Thanks for sharing your experience while working as an ED nurse. But at my hospital it is the complete opposite. In fact this past week I received a patient who came from a LTC facility with dysphagia. The ED nurse never reviewed his paperwork to see that the patient on a puree nectar thick diet and gave the patient meds whole with water, thin liquids and whole. This is the exact reason why report is vital. It is the time to ask questions and get important information that is not always documented in the chart. We got another patient that was in ED holding for two days and did not receive any of meds. No achs checks, insulin, bp meds etc. for two days. It was not caught until she arrived to my unit. In my hosptial most of the time the nurses don't even assess the patient’s to know their status. It is not good at all. I don’t want a pt with a bp of almost 200 hitting my unit unexpectantly this has also happened. I work on a critical care floor and personally don’t believe in fax or paper report. I need much more to go off of. I also work night so the doctors are usually screaming at us when we call the order medications, procedures or obtain consents that should have already been completed in the ED. Their is a large teaching hospital in my area that have fabulous nurse who are very thorough this one is not. But what I have noticed is that about 75% of the ED nurse at the hospital I work for are all new graduates.