Re: Admission orders
In our ER we take T.O. admission orders.......... allegedly as a courtesy, so that the attendings don't have to come in, or get a second phone call an hour later when the pt arrives to the floor.
Most of the nurses in the ER don't mind this, but we all agree that when we are geting crushed, it is not appropriate. However, the way our hospital is run, it is generally expected of us to take all admitiing orders.
The other problem that we run into with this procedure, is with the floors. The floor will sometimes ask us to read the orders to them in phone report. If they think something is inappropriate, they will refuse to take the pt, until we contact the attending to clarify, and/or change the orders to the floors appeal. This slows down the time of pt stay, in the ED immensly at times.
On the bright side, we move people faster than just about any other ER in our area. Yes, even with the number of full work ups and other things going on.
The other problem is that, our attendings expect a nurse to be waiting at the phone, just to take orders as soon as the ER doc is done talking to them. If were not, they hang up. They have a hard time realizing that our job is not to wait hand on foot for them to give orders. So I clearly understand your situation.
I don't have the answer for you. It is going to use some of your staffs time up, regardless.