So all you hospital rn's let me give you a scenario that is occuring in my hospital starting in March.

  In order to expedite the transfer time of patients out of the ER our hospital will start transfer of patients to the Acute Care setting without giving report first. The report will occur at the Acute care bedside AFTER the patient transfer out of the ER. What problems do you see with this policy and who will be held responsible for possible untoward "setinal" events that might occur after transfer?

What steps would you take to protect your licensure in this situation? How do you see this affecting your practice?

Interesting comment . Changes happen in policy all the time. For example our hospital went to a new kind of foley. But after numerous complaints from Patients they went back to the old foleys. They were initially changed without clinical imput . This kind of change whether unintentional or not is a safety and customer service issue. It is our job as nurses to speak up for safety. Sometimes changes are not always thought out to the best of their intentions. Any ways as with the foleys no one is asking my opinion. But i will make my conserns known to my boss.

Just have a follow up question.  How is the transition working?

Medical facilities sre like other businesses.  They are always looking to be more efficient and save money.  Sometimes what looks good in the board room does not look very good when the practice in the field adversly affeacts client safety.

so for a followup to those who are interested.... they decided to fax a report to the floor nurse first and then give report at the bedside. this had to be kiboshed as the fax transmittals were almost always illegible. now they have a computer screen they want us to look at so we can assess them there first on the computer and then in person with the ER nurse at the bedside.