ED2bRN28

I understand that for sure! Haha I just know had that patient been taken to the floor with no bands on and an empty bag of fluid and blood in the line, I would've gotten my a$$ chewed as transport, and then that nurse would've called straight down to the ER and chewed some more.

Essentially what I'm asking is who should take responsibility for the patient? Such as, the patient was "ready" at 6:20am, is that that current nurse's responsibility that the patient is ready to ship off after shift change or Is it the responsibility of the nurse who took over at 6:30am to make sure they are ready after they call report? As well as how to cut down on fragmentation during change of shift.

In my facility out CVICU is a 4 bed unit, 2 nurses. So you have a very hands on learning experience. I would think working on a cardiac stepdown or cardiac tele unit would help gain some cardiac knowledge but I feel like it should not be too hard of a transition. The patients won't be as stable as med surg, reason being they are in the CVICU, but they are alive. As with any unit if you like it, and are driven, you will be driven to learn and take good care of your patients. Also, you have to implement med surg interventions as well. Good Luck!!

Hey readers, first time post so bear with me on this one. I graduate nursing school this December but I have been in the ED since before I started my program and I love it. I hope I can have my whole career be in the ED (unrealistic, I know). So with graduating soon and wanting to not only be the best ED nurse I can be, I also want to have a good rapport with the floor/critical care/CVICU/every department nursing staffs (again, unrealistic, I know). With all of that being said, I walked into a patient room recently that was ready to be transported to their room on the floor, this patient had acute confusion and had to be educated again on why he was being admitted, there was not an ID band or an allergy band on his wrists, and his IV fluids had been done long enough for the blood to back track almost halfway up the tubing. This occurred right at shift change, so the night nurse had gotten this patient "ready" and just had not called report that way we were not transporting this patient right before/at/during floor shift change. But after the bed was assigned the night nurse never laid eyes on the patient again, which I understand (not that it's right). Day shift comes on and the nurse that took this patient was told they were ready and so the day nurse called report and said they were ready without laying eyes on the patient, which again I understand (not that it's right). Who would essentially be in the wrong? And what steps should be taken to ensure that we don't become jaded and even after a night that just beats us to a pulp (I work rotating shift so I get the worst of both day and night shifts) we just jet off? I understand both sides but I also wants to be able to be the best I can be to alleviate unnecessary things being done to the patient such as starting a new IV since the current one wasn't flushed and had clotted off, and alleviate unnecessary headaches such as the patient having no ID/allergy band on.