I know this topic will differ greatly from hospital to hospital.
I am a nurse that has been working in ER/ICU for almost 3 years and have never worked on a general nursing floor. The way my ER sends patients up is fairly straightforward. ER doc calls admitting doc, ER doc and admitting doc write orders together, room is requested, report is given, and patient is brought up.
I often have problems with floor nurses complaining that nothing on the admission orders were done.
First off let me say that our ER uses computer MD ordering and to have any orders that are written out completed by ER requires me to ask to busy ER doc to put in for a lisinopril because the BP is high even though it is on the admission orders and not meant for ER.
I don't mind doing this kind of stuff to help out if I'm not extremely busy, but it kills me when a nurse says "can u give the lisinopril for that 160/90 BP" when I have 5 brand new sick patients every hour.
I don't know if it's floor nurses thinking we are trying to dump patients on them, but I think a lot of them don't realize that I am getting new patients constantly, having to collect urines/ekgs/blood, start ivs, titrate and monitor drips, and appease pain med seekers, all while trying to separate sick ppl from ppl that need to go home.
My question is if there is anything in particular that I can do as an ER nurse to make the receiving nurses more accepting without me having to get a med that I have to stop the MD for for something of relatively low importance.