No success in refusing admits inappropriate to the unit... - Page 3

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  1. Jun 23, '12 by
    Quote from Dixielee
    Anyone should be able to clearly see that this is an attempt by the ED staff to cause massive outbreaks of communicable disease on each and every floor of the hospital Those lazy ED nurses want to get rid of the patients as fast as they can so they can go back to watching TV and eating free pizza. They don't really care what happens to the patients or the floor nurses as long as they can have their own way.

    I think you should go to the ED, steal a copy of the schedule and write incident reports involving each and every ED nurse, physician, tech and clerks because this is clearly a conspiracy and you are just lucky to still be alive.

    Those ED nurses could have turned those patients away at the door as soon as they saw they were coughing up blood, but they let them in so they could create havoc on your floor. I'm sure a good and complete write up and complete re-education of the ED staff is in order. Better still, they should just fire them all and start fresh. That will teach them.

    We know our rights!! We should never have to take a patient who might not be appropriate for our floor! The nerve!!!
    DixieLee, I think you are responding to this as an ED nurse only. The OP is not saying these pts should not be admitted, the OP wants them admitted to a Negative Pressure room- which is the correct thing to do. We have Neg pressure rooms in our ED- and thats where we put those patients as well. (We are a really small facility...) I didn't really see any attacks in this post on any of the ED staff- except for some confusion about who writes orders. I'm an ex ED Nurse (12 years) and a New Infection preventionist. It really is an issue to not put these patients in the correct place. Places everyone, including the ED staff at risk.
    sapphire18, redhead_NURSE98!, and KelRN215 like this.
  2. Jun 23, '12 by
    I've encountered this as well. We had a patient who was r/o for Varicella with skin lesions. She was an oncology patient who had just finished her chemo and the docs put her on precautions, but we didn't have a negative pressure room either. My friend tried to talk sense in to the team in charge of the patient's care, but the docs seemed to think that because there was no diagnosis of the disease that precautions weren't necessary. We went over their heads to infection control and let's just say things happened. We talked to our ward leadership as well and between them and the folks at IC, we got her place appropriately. I think the message hit home when the docs saw us moving in and out of the room they had just been in without any PPE in respirators, gowns and gloves.
    NBMom1225 and sapphire18 like this.
  3. Jun 23, '12 by
    Quote from Dixielee
    Anyone should be able to clearly see that this is an attempt by the ED staff to cause massive outbreaks of communicable disease on each and every floor of the hospital Those lazy ED nurses want to get rid of the patients as fast as they can so they can go back to watching TV and eating free pizza. They don't really care what happens to the patients or the floor nurses as long as they can have their own way.

    I think you should go to the ED, steal a copy of the schedule and write incident reports involving each and every ED nurse, physician, tech and clerks because this is clearly a conspiracy and you are just lucky to still be alive.

    Those ED nurses could have turned those patients away at the door as soon as they saw they were coughing up blood, but they let them in so they could create havoc on your floor. I'm sure a good and complete write up and complete re-education of the ED staff is in order. Better still, they should just fire them all and start fresh. That will teach them.

    We know our rights!! We should never have to take a patient who might not be appropriate for our floor! The nerve!!!
    Oh God, get over yourself.
    NBMom1225 likes this.
  4. Jun 23, '12 by
    i am an ed nurse we care for all kinds of pts.sometimes we don't even know the pt should be on precautions.the nursing homes don't always give us appropriate info.but i don't admit the pt the ed dr does.the ed dr puts diagnosis and type of floor for admit after he has talked to admit /accepting dr.it is the nursing supervisor who assigns where the pt gets admitted to.if the floor has an issue it is the supervisor they need to call .if the pt should be in neg pressure room but is not in one on your floor then file incident report tlk to supervisor call your manager at home go up the ladder talk to chief of medicine call id report to osha call your union if you have one .but stop blaming the ed we don't pick the floor /room .its not in our control .we have to move the pts .there are always more people who need our room.
    Last edit by nuangel1 on Jun 23, '12 : Reason: spelling
  5. Jun 24, '12 by
    Quote from nuangel1
    i am an ed nurse we care for all kinds of pts.sometimes we don't even know the pt should be on precautions.the nursing homes don't always give us appropriate info.but i don't admit the pt the ed dr does.the ed dr puts diagnosis and type of floor for admit after he has talked to admit /accepting dr.it is the nursing supervisor who assigns where the pt gets admitted to.if the floor has an issue it is the supervisor they need to call .if the pt should be in neg pressure room but is not in one on your floor then file incident report tlk to supervisor call your manager at home go up the ladder talk to chief of medicine call id report to osha call your union if you have one .but stop blaming the ed we don't pick the floor /room .its not in our control .we have to move the pts .there are always more people who need our room.
    I really dont see ANYTHING in the original post that is Blaming the ED. I worked my last shift in an ED in April 2012. (So I'm not that out of the loop yet). While we might not have known about precautions for meningitis, or the flu, the Tb screen that is usually done in the ED should let you know that pt needs precautions...no need for a physician to tell you. I totally understand the need to move pts, but we also need to DO THE RIGHT THING for the patients...when we fail to do the right thing, just to move bodies...we often end up creating more work for everyone in the process.
    sapphire18 and NBMom1225 like this.
  6. Jun 24, '12 by
    Not only right for the patient, but right for the staff and community!
    Quote from sauconyrunner
    I really dont see ANYTHING in the original post that is Blaming the ED. I worked my last shift in an ED in April 2012. (So I'm not that out of the loop yet). While we might not have known about precautions for meningitis, or the flu, the Tb screen that is usually done in the ED should let you know that pt needs precautions...no need for a physician to tell you. I totally understand the need to move pts, but we also need to DO THE RIGHT THING for the patients...when we fail to do the right thing, just to move bodies...we often end up creating more work for everyone in the process.
    sapphire18, NBMom1225, and sauconyrunner like this.