[fergus51]

I think the fact that we basically never get a rush of patients at shift change since instituting that policy would prove the fact that they don't all need to be transfered then!

[l.rae]

Fergus, it's true all ER's are not the same......ours is not a level 1 either but is is tremendoulsy busy.....that 2 hour thing just blows me away though.....cause l've spent longer than that in an Urgent Care, l can't fathom expecting to get labs, x-rays, returned md consult calls and admit orders in 2 hrs...it has happened, but seldom.......ln fact when a fast track patient complains about having to wait 2 hrs, we tell them about the routine 5-6 hr wait at the level 1 just up the road. lreally had a bad night last night, had a 6ft, 275#+ elderly pt..SOB..kept sliding out of the cart, couldn't get comfortable etc......well finally got his orders, got him cleaned up and ready....started to do a couple of the now orders and here comes a squad with a 30 something guy who had been hit by a car and drug several feet in a parking lot.....head inj, mental status chng. Ofcourse it is the weekend so we are more than usual short staffed.....we have to help each other it's just pure survival where l work. Well, by the time we get this guy stable and l go back to my admit, the old fella is half way off the bottom of the cart, moaning "l can't stand this much longer." lt has now been an hour since i was originally going to take him to the floor. l put the cart i trendellenburg pos. (nice for a breather) and heft him up by the sheets, and roll him on over to the unit...l considered finishing the now orders, but hmmm...something else catastrophic could roll thru the door any minute and here we go again.....off to the floor we go....... l help transfer the guy to the bed, his depend has a yellow river in it, l get diry looks.....but sometimes your best just isn't good enough, ya know? My back hurts, my bladder is full and l havn't had lunch again...l'm too tired to really care too much.......however, about an hour later l was able to make the time to go to the unit to do a difficult IV stick. But l'm with you on holding pt's in the ED just because you don't want to transport or put in computor.....can't fathom that one either.....sounds like this ER has some unusual issues........in the end i'm glad things have worked out.....There is no excuse for rude nurses regardless of where they work......."Glorified butt wipe!??" That nurse would most likely have been fired where l work.....unexcusable!!!! Thanks for listenin'.............LR


PS: l would never defend rude nurses no matter where they work...the ER l worked at before had the meanest rudest nurses l have ever met in my entire life!! l hope you don't work there!!

[fergus51]

Definitely with you there lrae! I should clarify the 2 hours is 2 hours after their orders have been entered into the computer, not 2 hours from the time they come in. That would definitely be pushing it! Most of the emerg staff are really great, it was one nurse in particular who would hold all her patients until day shift came on because days has porters (the same one who called the floor nurse a glorified butt wiper). Most of them are very nice, even to a floater like me who won't take a patient assignment!

[l.rae]

Got it Fergus! you gotta promise me if she ever comes in this direction you post a warning! hee hee: Reminds me of a situation... Recently had a kid in the ER...drunk.....real bad scene eventually had to put him on a vent to get controle.....he's a young teenager, had F*&% the Police tattooed right on his abd in big bold.....ya know....l jokingly asked one of the officer's the other day if they had heard from FTP (his nick name due to tattoo). She said no, he escaped and is probably in Ca and we have no real desire to look too hard...you know, Ohio's loss, California's nightmare...LOL! Well l suspect if your lovely ER nurse ever defects no one will go after her huh? Maybe she has F*^& the Floor Nurse tattooed on her butt and she wants you to wipe it! l've just seen toooooooo much of this type in my 22 yrs...............you have my sympathy.........LR

[fergus51]

LOL

[fergus51]

LOL That's it exactly! We recently went through a bunch of budget cuts and were hoping she would get the axe, but emerg got away without any cuts at all.... Now I want to check her butt and see if it's true!!!

As a side note, I am thinking of moving to California next year, but now....I don't know!

[NurseNancy]

I agree floor nurses can be rude but i have a bigger problem with CCU or tel nurses being rude and lazy. I just wonder how they treat the pt when we leave. I can't tell you how many times the pt or their family members will turn to me and ask me to stay cause the accepting nurse is nasty. Haven't the CCU nurses haven't fiqured out once their beds are full they are done!!.. I always laugh when they get pulled to the ER.. it's a reality check for them.. I'm sure they think all ER nurses are nasty aggressive b.... BUT you will never hear them say a ER nurse is LAZY!!!

[BadBird]

Well that is a 2 sided situation, I have seen and heard very rude ED RN's and very rude staff it just depends on who you are working with. I hate the report that I recieve from most ED nurses, they tell me what a pain in the a-- the patient is but not essential information like abnormal vitals, or labs.

[Nurse Ratched]

I love our ED nurses. Generally speaking, they are busting their humps and many of our soon-to-be patients may not be the most critically ill, but can take up the most time - psychotic and in need of an emergency hold and maybe restraints or whatever. They are usually so glad to be getting the patient out of the ED that they are very nice to us an I return the favor.

As a floor nurse, I've seen too many floor nurses drag their feet on accepting an admit from the ED. I figure we're all nurses and we have no business trying to screw the folks in another dept. Our ED is way off on the other side of the hospital - no telling what kind of hell is breaking loose down there, so I always assume it's bad and just try and get the patient upstairs and "out of their hair," so to speak, as soon as possible.

[funnynurse]

I only have experience as a floor nurse receiving pt's from the er, and yes, we can be rude at times. My pet peeves are:
1. Receiving er's left and right before shift change
2. Receiving er's left and right after shift change
3. Receiving an er who has been down there for > 24hours and no one bother's to sign off orders before the patient has transferred
4. Receiving an er whose orders are messed up and having to call the er doc to clarify.....
5. Receiving a **%%$$ up report from the er nurse....."I don't know what the labs, vs, assessment is....I just took over and am only transferring the pt!"
6. Finally starting off with a half decent team of patients, only to receive a train wreck from the er!
I know you all are busy and we are busy and there really is no excuse to be mean, but nursing is really stressful and most times we give others a hard time because we are having a %%&&$$ day. So if you ever get any crap from me, just tell me to chill out because the daysoon will be a memory...........