Jenni: I can understand your frustration
You've sent ALL the info that you think we'll need in the ER. But what we need are facts. A&O x3 maybe enough for some nurses but I've gotten that on a form when the pt. comes in with the Q sign. When did they change from walkie/talkie to Q? Dementia is a cute dx but what level??? We developed a transfer sheet for our area. Works pretty well but I have to agree with others who point out that the form IS NOT FILLED IN CORRECTLY.
The nurse who decides that the pt. must go toER must also fill out the needed info. Fever - how long?, how high? what's normal for this pt? I really don't have time to fumble through unfamiliar LTC paperwork. OBRA has required LTC to chart EVERYTHING and all I want is the facts
Besides all this mumbo jumbo Jenni, you need to realize that you are in a no win situation
I have worked with too many ER nurses who receive pts. from LTC with the attitude that 1. LTC nurses don't know anything, 2 LTC nurses are lazy and they just want to "dump" hard to care for pts. (especially the demented) and 3. (the one I hate the most) how could those LTC nurses let this happen - especially the falls. But take heart - these are the same ER nurses that dis the transfers from rural hospitals in the same manner. I do not envy your position - that is why I am not in LTC.