Pts admitted from ER

[Mom2Chaos]

Just curious....

At your hospital, how are admit patients transported to the units? Do you have transporters? Do your PCT's transport? Do RN's transport ALL pts and give bedside report?

I'm interested to see how other hospital ER's handle this....

[Wendy_RN]

Our techs transport patients to the floor unless it is to ICU/CCU. If an ICU/CCU patient is admitted a RN has to transport the patient.

[ChristineN, BSN, RN]

At my hospital transport or ER PCT's transport pt's up to the floor except for my floor. We are trialing a new idea where the nurse on the floor goes down to the ER to get the pt, and then recieves face to face report. It doesn't always work, I often end up getting report on the phone, and then picking up my pt. The ER nurses are always thankful to see that I came to get my pt!

[NATmicuRN]

i work in the micu and when pts are brought up they usually monitored and on the vent so a resp therapist and an rn will bring them up. We have Voicecare system that we record report for all pts.

[racing-mom4, BSN, RN]

Our house supervisor aka "Float Nurse" is our main transporter. Sometimes if the ER is slow the ER nurse will bring them up, or if the ICU is calm I will just run down and get the pt myself--

I like to look at the orders and then be right there by the ER doc myself so I can have some input on the orders. Much easier to get them to just write them real quick vs having to either call back down and or page oncall doc.

[Escape5]

If a pt. is on any sort of cardiac monitoring, they must be transported to the floor with an RN and an additional person (usually an EMT.) It's really annoying because it pulls the nurse off the floor for at least 10 minutes, up to 20 (depending on where you are transporting in our huge hospital.) Sure I can understand if they are unstable or going to ICU, but an RN w/ ACLS has to transport very stable people going to tele (and our docs just love to order tele for pretty much everyone.) I don't understand thought why they are allowed to go to CT or XR w/o monitoring if stable, but have to be transported on a monitor to the floor. We DEF need a better system.

If they don't have tele, then a pt. transporter comes and picks them up. We do electronic report except for IMC or ICU pt.'s, so report is faxed and a phone call follow-up to confirm or answer questions.

[BrnEyedGirl, BSN, MSN, RN, APRN]

Our techs transport pts that don't require a monitor during transport, aren't on titratable gtts, no blood hanging etc. The RN transports anyone going to a critical care unit, or have any of the above, and of course when the techs are all busy. We call report before transport.

[nursein08]

We have transporters that take the pts up to the floors. If it is an ICU/CCU admit, we have to take the pt ourselves, for obvious reasons. It's nice having the transporters to do the general admits because it doesn't take any staff out of the ER.

[Hagabel]

For any pts who are stable including tele pts (new policy) a transporter takes them up but any ICU pt, unstable, certain drips handing, blood and such like has an RN with them. We fax a written report except to peds and ICU where we give a verbal telephone report. We always go up with peds pts.

[northshore08]

Report called by phone to all floors, including ICU.

Regular floor pts may be taken by ERT.

All tele, ICU and pts with blood hanging must be transferred by RN.

Occasionally an ICU nurse will come down to accompany us to ICU.

If your pt has cardiac monitoring ordered or is a tele admit, you must accompany that pt to any area out of the dept to continue monitoring.

[talaxandra]

Orderlies only, unless the patient is seriously (hairs' breadth from ICU) sick

[crb613, BSN, RN]

We call report...ERT transports unless gong to critical care then RN must transport.....