ED Admissions Right At Shift Change - page 3

Hello everyone - I am interested in getting some feedback on a problem we incur rather routinely at our hospital: ED admissions right at shift change. I currently work on a Surgical ICU Stepdown... Read More

  1. by   MiriamCCRN
    I think this is a problem everywhere! And I haven't come up with a good way to fix it. I work in med/surg ICU and we do not get along really well with the ED because of these issues. Several times I have recieved a patient from ED with severe dyspnea that had to be intubated as soon as they were moved off the stretcher. Not sure if it is just a nursing problem but pobably physician too.
  2. by   RNhusky
    we get that all the time from the ED - or they call report and the pt won't show up for hours... so when they come, the nrse who received report is gone/leaving and the next nurse takes the admit. The ICU is notorious for sending us change-of-shift vented patients as well... you know you're going to get at least an hour overtime when you get one of those
  3. by   terri2622
    hello, I am currently doing research about "no fly zones" for facility. is it possible for you to send me a copy of your facilities policy on this topic? Please forward me the name of the facility if you are unable to provide a copy of the policy. thanks in advance.
  4. by   Lennonninja
    After almost 7 years of working as an RN, I've learned that the ONLY time the ED is ready to bring me a patient is during shift change.
  5. by   nursesunny
    I have a similar problem which is compounded by the fact that ED shift changes an hour before the floors. This means that the oncoming nurse takes over the majority of the patient load leaving the offgoing nurse free to clock some OT while calling report and transporting to my unit. The ED nurses hold the mental health patients until the end of the shift because they usually are either zonked from a shot or calm but suicidal with a sitter. 9 out of every 10 admits I have comes between 1830-1845 when my relief comes for report at 1900...I never get the paperwork finished, night shift throws a fit, it is exhausting. The last report I received from ED went exactly like this (I was working mental health) "ok, does the patient have any chronic illnesses?" "I don't think so" "does the patient take home medications?" "no" "why is the patient being admitted?" "abdominal pain"......ummm exqueeze me???..."ok, but why is the patient coming to mental health?" "Isn't that really your guys job, I don't know, she seems crazy though." Then the ER physician called to ask why I was delaying the transfer...."um because I can't treat abdominal pain and your nurse has no idea why the patient is coming here." Unfortunately this isn't unusual and causes friction. We get a lot of travelers, high turn over, and are the 2nd busiest ER in Cali so I understand but it grinds on you. Patient safety always has to be the highest priority despite inconvenience for staff, patients, or anyone else who might have an interest in rushing or delaying the process.