customer satisfaction in the er

Specialties Emergency

Published

I have been an ER nurse for 22 years now and this has to be one of the hardest parts of my job, customer satisfaction and Press Ganey. I work in an ED that sees 135 patients daily with the highest volumne during my shift 7p-7a. The problem I am having as well as many of my co-workers is that the hospital has decided for the last two years to use the Press Ganey survey company to evaluate our hospital. That in its self isn't much of a problem but when they start staying on us to the point it is interfering with our jobs it gets to be quite a head ache.

We as an ER have an average wait time of 2 hours or so. I think that is very good considing there are only 5 nurses on each shift . We have 2 doctors during peak times with a fast track open on weekends for even higher volumne.

My question is if anyone else has similiar problems keeping patients happy while still covering the TRUE emergencies. Even when I have a great day and don't let anyone fluster me I still can't seem to make the majority of patients happy. They get mad about the wait time, the lab wait time, the doctor attitude and the list goes on. Has any one out there got any ideas that I can take back to my ED customer satisfaction comittee to improve our scores. This is getting so old and it definitely takes the little bit of fun out of a very demanding job.

Thanks for any help any one can provide.

Like I said YaaaaY! We are educated people, we know someone was rewarded WELL; it just wasn't us. Heck our pictures didn't make the local paper either (that was someone else too), but we were the ones that had to kiss a** so to speak. ANYWAY we all had some good fun with it though-had a lot of laughs. And our rating fell the very next month- and we didn't change a thing.

*POINT TO PONDER:

do you suppose those who received more than pizza and a free meal ticket to the cafeteria had to give back their reward?$

Like I said YaaaaY! We are educated people, we know someone was rewarded WELL; it just wasn't us. Heck our pictures didn't make the local paper either (that was someone else too), but we were the ones that had to kiss a** so to speak. ANYWAY we all had some good fun with it though-had a lot of laughs. And our rating fell the very next month- and we didn't change a thing.

*POINT TO PONDER:

do you suppose those who received more than pizza and a free meal ticket to the cafeteria had to give back their reward?$

so would that be a loss????!!??

i'm just asking!!!

:rotfl: :rotfl: :rotfl:

so would that be a loss????!!??

i'm just asking!!!

:rotfl: :rotfl: :rotfl:

Not to me; my free meal ticket to the hospital cafeteria is still on my dresser, unused, and expired, and I dont eat pizza--but to those who were rewarded with something worth having -might would have been a loss.

*POINT TO PONDER:

do you suppose those who received more than pizza and a free meal ticket to the cafeteria had to give back their reward ?$

REWARD.... does that sound like bribe, blackmail or just plain extortion? :devil:

Our Ed just went to a PA(performance appraisel) that includes pt satisfaction. The only way to get a 4% raise is to have a pt write in that they liked the care they recieved and mentioned their nurse by name. Needless to say we are not ever epecting a 4% raise, in addition you must have your CEN and score all 3's (the highest score) in every other feild. You can't be rally good you must be perfect. As far as I know Jesus isn't working in our ED and He is the only perfect person I know! SHEESH!

Fab4fan-- just curious what happens if they aren't triaged in 15 and seen in 30? You guys get sent to too slow prison or does the pt get a free visit? I've heard of this but it was obviously designed by someone who has never worked an ED. My thoughts are with you.

Our hospital here put in what they call FastTrak...its pretty much a 24 hr urgent care center. There they have several techs working and a few nurses. Its kind of an assembly line for non-emergencies, they triage people and get them in and out quick since most of the stuff the EMT/Techs can do themselves. There might be a PA that takes a look at them. I had to go there last summer when a bug flew in my ear and it was on a weekend. I was there for less than an hour.

Specializes in Emergency room, med/surg, UR/CSR.
Our Ed just went to a PA(performance appraisel) that includes pt satisfaction. The only way to get a 4% raise is to have a pt write in that they liked the care they recieved and mentioned their nurse by name. Needless to say we are not ever epecting a 4% raise, in addition you must have your CEN and score all 3's (the highest score) in every other feild. You can't be rally good you must be perfect. As far as I know Jesus isn't working in our ED and He is the only perfect person I know! SHEESH!

Fab4fan-- just curious what happens if they aren't triaged in 15 and seen in 30? You guys get sent to too slow prison or does the pt get a free visit? I've heard of this but it was obviously designed by someone who has never worked an ED. My thoughts are with you.

How assinine to base your raise on how many compliments you get from patients! I'll bet the ones that never have any patient contact still get thier raises don't they? I think I would try and find some place else to work, along with as many of my coworkers as I could find. Maybe if your hospital starts losing its staff and knows the reason why, they'll rethink thier raise policy.

Good Luck,

Pam

You can't pleased everyone all the time, only people some of the time. I work in the assessment unit (now called CDU) and we have all those problems. It's like being between the devil and the deep blue sea (doctors vs relatives) or (site co-ordinators and matron vs wards) and nurses always end up in the middle. There isn't much you can do about it, as there will always be problems within that area. You can't rush lab.reports and you can't rush doctors!!!

Specializes in ER, ICU, L&D, OR.

Fast track is nice to have

as long as someone else works it

I find it totally boring

Even a CDU would offer me no challenge or enjoyment

Fast track is nice to have

as long as someone else works it

I find it totally boring

Even a CDU would offer me no challenge or enjoyment

CDU isn't like a Fast Trek. We deal with all sorts of problems, such as Cardiac, Respiratory, Overdoses, Gastro problems and everything else. We assess these patients and then transfer them to the appropiate ward. Well that's the theory behind it but as there usually is a lack of beds, we keep them for a lot longer than what we are suppose to, and deal with any event that crops up! There is never a dull moment, again it's not everyone's cup of tea!!!

Specializes in ER, ICU, L&D, OR.

I like my traumas, and MIs and Chfers just as they get off the ems or are walkbacks

I love the initial hustle

CDU here is after they have been initially taken care of and are waiting on beds and cts and mris and v/q s and all that other time consuming stuff

Yes, I suppose you are right. We do work in close proximity with A + E, but they deal with the patient first hand, then they transfer to us.

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