I don't work PACU (I work in day surgery and ED) but I do work closely with PACU nurses. That said:
1. If a pt in PACU goes sour and that holds up the PACU nurse getting another pt to you, don't expect the PACU to take the time to call you to let you know there will be a delay. When a pt is going sour, the last thing on PACU's mind is whether the floor nurse will be inconvenienced by the delay.
2. You had better care about what meds were given in PACU, since they could directly affect your pt's recovery. This boggles my mind that someone would not care what meds were given. What would you say if the pt coded and the doc asked you what the pt had in PACU? "I don't know" isn't exactly a response that's going to make you look that great, let alone help your pt.
3. If the pt is pain free/not nauseated, it's pretty difficult to justify giving strong IV meds. How do you explain that: "The pt had a 0/10 pain rating, but I gave him 25mcg of fentanyl because the floor nurse wanted me to"? I've gotten plenty of post-op pts who didn't require meds in PACU. It never even crossed my mind to demand the pt be medicated prior to transfer. I trust the judgement of my PACU colleagues; if in their best assessment they feel the pt doesn't require medication, then I trust their decision. If worst comes to worst and the pt is in pain or nauseated, it doesn't take me that long to get the med out of the Accu-Dose.
4. PACU pts are constantly coming in and leaving the dept. It is unrealistic to expect PACU to hold pts. til it is convenient for the floor. PACU can't ask the OR to delay the pt coming out of the OR to them; they have to be ready to take the pt right away. If PACU is holding pts for the floor's convenience, that means that nurse isn't available for the post-op pt.
I can guarantee you that PACU nurses are not just sitting down there filing their nails and reading magazines all day long. Yes, we all need to work together and try accommodate one another, but some of these requests are unrealistic and flat out unsafe.