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I used to work as an ER nurse and now a house supervisor. Two things about the job that baffles me are the floor nurse and on call staff. What is with the attitude of some floor nurses and not... Read More
Feb 27, '02Wendy...
Thanks for the spirted discussion!
I have learned from you all..
I am looking for some reasons why certain people act the way they do..
Maybe instead of posting here... I'll just continue to confront the nurse at work... ER or Floor nurse alike.
If anyone would like to continue here though..
Feb 27, '02I agree that you should address the problems you are having with other staff at work.
but that doesnt mean we cant talk about it here either right?
I hope that people keep dialogue open
we can all shed some light and support one another
plus a difference of opinion is a good thing
nice to know were not all clones walking around
Feb 27, '02Originally posted by 4XNURSE
Sounds like you could use a hug.
Hope that helps.
Sometimes It does us good to get it off our chest. Strong work!
Ahhhhh, thanks a lot ken! It does feel better.
Feb 27, '02We had a system that took care of the bed-census-stuffing problem. When a patient left the floor, you had to call a number into the computer and put the bed number in.
That went to housekeeping and notified bed control the bed was empty.When housekeeping did the room, they HAD to post it by phone in order to get credit for the job done, and that also notified the bed was ready.
When a patient arrived on the floor they could only be put into the census in order to do orders, by the same method. If a patient checked out before the bed was put in, then the supervisor really came down on you .
I don't know whether this was a commercial computer program or something that our IT came up with, but it really helped.
Feb 27, '02P-RN -
We had at least a very similar system at the hospital I worked at. You had call the system number and report the pt D/C in order to get the room terminal cleaned. Then the housekeeper would either call another number or get the unit secretary to call the other number to report it finished. Same deal - then bed control KNEW when the room was ready. If the housekeeper or secretary didn't make the second call, then *I* did, because otherwise, bed control didn't know the room was ready, and - just like your system if I'd told the ED or PACU or whatever to send the patient, then I wouldn't be able to enter orders until the room was cleared by bed control.
I guess that wouldn't help if someone just liked the look of a nicely-made bed and didn't make the call if the housekeeping and secretary combo failed... Ewwww, but who wants THAT hanging over their head? I'd rather have the patient come in as soon as possible!
Feb 27, '02The bottom line (and I have worked the er AND the floors) is that we are ALL busy and each area and situation is unique. I am always amazed that people from different areas don't cut some slack for each other. Nursing is its own worse enemy.
Our er never has to float when it quiet, and they shouldn't, but OB always has to and WE have to be around for what comes through the doors too...
The floors have ridiculous assignments and usually no transport on off shifts. The bottom line should be the patients and not arguments between nurses.
I still can't figure out how our ( and I say our because I can't speak for yours) are afraid of people in labor with everything they handle down there. It is nothing for them to request us to be on site for incoming pedi or newborn codes but then drop screaming OB patients off on us AND they call us to do fetal hearts ( which always amazes me.) I don't mind it as long as they respect the fact that we can be inundated too and too busy to do those little perks for them.
Hank, you sound really frustrated but I think we all are in all areas. We have just been told that we have to limit the amounts of pads and chux given to patients. Not too long ago the store room didn't want to send us blue bulbs as we were over our quota (excuse me???) Babies come on their own time...
I just wish we didn't put the blame game on each other because it is not the floor nurses that are the ultimate problem. It is the staffing situation and management....
I have to say that the other night we had a situation in which OB was already floated when the ER called requesting us to come down ( and do what?) and be there because they were expecting an infant not breathing. Scary for everyone, right? But, we don't belong there...Still, we sent down 2 people with an airshield ( leaving our then thankfully quiet uit) short, because we knew it would be a tense all around situation since a baby was involved.
Our staff was gone for an hour an a half, and sadly, the baby was DOA...Everyone had a difficult time with it of course. As soon as our staff returned, we got a call from the er that a patient of ours had come in for a labor check and we needed to get there immediately. Off we went, bypassing the er nurse who was in such a hurry to get rid of the screaming woman that she put her in a wheelchair and started upstairs, leaving the delivery person on her way to no one. I was in the nursery with a baby under the lights so sent the remaining RN to delivery and decided to have some fun with the ER nurse ( a good friend, by the way). When she arrived she screamed, almost as loud as the patient, who HAD to be fully by the way she was screaming, that I needed to get over there asap! I mentioned that I couldn't leave the nursery due to the bili light situation and that she would have to bring the patient over. The look of shock was priceless ( though I knew and she didn't) that another nurse was in delivery. Off she went through the doors. I had an LPN cover the nursery while I dashed over there and we ended up delivering the pt. I turned to thank the ER nurse and she was already gone!
