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I used to work as an ER nurse and now a house supervisor. Two things about the job that baffles me are the floor nurse and on call staff. What is with the attitude of some floor nurses and not... Read More

  1. by   RoaminHankRN
    Don't judge?

    "I dont judge, so please dont make assumptions about floor nurses based on limited experiences with them.

    for the record - the clean out house thing is notorious and ive heard.."

    you've heard.. but you don't judge.

    That's the pot calling....

    Curious where are the hospitals that all these things occur.

    If it happens where you work... what do you do about it?

    It is our policy that the floor does not call report to the floor if a code is going or just ended.. Maybe your hospital should make it policy.. and if the ER nurse abuses it, that is what your house super is there for.
  2. by   deespoohbear
    Our ER is notorious for holding patients for 3 or 4 hours, and then bring them up for admission at shift change. Usually in our small hospital there is not a wait for a med/surg or tele bed so that excuse is blown. I truly believe that our ER does the "clean the unit out" routine before their next shift starts. Another thing that gripes me is when the patient comes up from the ER on a monitor and no IV access!! Somebody is asking for trouble. I don't usually deny to take an admit at any time, but there are times I sure get frustrated!
  3. by   4XNURSE
    Originally posted by SharonMH31
    Okay .... I just got off from a really bad day, listening to patient complaints and doctor complaints. No matter how hard I work, it's never enough, I go home many nights with my feet aching and my head hurting and now I hear what's the problem with us floor nurses.........from another nurse? It's a little too much, you know. I didn't mean to be so abrasive.

    Sounds like you could use a hug.


    Hope that helps.

    Sometimes It does us good to get it off our chest. Strong work!

  4. by   shay
    I get through my shifts with the attitude that an admission is an admission is an admission....no amount of b****ing and moaning is gonna change the fact that the patient is there and needs to be admitted. I get help when I can, suck it up, do the best I can, and go on. Copping an attitude w/the ED or the floor nurses (I'm L&D) only makes things worse. No matter how crabby I FEEL or how nasty the OTHER person is, I just blow it off....no sense in getting my panties all in a bunch, ya know? I need to keep good relations w/those floor nurses and the ED folk 'cause you never know when you're gonna need 'em to bail you out in a mess or return a favor.

    My point....yeah, it sucks on all ends. Working in a hospital is hard as hell. I choose to be kind and work with it...people REMEMBER you when you're the nurse that 'helped them out,' and it works in your favor most of the time. Just wanted to share how I deal with it.

    Good thread.
  5. by   proud2bme
    I want to tell you what happened to me just last month when I was hospitalized in one of Houston's most prestigous hospitals. I will make this as brief as possible.

    After being worked up in the E.R. I was admitted and subsequently stayed for 6 days. Anyway, I was laying in the E.R. on a gurney for six hours. Don't get me wrong. I was seen by the Dr. immediately, but after they realized my condition wasn't life threatening they called up to the floor for me a bed. I was told that there were not any beds available.

    SIX (6) hours later, I was finally transported up to my room. After I was settled in, my roommate informed me that this bed had been empty ALL DAY! I then asked my nurse how her day was going and she said "It's been a slow night."

    Come to find out, the nurse that was on duty didn't feel like doing the paperwork or caring for another patient. What is wrong with this picture? Does this happen more than we realize?
  6. by   Zhakrin
    If you think being a floor nurse and a ER nurse are so different, try being a paramedic first.

    That OD you just admitted came from somewhere and we have to somehow get them out of their apt. which is always on the 5th floor of a building that has a too-small elevator. They have pets like Boa constrictors and rats (which may be relatives), the concept of using a toliet is foreign, pizza containers from several years ago are stacked to the clieing and somehow they ALWAY lodge themselves behind the toliet bowl (probably in an attempt to figure out it true purpose).

    Different worlds, same $hit, LOL

  7. by   RoaminHankRN
    Check out the other post about CEU's.
    Curious about your thoughts.
  8. by   RNKitty
    Originally posted by jimminy
    I think all nurses should rotate to all the different areas during orientation and again once a year.

    No WAY are you getting me into the ER. I do L&D - not qualified for anything else. I really respect what you do, but don't ask me to do it!
  9. by   pebbles
    Man, I love the smilies on this board...
  10. by   RoaminHankRN
    I feel the same way about all floor nursing.
    How do you do it.. the same type of patients day in and day out.
    This I do respect you all for.
  11. by   Q.
    Originally posted by RNKitty

    No WAY are you getting me into the ER. I do L&D - not qualified for anything else. I really respect what you do, but don't ask me to do it!
    I agree! That would be an unsafe alternative just to prove a point. Who suffers? The patients.

    Perhaps just losing the attitude and defensiveness would work instead of rotating floors.
  12. by   Furball
    Originally posted by pebbles
    I know the ER is busy, and I do try to cut them some slack and take admissions when I can. But sometimes it is apparent that consideration does not go both ways all the time.

    In our ER, they commonly try to "clean house", and get all the admits out of the ED before *their* change of shift. So that means we floor nurses are expected to take admits at OUR change of shift - making us late, etc. Also, sometimes we think it is less safe to admit a patient at change of shift, cuz what if he isn't perfectly stable... So we try to refuse admits within 1/2 hour of change of shift time, as a matter of "unwritten" policy (and some of the ER nurses respect our "rule", out of courtesy).

    I co-ordinate with the Nursing Supervisor (who is in cahrge of the whole hospital) as to how busy they are down in ER. If they were NOT busy, and a patient arrives in ER at 2300, there is NO reason WHATSOEVER that this patient *has* to have been moved to the ward at 0700. Get him to me before 0600, or after the next shift has arrived. As a matter of courtesy. ER nurses have been know

    to be lazy and avoid work from time to time also...

    The article about ER nurses having attitude should NOT be used as an excuse for (un)professional rudeness.

    Thank you
  13. by   NurseDennie
    Sheesh! RoaminHankRN, that first post really got up my nose, and didn't get any better with the next couple of posts. Obviously all your problems in the ED are caused by us retarded floor nurses, standing around with our thumbs up our A$$ and we only use our critical thinking skills to think up ways to anger you superior entities.

    Or perhaps all of our staff meetings are taken up with discussions of how to slack off. Perhaps someone from the ED should come up and in-service us on how much more important and busy they are? Because if you don't, then I'm going to continue to maliciously allow my patients on the floor to code when you're trying to call report to me.

    And wow, that article explaining how *very much* ED nurses do, and how that explains their 'tude isn't even a *little* bit annoying. Guess what? I didn't see anything in that article that was over and above what floor nurses do/have/put up with. And we don't have a problem with "assertive." All nurses have to be assertive. We have a problem with rude, aggressive and obnoxious.

    And I have a bit of advice for when the situation comes up like Suzy K's where there isn't personnel at either end for the transfer and the patient waits. Write an incident report. Every single time. I know that just takes more time, but if you don't do that, then the hospital admin can say "What problem? I don't see a problem?"

    There is a nursing shortage, RoaminHank, and it's not because there aren't any nurses, it's because the nurses aren't willing to work in hospitals. It sure doesn't sound like you're being part of the solution.

    Yeah, this is the place to vent, and I can see where you're coming from, and you were venting. So that was me, venting in response.