Thoughts On Eliminating Nurse Report

Nurses General Nursing

Updated:   Published

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Yet another workplace rant. As of yesterday my supervisor dropped the bomb on us stating nurses caring for patients admitted from the ED are no longer required to give report. Instead the patients will be sent up with a form. I have no idea what the form will have on it, im guess sort of like a ipass sheet or sbar. If any information is missing the nurse will have to look for it in the chart. Not to mention having a hard time reading other people hand writing. 

In certain situation such as CIWA & sepsis report is required but the criteria for it is not yet known. 

However my concern is that patients transferred to the unit unstable resulting in unnecessary RRT’s. (I cant tell you how many times the ED attempted to send up pts with a bp over 200 or bs less than 60 without an intervention or even without meds listed in the mar). Also we many not have enough time too look up the patients chart especially if its a busy day. Or the form will be either lost in transport or sent up uncompleted. Also the ED nurses don’t always chart important patient information. 

I know that as I nurse I have to read my patients chart regardless. 

How would you handle this? What are your thoughts? 

I think their goal is to get the patients to the units much faster by eliminating time used to give report. Prior to this they weren’t allow to send patient without calling first. 

Whats is your companies policy on receiving and giving report?

I’m not going to respond with all the things the ED Staff need to handle I’m just going to repeat that your snark does NOTHING to help the situation or improve the relationship between the ED and the in-patient units. You are part of the problem…be part of the solution. 

4 minutes ago, Wuzzie said:

I’m not going to respond with all the things the ED Staff need to handle I’m just going to repeat that your snark does NOTHING to help the situation or improve the relationship between the ED and the in-patient units. You are part of the problem…be part of the solution. 

I have a lot of respect for ED nurses. Not a job I want to do. I am not sure what you are considering snarky from my last post. 

If there is to be a discussion, doesn't it include all the things that prevent nurses on inpatient units from being available any and every second of the shift to talk to an ED nurse about a new patient? 

Forgot to mention Cath lab.... they get to drop off patients without notice too and we must stop everything for them as well. 

The snark was the line I quoted in a previous post. Additionally you say you have respect for your ED colleagues but then go on a tirade about how crappy they are. Not particularly respectful as I see it. You want sympathy for your situation but are completely unwilling to look at the other side. It makes it difficult for people to want to look at things from your side. Look, this discussion has gone on for years and years and only ever ends up with each side pissing and moaning about how bad they have it. We are so busy pissing and moaning we have become unable to move forward because any time somebody suggests a change it’s met with an insurmountable wall of whining and resistance. We are our own worst enemy. 

57 minutes ago, Wuzzie said:

We are our own worst enemy. 

I completely agree. 

1 hour ago, SunDazed said:

I completely agree. 

Then be better about it. Maybe you’ll be the one to come up with a solution. 

22 minutes ago, Wuzzie said:

Then be better about it. Maybe you’ll be the one to come up with a solution. 

Better about what?  

Any employee driven solution forums at our hospital were thrown out with the covid surge emergent measures. There has not been a unit based council meeting in 18 months? Maybe more?

Rarely do we have unit meetings monthly. If we do, we get less than a day or two notice. The manager doesn't send out an agenda or a summary for those who can't make meetings without reasonable notice. 

The unit managers and charge nurses from multiple units come away from meetings with totally different takes on what was agreed upon in the meeting. The information is not passed on to unit staff. Or what is passed down does not match what other staff in other units think is happening. 

It is a freaking circus from the top down. 

 

18 minutes ago, SunDazed said:

Better about what?  

Not being divisive here would be a good start. 

 

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