Change of Shift Admissions

Nurses General Nursing

Published

How many of you have a change of shift admission for M/S patients from the ER and what criteria is there, if any? Ex. no admisions 15 minutes prior to end of shift nor during report.

I work in the ED and ICU and I know what its like receiving and giving change of shift admits. I hate getting them so when I'm on for the ED I hold my patient until the change is over. Usually the ED staff will give report to the oncoming shift rather than the exiting nurse. However the exiting nurse will get the patient in bed, do VS and take care of any immediate needs plus orientate pt to room, call lt ect. For the most part our staff in the ED is pretty considerate of each other.:kiss

I've had several times when surgery was coming to an end at 6:30pm and I try to call report. PACU will take report but there's no coming to PACU until about 7:45pm, don't even ask because they'll eat you alive. Seems like an extremely poor use of OR time at about 57.00 per minute for us all to sit there recovering the patient and there's another patient in the holding room who has been NPO since 10pm the previous night waiting to go who has already been bumped twice during the day to do emergency surgeries. I do understand the problem, but it seems like management should work it out somehow, there is where the problem is. I so respect our PACU nurses, but they are a very mean bunch, even a lot of docs are afraid to cross them. The unspoken rule in the OR is to stitch fast at the end of the day or you could end up waiting a long time to get into PACU if you're near change of shift. The poor PACU nurses also get the patient's waiting to go to ICU so the boarder's drive them nuts too. In the meantime the docs are at the desk wanting to schedule more emergency surgeries for the night. What does it take to close the doors and divert? Some nights they just hammer us. So from ER, to OR, to PACU, to ICU or floor, its' just a never ending battle.

Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac.
What say ye? :chuckle

Cheers! :)

I've had several times when surgery was coming to an end at 6:30pm and I try to call report. PACU will take report but there's no coming to PACU until about 7:45pm, don't even ask because they'll eat you alive. Seems like an extremely poor use of OR time at about 57.00 per minute for us all to sit there recovering the patient and there's another patient in the holding room who has been NPO since 10pm the previous night waiting to go who has already been bumped twice during the day to do emergency surgeries. I do understand the problem, but it seems like management should work it out somehow, there is where the problem is. I so respect our PACU nurses, but they are a very mean bunch, even a lot of docs are afraid to cross them. The unspoken rule in the OR is to stitch fast at the end of the day or you could end up waiting a long time to get into PACU if you're near change of shift. The poor PACU nurses also get the patient's waiting to go to ICU so the boarder's drive them nuts too. In the meantime the docs are at the desk wanting to schedule more emergency surgeries for the night. What does it take to close the doors and divert? Some nights they just hammer us. So from ER, to OR, to PACU, to ICU or floor, its' just a never ending battle.

This is funny Lori, our surgical RN's are the mean ones in my hospital(ha ha). Well, they are, but a couple of my co-workers are bitc*es and I readily agree(but not to them of course). I have never had a problem with even the O.R folks because I refuse to play the nasty game, and they respect me for it. Our PACU runs on a call system after 5pm, so there is no change of shift(the one who works the latest shift usually takes 1st call and so on). I am sorry that the peroperative concept hasn't caught on most places(including ours).

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