enough...and quite frankly we probably wouldn't have time for any more. I mean we have other forms also that are necesary in the ED...(consious sedations, restraints,COBRA)
Well Management on the FLOORS has decided that they want the nurses in the ED to start and at times COMPLETE the admission workup that is done by the nurses on the floor...on ALL admissions HOLDING in the ED. Including medication Kardexs and Care Plans
Nothing is official yet....just in the disscusing phase. But our nurse manager says he is being pressured into having us start this practice.
We feel that we are...yet again being DUMPED on. The managers on the floors stated it would make to easier for nurses to take the patients upstairs, maybe even easier for them to take more patients then they normally would....thus less HOLDS in the ED......RIGHT!!!!!!
We see it as us STILL holding the patients PLUS doing all their paper work to!!!!
Does anyone with "Holding Areas" do the floor nurses admitting paper work???? If so..do you find that the floor nurses appreciate this SO much that they are taking a few extra patients??