Sorry. My bad; ER nurse.

[Zen123]

send out a 95 years old resident today to the er. a full code! dx: changed of ms.

vs was stable; very confuse and just not herself. she completed her atb for copd exac.

and i check urine; neg for uti. i contacted cnp ; voiced my concerns in w/c she came to assessed

her herself and send order to send her out.. [color=silver]giving the report to er nurse i was told i should

have called first to see if they have a bed available before sending the pt in with the squad.?

[tewdles, RN]

that is funny....whats the punch line?

[pielęgniarka, RN]

If the they couldn't take your patient the ER nurse should have directed the ambulance elsewhere if the ER was working over capacity???

[Ruthiegal]

Bad as one man I tried to send out one night. Left foot cold and pale, complaining of pain, no pedal pulse. Called Doc, called EMS, they arrive and say they don't think he needs to go he has a pulse in his foot. Ummmm excuse me, he does not, and I called you for transport not diagnosis.... grrrr.... They finally took him. He had a DVT and if we hadn't found it when we did, he would have lost his leg.... So tell any snotty nurses or EMS you are following doctors orders, if you disagree too bad, divert in the case of full ER or just transport like you were asked to do...... blah!

I'm an RN who spent many years in LTC too.

[tewdles, RN]

OK, seriously...if I am sending my hospice patient from his home to the ER, I call them and speak with the charge about who/why and what we want done (hospice POC is king of the hill even in ER). So I called when sending in my patient with facial burns...so they knew his med list and goals...etc. This nursing function helps to insure that the patient care is as fluid as possible.

I find that ERs prefer to have a heads up that they are getting a crazy LOL, it helps them to plan care. This could be considered a professional courtesy if nothing else.