Admissions at shift change

We do not hold admissions during change of shift. The admission will be preassigned to an RN for the next shift. When post-ops/admissions come near the end of shift, the current shift RN will settle the patient & will always get a manual BP on the post-op patients. The PCA will complete the vitals. The next shift "owns" the admission -- but, in reality, we try to pitch in with change-of-shift admissions -- great teamwork on my unit.

Nope. We deal.

We have admission constantly without consideration for shift change.

if you check vitals and get next of kin .hang on you don't say where you work!!!!!!!

most of the paper work can be done at a later time. Don't we provide 24hr care???????

j

We do provide 24 hr care but nobody likes to get dumped on and when that happens then people get bytchy towards eachother. It's just the name of the game. We all know that women are catty people and backstabbing, worse than men, in my opinion. This is what is holding us back as a profession. Just my two cents

Unfortunately we don't have this policy. It's not a problem unless the patient that is sent up is somehow in bad shape(crying for pain meds, family very demanding) then it's a bad deal because you're not able to give them the full attention they need. I can never understand why they can't either bring them 15 minutes before or hang onto them just a few minutes later. I honestly think it's a quality of care issue.

i wish we would hold them at change of shift...at least give us some time to change over without the added "insanity" but we dont.

In our hospital we have a 30 minute blackout period at shift change. Works out well and I work in the ED

We have an unwritten policy on this... Our shifts are 7-7 so if an admission arrives on the floor after 6 The current shift gets the patient settled and any other immediate things that need to be done then the next shift will do the admission assesment and physical and paperwork. Of course the patient is informed of this procedure so they don't feel like they are "dumped" in a bed. It also requires teamwork and we all know some are better at this than others;)

Hi,

This is my first post. I am an older new nurse. I just graduated in December. Now that I'm off precepting, I don't say I'm a new nurse, now I'm "inexperienced".

Anyway, while still precepting I got an admission (GI bleed) at 6:00pm (shift is 7a-7p). I had learned the routine of grumbling about a late admission. Anyway, to make a long story short, her loc deteriorated rapidly, at 6:45 she started having difficulty breathing and vomited A LOT of blood. Family started screaming, rescinded the DNR, chaos (did I mention this is my first code) and finally pronounced by the physician at 7:10.

I finished the paperwork by 9:00.

I have decided that I will never complain about a 6:00 admission again, even if it takes me two hours to finish my paperwork, as long as the pt is still there when I leave.

I have been reading the posts for months. It sure has given me lots of encouragement to face another hectic day. Thanks to all of you.

Bless your Heart, NurseLopez- sounds as if you were very efficient getting out by 9 pm.

I work ED. All of the floors refuse report at shift change, which is ok by me- the RN's up there have a ton to do at shift change. Now, if report has already been called, on most floors we are free to send the pt up even at 1900 on the dot. I don't do that however, unless the patient is familiar with how hospitals work, and is totally pain free and hanging out, and the ED is packed to overflowing, and I call and let the Charge up there know the situation...

The policy of holding admissions at our hospital is only for 30 min at shift change. It works, but not when the ED is stacked. What I found, however, is that as we have respected the shift change rule, and held patients when we aren't busy and the floor is having staffing issues or a night of codes, is that when we are smack up against the wall, the floor usually lets us bend the rules a bit. It seems to be about mutual respect and understanding- which is often sort of lacking between floor and ED RN's.