I usually do not have any trouble giving report to a LTC facility. However, I have been having problems the last 2 times.
Example #1 the receiving nurse getting loud with me that I didn't know if the doctors planned on continuing IV fluids at the facility and actually made me get the doctor on the phone.
Example #2 The receiving nurse getting loud with me that I did not know off the top of my head how many days my pt was on IV antibiotics and even went as far as telling me "Well you should know!"
Am I missing something? Do they know how much goes on in an hospital that some details are not readily available? I feel like these two times I was being bullied by these nurses and talked down to. I am so close saying, "Ok I know that info is important to you, it is in the chart and not available to me right now, We have to get on with this report because I have pts that need me acutely!" Would that be unprofessional? Any suggesitions?
As a discharge planner it is my job to ensure a smooth transition to whatever facility the patient is going to. Thankfully, the admissions coordinator comes and evaluates the patients. They copy the chart to take with them to set up care for the patients. In the rare instance they can't come and eval I fax face sheet, H&P, mars and progress notes so they will know what is going on and if there is any special equipment needed.
The nurse giving report from our end gives them report using a format we set up so they get all the needed info.
Specializes in ICU, SDU, OR, RR, Ortho, Hospice RN.
There is always a right way to speak to any collegue eh?
If I had someone speaking to me in a loud angry voice I would ask them to not do so.
I feel her first question is reasonable (apart from the loud tone) but if you did not know the answer I would have offered to find out and phone her back with the up todate information.
Making an easy transition for the pt is what this is all about.
Just remember not to let yourself sink to the yelling loud stage. Be the professional that you are and then you can hold your head up high eh?
Our hospital just copies the entire chart and sends it with the patient. No nurse to nurse report. No problem. :)
Maybe you should suggest it.
We have had other hospitals to that when sending pts to our rehab unit. We hate it. I don't have time to sit down and go through a chart - esp a charting system that I am not familiar with. Some people's handwriting is hard to read, esp when photocopied. We get 4 weeks of vital signs - I only need the most recent. We'll get 4 weeks of lab reports, again, I only need the most recent. Not giving a nurse to nurse report is inconsiderate and can result in a lot of important info being missed.
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grammyr
321 Posts
As a discharge planner it is my job to ensure a smooth transition to whatever facility the patient is going to. Thankfully, the admissions coordinator comes and evaluates the patients. They copy the chart to take with them to set up care for the patients. In the rare instance they can't come and eval I fax face sheet, H&P, mars and progress notes so they will know what is going on and if there is any special equipment needed.
The nurse giving report from our end gives them report using a format we set up so they get all the needed info.