"The Golden Hour" - page 2
"The Golden Hour" is a term my facility uses to dictate an hour of time from 645 and 745, during shift change, where patients are not supposed to be transferred to the floor. It was believed this... Read More
1Aug 30, '11 by elthiaThat would be heavenly...unfortunately no we don't have it.
In my facility nurses do the first set of vitals on the patients. So when I had a code at 2030 yesterday...I sent the aide to finish my vitals, and didn't get to see one of my patients till 2145, had to redo my 2100 chemsticks, finished my 2100 meds at midnight, and did all my dressing changes and treatments at 0200. Lovely.
The ED sent an admission while the emergency response team was working on my patient during the precode time....but a different nurse took it for me. And I took an admission at 0100.
0Aug 30, '11 by MTRN13I think it is a really good idea. Unfortuantely at my hospital we do not have it. Although from 0630-0700 if there is an admission or transfer we only take the vital signs, and a quick assessment to make sure they are stable. If the patient is from PACU then we get report, and then endorse. We are working making ER and PACU give pain and nausea medications before they come to the floor. Especially from ER so the patient does not have to suffer while we are waiting for admitting orders from the doctor.The paperwork, and responsibility is on the oncoming shift. If I have time I try, and do a few quick things to speed things up for the oncoming shift. At that time I cannot make any guarantees. I do not think it is the safest practice to send patients up during the "golden hour" also it is not uncommon to hear a code or rapid response at change of shift. I do not know why it is, but it is so strange since we make hourly rounds.
1Aug 30, '11 by Roy FokkerI work ED.
And I'm not surprised that my post is against the general grain of thought so far in this thread.
The only unit that has this policy in place is ICU. Cannot bring a patient up from ED to ICU between 0630-0730 and 1830-1930. All other floors are expected to take admissions no matter what the time.
I don't agree with it (can I tell the ambulance crews coming in with a cardiac arrest to hold off for an hour because it's 0635?) - but it is what it is.
Yes, it sucks to get patients during shift change.
But it's shift change everywhere.