33 bed ED, 100 bed suburban hospital. I work on a 36-bed M/S/Tele floor. We are usually assigned to 6 patients, sometimes 7.
The ED only has to call report on "hold" patients, and not on patients that were not hold patients. Does anyone know why this is? If a patient was not a hold patient, we get a "10-minute warning" that the patient is coming up, but no report. However I have had hold patients come up without any report as well, and usually don't have the time to check beforehand if they were a hold or not.
There are always patients sent up at change of shift (for me, 3 pm) while I am trying to receive shift change report. When I am actually privileged enough to get an actual verbal report from the ED, it is usually from a thoughtful older experienced nurse who knows the importance of this handoff. Important info can be and has been missed without it, and accountability is lost also, e.g. STAT meds not given, antibiotics not scanned blood, urine, wound cx's not done before initiating antibiotics.) The ED nurse is usually gone by the time I have sorted things out and need to call about something.
We do not have any written report alternative as others spoke of, but the reasoning is because we can look it all up in EPIC. However I often need to call pharmacy to find out if a med was given or not (because it appears to be not given in EPIC (wasn't scanned in the ED) or lab to see if they received the blood cultures that were ordered to be held and so on.
Honestly, I don't like this new system of no report required!