The bottom line is we have to try and understand where other units are coming from. They are thinking the same things you are thinking. They are as stressed and tired , underpaid and uappreciated as you are. Placing blame, other than for venting, really only widens the chasm in my opinion, but it is only my opinion and 20 years in nursing......Hope things get better but I am not, at this time, too hopeful.....
Feb 28, '02It sounds like both ER and Floor nurses are put into difficult situations. We all get grumpy when that happens. These problems have been around since the dawn of time. The only thing we can control is our own attitude. I choose to just do my job, put my hours in and take what comes. It tends to make those around me do the same. They hire me for a 12 hour shift, if they want me to finish a job, I'm willing. If they want to avoid overtime, I'll go home. I just ask the charge person or supervisor to make that decision. They are the ones paid for that flack. When you are overwhelmed, just keep on going. Things will work out. This method had worked for me for years.
Feb 28, '02I did a really bad thing at work last night... I admitted a patient to the floor.. did the admission screening tools.. vitals... and settle the patient in... It was not that bad.. but the floor was short staffed and when that happens you have to help out. Just glad there was not a code blue.
It does give you respect for what the floors do but this nursing shortage is making life miserable for us all!!!!!
Mar 1, '02I have read all the posts and sympatise with all points. What I really think it is all about is the nursing shortage. I work in a small hospital and we all know each other well. I have been here for a number of years and what I am seeing now I directly relate to our increasing levels of stress. In these times of high workload, short staffing, low morale and high burnout we understandably lose sight of other people. We now seem to be *****ing at each other all the time, especially unit to unit. What we need to do I think, is direct all this to the management instead of each other. Don't let the turkeys get you down. We are fighting back at my hospital.
Mar 1, '02Ha! I work L&D and when they call us for a patient is the one time you see all those type A personality, adrenaline junkies looking scared We obviously take them no matter what time it is. The floors have an unwritten policy of no admits a Between 7 and 8 while shift change and report is going on. They will not take report during this time, and if they don't take report they can't take the patient. A little passive agressive maybe, but it works. The cleaning house has stopped a little.
When I float to the floor I only do tasks, no patient assignment. I was on one night to hear an ER nurse berate the floor nurse for not taking another patient. This was when the floor nurse had 14 already, one of whom had just coded and 4 who were fresh from ICU. The ER nurse was yelling so loudly on the phone that I could hear her from three feet away! Then she comes up with the patient and tries to get me to take report! Me...the OB nurse....hmmm...I don't think so. I had to get a bit of an attitude myself to ward off that one.
I have never seen a floor nurse refuse an admit just to be a b*tch. If they did I would write them up in about a second. I am sure the ER nurse like the one I mentionned is busy too, I just think she has no concept that other people might be busy.
Mar 1, '02I work 6 pm to 6 am. Our cafeteria is open from 1-3 am. We seem to get our admits from ER just before 1 am. We don't have a unit clerk at night, so the nurses have to do everything. Since it is a pedi floor that usually includes starting IV and getting labs (even though the pt. has been in ER several hours). Bottom line: the ER gets emptied around 1 am and we get admits but NO LUNCH>I have worked ER and have seen them hold pts. till time for their own break. The real gripe is getting reservations over a 2 hour period but the admits all hit the floor at the same time (and you don't get to eat). Yes I show a little attitude when things could be planned better and everyone get a little break.
Mar 2, '02If that is happening to you... that is not cool. Where are your house supervisors in these situation? (if you have them)
At least your cafe opened... when I worked ER, it was closed all night. Add that to most of your nights busy, you'd be lucky to get lunch period. We learned to eat a meal in 5 minutes.. I remember one hospital we did not have a staff lounge.. we ate at a counter next to the trauma bed that was seperated by a curtain.. That bed was usually occupied with a young kid dead of a GSW and family were weeping, while on the other side of the curtain we were trying to keep our sugar levels up for the next trauma... Some fun days!!!
Ahh thinking back to the days of Level I Trauma Centers in the windy city.
Try that on for size some day.
Mar 4, '02Hi yall
from deep in the heart of Txas
Yall get lunch breaks in your Er, aint never heard of such, shuckins right now were doing good to get a pee break. Ive read all the posts in this section. Got to admit there seem to be a lot of strong feelings floating around depending which side your on. Ive been an Er charge nurse or asst nurse manager for the last 14 years. I never yell at the floor nurses. If there seems to be a problem, I just call the charge nurse of that unit ans Say Callie dear whats happening. We always come to an amenable understanding. With the possible exception of the 5th floor, here, Im not sure about those people there. I have strong doubts about that floor at night. But all the other floors and units, just a little ole call to your fellow charge nurse, and we always work it out. Somehow or another.
Im still curious though how yall get lunch breaks, were lucky to get a wolf it down break. Any Er nurse who cant eat 1/2 a large pizza in 30 seconds doesnt deserve to be an er nurse.