This is the worse idea I have every heard of-not safe.

jlog.j · Mar 4, 2012

Great advise, thank you very much. I will keep everyone updated.

sapphire18 · Mar 5, 2012

Our hospital does it, and it makes sense to me.

betterlatethennever · Mar 5, 2012

To help easy the transition for me when getting er admits,transfers,etc. I look things over before getting report ( the pts h+p,labs radiology,orders,etc. I never just go by what the reporting nurse is telling me or wait till the pt is on the floor to start reviewing things This helps so when they are giving me report I already have an ideal of what's goig on or if anything signifcant needs to be addressed. We used to get a faxed report,er would call ask if we got it and send the pts up within 15minutes. And when they did call to ask if we got the report they were not speaking to the receiving nurse just the secretary at the desk. I wrote many incident reports stating that this is ineffective sbar cause there is no comminication between transfering nurse and receiving nurse(sometimes the transfer were not made my the sending nurse,when you would call er couldn't get ahold of the nurse) things have seen changed we no longer get faxed reports we give report over the phone. I think this has helped tremondously. Now if we could only get the ER to stop sending pts up at shift change

jlog.j · Mar 5, 2012

Isn't that the truth, what's up with that. So many admits at change of shift. It's rediculous.

psu_213, BSN, RN · Mar 6, 2012

Isn't that the truth, what's up with that. So many admits at change of shift. It's rediculous.

I wondered what was up with that while I was working on the floor and I still see that now in the ED. At 6:45, three pts who have been waiting each for over an hr to get beds will get them all at once. Having been on the floor I know it stinks to get patients at shift change, but we also hear it from administration if we sit on admits and don't send them up to assigned beds.

turnforthenurse, MSN, NP · Mar 7, 2012

That does not seem safe. I have gotten report on patients that should really be going to ICU, not to a step-down. At my hospital, the ER nurse always calls and gives report before bringing the patient up.

iloveny68 · Mar 9, 2012

We have tried several scenarios at our large hospital: called in report, faxed report. Now, it looks like we may be going to a 30 minute "push or pull". What this entails is that the ED nurse will get the patient up in 30 minutes of assignment. If they are too busy, then one of us floor nurses will have to leave our other patients and "pull" the patient up to our floor. I don't love the idea of leaving my assignment. Not really sure how this will work out. I hate to say it, but the more I see of healthcare, the more I see the financial/business/customer service side taking precedence over good ol' patient care and common sense....

anotherone, BSN, RN · Mar 9, 2012

No ideas because once the room is assigned we also get 30minutes to get the patient. Guess what ? If you are in another patient's room for 20minutes and no one tells you your empty room was assigned TOO BAD. a few times we have gotten patients NOT stable for med surg who were sent to the ICU within the hour who should have gone there from the er.

MunoRN, RN · Mar 9, 2012

I feel like this is coming from the "obama healthcare reform" with all the hcaps and financial rewards to hospitals based on certain dashboards and patient satisfaction. They are monitoring ER waiting times and the time it takes from being seen in the ER, being changed to an inpt and after that how long it takes the ER to get the pt the floor.

Development of HCAHPS, or patient experience based reimbursement, was started in 2002 and first rolled out for use on 2006. It's part of the HITECH Act, not "Obamacare", which was introduced in Congress before Obama was even President.

xoemmylouox, ASN, RN · Mar 9, 2012

I could see how EMR could help in situations like this. All of the MD orders should be in there, as well as xrays and labs.