New protocol - No report from ER to floor...

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by justjRN Member Nurse

Specializes in med surg. Has 15 years experience.

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Hoosier_RN, MSN

Specializes in dialysis. Has 29 years experience. 3,303 Posts

Years ago, when I still worked in the hospital, and we tried the no verbal report, one evening we got the first one, and that was our only empty bed. We got the report, knew where to put the patient, no issues. Admissions forgot to select the bed as full. Within 15 minutes, we got 2 other patients for the same bed because ER never called house sup or admissions. They saw an empty bed and sent them up-2 different nurses on different ends of the ER not communicating. As we weren't notified (house sup always notified prior to faxed report), we weren't watching fax machine. ER tried to make this ICUs fault when the poo hit the fan 💩. Sadly, things like this happened more than once. After a year of the nonsense, after many patient complaints, it stopped. They did mandate verbal report, and it was mandated that someone took report or made provisions within 10 minutes. Sometimes it was the house sup taking report if something drastic going on

selshark16, BSN, RN

Has 3 years experience. 7 Posts

Yeah this is my hospital too. I think this protocol is very widespread or at least becoming that way. At my hospital they only call and give report if they are extremely complicated and/or acute situations. It's definitely rough sometimes, especially when it is a complicated patient, unfortunately. They'll call to say if its OK to send and say they're sending, but the worst is when there is no communication and they just send. But as someone mentioned, the ED is different and I know sometimes they pressure nurses to send as soon as possible which isn't safe for anyone

hherrn

2,427 Posts

18 hours ago, selshark16 said:

Yeah this is my hospital too. I think this protocol is very widespread or at least becoming that way. At my hospital they only call and give report if they are extremely complicated and/or acute situations. It's definitely rough sometimes, especially when it is a complicated patient, unfortunately. They'll call to say if its OK to send and say they're sending, but the worst is when there is no communication and they just send. But as someone mentioned, the ED is different and I know sometimes they pressure nurses to send as soon as possible which isn't safe for anyone

Actually sending promptly does increase safety for those who are then able to get in and be seen.

I am glad to hear from so many on the floor. This should be a collaborative effort, instead is being thrust upon inpt units. It seems like it would make sense for in patient units to take initiative to speed up the admission process to keep it safe, rather than wait till a breaking point and having a new system forced into place.

As an ER nurse, I feel your pain. One of the reasons I left ICU was the admission process.