Lately I've noticed more and more that I happen to get my admissions right at 1040, 1045, change of shift you get the drift. Today I was told at 5 I was getting an admission. The SBAR got faxed at 7, in my hand at 710. 930pm I'm wondering where my patient is. I called down and asked the nurse when they planned to send him and his response was "ehhh I'll send him up in a bit." I told him that if he sends the patient at change of shift I'm sending him back to the ED and writing it up. To me it's unjustifiable to send a patient 3-4 hours after sending the SBAR. They hold these patients until change of shift so they don't get new patients. Now I know why my patients are coding on me when they get to my floor, or coming to me in rapid afib. The patient told me that he never met a male nurse, in fact he didn't see a nurse for 3 hours before he came up. This infuriates me. If I'm sure of one thing, it's that I'm a good nurse and always will act for my patient. I would never ever do things like that. Does this go on in all ERs? I understand they deal with a lot of BS, but these people are ones that require attention, I work on a tele floor. These patients typically need the attention and they aren't getting it.