ReggieN

Thank you for your input. It does help to see the other point of view. Unfortunately, the hospital I'm currently working at, our ER isn't the most reliable. We have had multiple issues with them not making sure that the patient is stable. We have gotten reports of patients with extremely elevated BP (SBP of 200+ DBP over 110), in which our ER has not even begin treatment for, and when questioned they respond with "oh yeah." Same with very low hgb (another example). I do not expect our Er to "fix" the patient before they hand them off, but I would like to see that if there is a critical lab/vital/etc. that its at least addressed and at least orders placed. This has been my main concern with the whole sending a patient up without giving a report. I do like the idea of bedside reporting. We do it on the floor now, but that may be a way to solve some of the issues we are having between the units.

That's been part of the problem with our floor. We are terribly understaffed and overwhelmed and when we've tried explaining this to our ER they say tough. I am concerned though about patient safety. I don't feel that it's right for the Er to just send a patient up without giving a report. Are there any suggestions on how this should be handled, to make it safe for the patient

We've been having issues with the ER in our hospital. I work on a busy telemetry floor and when the ER calls up to give a report on a new admission, if the nurse taking the patient is unable to take the call right away, our ER sends the patient up without giving report. I've spoken with the nursing supervisor regarding this and he said that's just what they do, but quite honestly, this doesn't seem safe or legal. Any insights would be appreciated