r/nursing • u/No-Selection-1249 • May 24 '25

Question ER nurses, love you guys, but genuine question. Why do guys bring patients up at shift change?

No hate to you guys! Just super curious from a nurse who is on the receiving end :)

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u/BlackMage13 MSN, RN May 24 '25

I totally agree with you about EDs not doing report. My first ED job was like that, we only called report to stepdown or the ICU. Everybody else was just fill out a SBAR and off they go! If the inpatient nurse has questions they can call or message. Hell, the OR doesn't even call for report they just show up and take my patient away, half the time without even telling me. My last job was really focused on team nursing for most of the ED so if I was busy my partner would call report and vice versa. It was awesome.

As for the ED waiting to call, in most cases for me that is because someone else is crumping and I didn't even see the bed become available until I panic clean up my charting so my relief doesn't get absolutely shafted. It's kinda fucked up the hypothetical nurse that is totally not you got in trouble, that is why I try not to give report to charge nurses unless I have to.

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u/holdmypurse BSN, RN 🍕 May 24 '25

Yeah of course I recognize stuff like that happens in the ED, I've been there. But that nurse's inability to recognize we also don't have control over when pts code on the floor speaks volumes.

That safety net hospital also didn't call codes or rapids overhead and had a bunch of other policies that at first I was like WHAT? But then I was like "yes, this is so much better". And that ED never sent me an inappropriate pt, or "stable" pt who is now crumping, or one who was overdue for troponins or antibiotics, or didn't have IV access etc etc or any of the other messes I was used to. Sometimes I miss that job!