Floors VS ER

[FLoridarnl]

Does anyone else have a rivalry with the floors in the hospital? It just seems that when the ER sends patients upstairs, they always have a problem with something! They're always looking to write up the ER staff for something, or point fingers. We also have a hard time getting the nurses to take report on out patients. We don't get to stall a patient when they're coming in by ambulance, why do they play this game with us? Is it just my hospital that has this problem?? Sorry, I'm venting, any responders? :angryfire

[Martibear]

I just had the funniest most annoying reason yesterday as to why a nurse on the cardiac unit could not take my patient. Ready . . . she was working on an AMA. What kind of work do you have to do for an AMA??? SIGN the paper! That is it, I know it may be more detailed other places but we just have the patient sign & chart in the computer. I do several AMA's a shift. Maybe I've just learned to take them in stride! Still funny to me!

[rgroyer1RNBSN, BSN, RN]

I have the same problem, now ive worked both but er/flight/ trauma surgical icu alot more, now this erks me, I know that the M/S nurses are "Busy" supposedly but when I have a full house and weve got like 15 pts. to stabilize it gets annoying. I also dont like it when the stupid hospital likes to float old fashioned M/S war nurses down to er or Icu and then I end up happening to do my work, stabilize there patients, do there work, and correct there mistakes.:angryfire , Now I dont know if its me or what but wouldnt it make more sense instead of floating M/S nurses to critical care areas to float them around to the other floors like neuro and onc. and ortho. What I would like is if the hospital would float us to PACU, and Icu and the ICU and Pacu nurses to er because it just makes more sense.:angryfire :balloons:

And yes I do hate being floated to a floor where Idont know what Im doing because Im so use to critical care and Im sure they dont like being floated to critical care.

[rgroyer1RNBSN, BSN, RN]

Oh now this is the most ignorant reason I have ever heard for a floor nurse to not take report, what was she doing planning on leaving ANA(Against nursing advice) herself with the patient? LOL,

Although I did have one M/S nurse once tell me she couldnt take report because she was late for her scheduled lunch break before then I seen her outside the er smoking on this scheduled lunch break, well she took report alright I rapremanded her in the triage room gave her report told her she was going to take him then me and one of the er docs rolled this patient upstairs, lol

[perfectbluebuildings, BSN, RN]

Wow you all have to deal with a lot more ignorant nurses than work here... those are lousy excuses for not taking report that would never be taken here- if report isn't gotten on the first call, there is an actual real reason- the charge nurse can take report if needed or just another nurse. also on moving patients to the new bed: if we see them come in, we will try to come help out but a lot of the time, we don't see the patient get to the floor; they are taken to their room moved to the bed and Then the papers are taken to the desk and we are notified they are there. Of course we know they're on their way since we got report (or someone else did). You know, aside from the ignorant/fool-o excuses some of you have (unfortunately) encountered I think this comes down to staffing in a lot of cases. One thing that can irk me, is when report is called and the patient sounds like a breeze, then gets to the floor and is a lot more complicated than expected; has effect on acuity etc. of that nurse. That's not the ER nurse fault almost ever- just something that can be irritating. As for floating- our hospital is all peds so we can float anywhere once we've been oriented there for 1 shift, which can be nerve racking, floating is never easy on the floater or the float-ees, as you might say.

[mom23RN]

We always had that problem. There was some reason as to why they couldn't take that pt. at that moment. Clean bed, staff on break, shift change, etc.

Well.... we had to clean our own beds, we hardly ever got a break, hmmm... could we tell the pt's in the waiting room it was shift change.... NOPE.

I got to the point where I would call and tell them that the patient was coming up. If they didn' t have time for oral report I would send a written one with the transporter.

[mom23RN]

The CEO was standing behind them and nobody saw him, including me. He asked me in a quiet voice "can I help you with that stretcher?" I said "yes please - thank you so much". He grabbed the end of the stretcher and I've never seen Nurses jump so high so fast in all my life! I had lots of help then!

Eilleen.

OMG!!!! That is fantastic!!!!