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Discussion

Delay in transfer to floor

How detailed do you all get in your notes about charting delays in getting pts to the floor. E.g., when you are meeting resistance due to the admitting team, or floor concerns, do you put that in writing in the pt chart or make it an internal report?

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I chart a note, because the rule is we have 60 minutes to get them up and that time goes fast...

Must be nice! They want us to get them up within 30 mins from the time the bed is assigned and I even heard someone say they're pushing for 20 mins. Unrealistic! Even if I drop everything I'm doing with my other pt's, I still have to call report (which we know can take the 30 mins in and of itself), do a belongings list, copy whatever's in the chart that needs to go up, then take them up and transfer them.

Re: what to do if the RN can't take report

I believe our policy is to try once, then take them up and let them read the chart or give report to charge. I'll usually try my best to give the nurse report because I've been on the other side and it sucks getting "dumped" on. We do mandate a verbal report for ICU pt's.

I used to work @ a hospital in NY on a travel assignment where the ER would fax SBAR to the unit and that was it. The patient would come up in about an hour. No phone calls, no phone tag, nothing. The SBARs were pretty concise enough that you rarely had to call ER with questions. And the MD's notes already in the computer so you already had a full picture of the patient when they came up. I LOVED it! Maybe it is because I am not much of a phone person anyway .... :D

I used to work @ a hospital in NY on a travel assignment where the ER would fax SBAR to the unit and that was it. The patient would come up in about an hour. No phone calls, no phone tag, nothing. The SBARs were pretty concise enough that you rarely had to call ER with questions. And the MD's notes already in the computer so you already had a full picture of the patient when they came up. I LOVED it! Maybe it is because I am not much of a phone person anyway .... :D

This is how it works at my hospital. The only phone call is to tell the floor the sbar is being sent so they see the fax right away.

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