Just a question from a clueless med/surg nurse, not trying to blame or make assumptions!
Why is it that all my admissions from the ER get sent to me at change of shift? I understand that it may be due to that the ER nurse did not get a chance to earlier and wants to call report so he/she can leave. However, it then results in that the nurse I am relieving cannot give me report because suddenly the admission is rolling through the doors and needs pain medicine, the family wants to know what's going on, etc. This seems to happen all the time and the result is the previous shift has to stay over.
I know it is not due to anyone being thoughtless, just wanted to hear from some ER nurses what is going on from their side of the trenches :typing
We're a huge busy ED, and I can say that our pts 'go up' to the floor when we are notified by the bed placement team for the hospital that they have a bed. So, we have no control over when they go up at all. It all depends on when pts upstairs are d/c and the room turned over for the next pt. But I admit that a lot of times it does seem to happen in "groups" around certain times.
From my own personal experience working in very busy Level 1 ERs, I called report as soon as I had a bed. I wanted that patient gone because there were 5 more that needed that ER bed. I can guarantee that most ER nurses do not purposefully hold patients in the ER. Getting a bed to even call report for is a joyous occasion in the ER.
RedSox33RN
1,483 Posts
We're a huge busy ED, and I can say that our pts 'go up' to the floor when we are notified by the bed placement team for the hospital that they have a bed. So, we have no control over when they go up at all. It all depends on when pts upstairs are d/c and the room turned over for the next pt. But I admit that a lot of times it does seem to happen in "groups" around certain times.