I work in an er that is very busy. I believe that 25% of our patients are very sick, and need to be admitted. Our hospital often gets overloaded, and we need to go on diversion of some type (critical care, medical, treat and release, etc.). We cannot refuse trauma, because we are a level two trauma center.
It seems that the hospitals goal for the er, is to see and tx and release or admit patients as quick as possible. We do a good job, and do not compromise patient safety. However, many times there seems to be a problem, moving these people when admitted. The SDU tells us that the bed assignment is inappropriate, or the patient doesn't belong there, or the patient doesn't need to come to this floor, why can't you send them here or there. or You guys are overloading us. Although I see their points on some occasions, it often seems like they just don't want the patient. The patients are what gives all of us our jobs. SDU has c/o ICU and CCU. The RNF c/o everyone, and everyone has c/o the er.
I clearly understand, that at times the job is stressful, and that everybody gets uptight. I clearly understand that not all the floors or units are staffed adequately. In the er we have the same situations at times. Often we are full, and have no beds, or monitored beds available for incoming squads, or walk in patients. This is when it is important for us to get a pt to their admitted room. We do not know what will come through the door next, or how bad it will be? Unlike the other floors and units, we cannot refuse patients, because of lack of space. If somebody is in extremes, we have to figure out a way to take care of them? It is frustrating to know that beds have been assigned in the hospital for patients, and not be able to give report or send the pt, because the room is not ready, or the nurse is busy.
In the end this causes a lot of Inter-unit controversy, instead everyone working together.
Any suggestions? or similar problems?