No teamwork in ED - page 2

I thought my life was complete when I started a new job at a new ED which I thought was my dream hospital to work. Everyone is so nice but there is no teamwork! At my previous job, we had amazing teamwork. Every time we get new... Read More

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    I definitely think it has to do with your place, and what the crews are like. I have not seen a reduction in teamwork. My ED has really good crews where like NurseOnAMotorcycle describes, the crew works with almost not even needing assigned tasks, to crews that are more independent, but they will ask and help out if you need it.
    I think there are several factors that have fostered the teamwork we have.
    1. We bring in a fair number of new grads each year, or fairly inexperienced nurses who need several months of preceptorship. Because of that, they get accustomed to asking for help when they need it, and we get accustomed to looking out for each other and helping when it's needed.
    2. We have a really good management team that emphasizes the importance of teams.
    3. As nurses almost all of us have been in that position when an extra hand saved our bacon and made what could have been a hell shift into one that we were able to survive and even get a pee break in during.... Because of this, we tend to help out another nurse in a "pay it forward" kind of concept.

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  2. 0
    My 'crews' vary. But I find it's the shift.

    Nobody wants to work (generalized, myself included) but most work together and help each other out.
    When 1 is charting and the other is tasking, the pt is set up.

    Nothing gets me going much like drowning because I have 4 pts that are difficult sticks, can't ambulate, need the full work up, know they are going to be admitted and I step out my door and see 3 nurses sitting around.

    Tonight, I had a nurse start a squad, knew everything that was going on.. A family kept calling on the telephone and I had things going on. Instead of talking to the family, they said I'd call them later.

    I had drowning day today and not much back up. If I had a critical, they would have helped. I was so glad to run out of there today.
  3. 0
    Is staffing and acuity different in your new job? Perhaps it's unreasonable to assume people are going to help you with routine tasks, but hopefully when the poop hits the fan in your assignment and someone else is less slammed with acuity, they will step in. The ED where I work has a layout which is not conducive to team nursing, but somewhat isolates nurses with their assignments. You really rely on your ancillary staff. With an average patient assignment of 6 in a busy level one trauma center people don't always have time to help on a routine level, but they are great at stepping in when acuity strikes, i.e. intubation, STEMI, code, etc. I've always believed you have to promote a culture of teamwork. I try to offer people help whenever I can in hopes that what goes around comes around.
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    Quote from Sassy5d
    Lunch relief???
  5. 0
    The teamwork is something that grows from the personalities of the people on the floor together. We just have each others' backs.

    Usually, when I need a hand, someone's there without even asking. Likewise, I keep my eyes and ears tuned to the vibe of the pod and often pop in to see if they need help or to put patients back on monitors or get new orders going or whatever.
  6. 0
    Team work sounds nice, but most of the days I feel that I am alone with my pts. Not everybody is willing to help in the ED I work. Onetime charge nurse got irritated when I asked if the float nurse can give meds to one of my patients because I was tied with a particularly hard stick patient. She said, I need to manage my time better, went on lecturing me for 5 min instead of finding a solution. Another charge nurse told me that she rather have three ED techs to stock up the rooms than start a line in one of my patients when I was triaging another patient who was brought in by medics. So I learned not to ask certain charge nurses for help. They make you feel inadequate and incompetent.
    And some of the ED techs play favoritism, they only help the nurses who they are chummy with. In short, management is the key for smooth running ED. But I learned how to fly solo and do my job. Yes, sometimes I fall behind but I don't want to chase a tech and asks them to do something or explain to charge nurse why I need extra help. I find it exhausting.
    We do have few good charge nurses and techs who jump in to help without me asking. Those days are usually more pleasant. Also, I do agree with the sentiment that ED is an extremely busy place, sometimes everybody is barely keeping their heads out of the water.
  7. 0
    I totally get what you are saying. I try to help everyone and I am the newbie on the block. I see people not coming to codes, hiding, playing cell phone games, using work pcs to do homework for the MSN program, getting the best positions(float) so the boss can talk to her bestie. Its not fair, but what do you do?
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    I have only ever worked in an ED with team nursing so I think I am spoiled on great teamwork. Don't get me wrong, when it is busy or you have a lot of critical patients it can still feel like you are drowning and you never see your partner, but I know they probably feel the same way. It is nice when a critical pt comes in every one chips in. The nurse who is actually "assigned" the room pretty much just charts. Medics and other nurses do rsi, IV's, grab equipment, sometimes even foley and ng. It all depends on how busy we are and staffing level but you are usually never alone. I think if we had an emergent critical pt come in and nurses sat around talking while one nurse was in the room struggling to get everything done, someone would get smacked haha.

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