This has been a bone of contention forever in my hospital, between the floors and the ER. It happens (quite frequently, it seems, though probably not as frequently as we floor nurses like to make it out) typically in the following manner--30 minutes or less before shift change, ER calls up an admission, and wants to get that pt to the floor before shift change (probably because their nurses dont' want to have to give report to someone else). Our nurses dont' want to take report, because an admit takes a while to do, so between giving report and taking the admit, the nurse will be there very late. Not to mention the fact that the nurse is pulled in two very important directions--the oncoming nurses can't get report if the nurse is tied up with the admission. The pt can't wait for 15-20 for assessment and treatment to start if the nurse is giving report. If we just put the ER off until next shift, they get grumpy, and the pt ends up spending waaaay more time than they need to in the ER.
Has anyone come up with a good solution in their facility?
well, we have no "rules" on what to do or what not to do.
i work nights, and i try to get everything done (all paperwork, etc) because that is just how i am.
depending on the day shift nurse, they will either try to do the paperwork, or try to do the labs and iv. depending on how busy it is. i always try to be understanding. i'm not going to throw a hissyfit if nothing is done, and i am going to be nice. therefore, nurses usually return the favor and try to do more for me.
i happen to work with a great batch of nurses at night:w00t: , and if there is a pt that isn't coming up until change of shift, the nurse getting the pt will do the assessment and chart it, but someone else will try to come in and do history and stuff at the same time. someone will usually come along and make up the mars and do the careplan.
jillyk*rn
859 Posts
well, we have no "rules" on what to do or what not to do.
i work nights, and i try to get everything done (all paperwork, etc) because that is just how i am.
depending on the day shift nurse, they will either try to do the paperwork, or try to do the labs and iv. depending on how busy it is. i always try to be understanding. i'm not going to throw a hissyfit if nothing is done, and i am going to be nice. therefore, nurses usually return the favor and try to do more for me.
i happen to work with a great batch of nurses at night:w00t: , and if there is a pt that isn't coming up until change of shift, the nurse getting the pt will do the assessment and chart it, but someone else will try to come in and do history and stuff at the same time. someone will usually come along and make up the mars and do the careplan.