Patient Transfers.

[sparkplug]

When you are either transferring a patient from the ER or receiving one from the ER what specific behaviors demonstrate a lack of cooperation? I know we get pateints who are wet or had now orders that were not done. What is it like at your place and how do you handle it?

[Tweety, BSN, RN]

Instead taking sniping pot shots at one another. Because trust me, neither side comes up clean.

BINGO!

I see both sides. I see med-surg nurses goofing off and still not take report from the ER. As a super I've seen the ER scream at the floor nurse "it's imperative to move this patient out of the ER now, there's traumas down here" and the ER is empty with no traumas on the way.

Either side really doesn't appreciate and understand the business of the other.

It's been that way my entire career.

[Tweety, BSN, RN]

I bet if folks on the floor answered the phone and take report when we called to give report, so we can get that pt out of the ER, they'd come up clean and with patent IV's. The ER is beyond hectic sometimes- breathing comes before the poop. -Andrea

Gee Andrea, you're barely out of school and talking such jaded talk. :rotfl:

Just wanted to comment that I love you're motto "Bad spellers of the world unite". I'll join up with that!

[Spidey's mom, ADN, BSN, RN]

I work on the floor and in the ER. At our hospital, we cooperate well. All the ER orders are carried out, the IV is started in the ER, labs and meds given. Sometimes if I'm the ER nurse and not busy and the floor is, I take the pt. to the floor (about 40 feet) and help the CNA admit them and do the initial paperwork. Other times as a floor nurse I realize that the ER is busy and I go get the patient myself. It is all about cooperation-we are all busy.

I don't think Aneroo sounded jaded . . .I agree with her statement that breathing comes before poop.

steph

[stidget99]

"It is all about cooperation-we are all busy."

BINGO!

Sorry about immediately turning negative in my original post for this thread. It's been a terrible few weeks for me.

[Antikigirl, ASN, RN]

Wow, when I worked in hospital the ER was always very good about calling and cleaning patients. I never had a probelm! In fact, I really liked the teamwork our ED (or other departments) have with eachother!

Well...guess it had to do with the fact that most of the ED nurses were nurses on other floors before they were in the ED, so they knew the grind so to speak. The nurses were awesome at getting orders Docs forgot before they went up to the floors too...now that was helpful beyond belief!

And not only did they do a call, but came up with their patient's to give any new news, have that bit of continuity with their patient's, and really were fun great people! We enjoyed ED nurses coming up...they were always joking about something or light hearted and well...it got them out of the ED for a while..LOL!

Given if something didn't occur before...it is my job to do it once they are my patient. ED's are busy and heckish...if something didn't get done, it was usually for a darn good reason, a reason I wouldn't want to be in there...so I don't mind helping out...it is for the patient as well as teamwork :).