Scenario: pt dumped from ER to our unit at change of shift. we're in report. no one knows when pt arrived. no one has looked at pt. pt has no tele monitor on. so, ok, a full admit and big assignment, what else is new? no prob. *sigh*
then.... it turns out that last shift was made aware of possible admission 2 hours prior, and the pt's orders were entered fifteen minutes before report started.
Given that orders are passed from the pt's in-transit bed to the unit sec to enter them, and orders were put into the computer (completely!) before report was started, leads me to believe that the pt was on the floor at least a full 20 minutes before report was started....and therefore, that SOMETHING coulda been done for the pt. by the prior shift. vitals, tele box, water pitcher....anything.
i sorta felt like I was had. And I said so to the Charge.
Well, frankly, pts appearing on the floor as if by osmosis happens all the time and I usually don't get upset about it, and I've never made a complaint about it, except then, because I'd still feel better about doing my own assessment, etc.
I came home wondering WTF happened, was I PMS'ing or what?
OK, so it turns out that I do have the flu, but still, in addition to feeling like yukstuff over having the flu, I still feel like crap over this, because, as you all know, I really DO love my job. (99.99% of the time....)
But I can't think straight at this point. I have actually found myself going to websites looking at those flashing blue lights that KMart uses for specials to see if I could buy a bunch of them to use for ER transporters to stick to the wall of the admit's room, to alert us to admits,
or to require the ER folks to place the monitors onto new pts as they pass the desk where the Unit Sec gives out the monitors in the first place, which would at least alert the monitor tech to the new admit, who would then alert us--
sounds a tad obsessive? rambling? yes, I admit it. I need help.
And yes, I realize that the root problem is lack of interdepartmental communication and "something" needs to be done about it.
But what? What are your thoughts on the matter?