Hi Tracey,
We currently hold about 20-25 patients at times. Usually they are cared for by
the ER staff at which time we don't do the admission paperwork. Occasionally,
usually dayshift, we get a flex pool nurse who will staff a unit in our dept.
called the Clinical Decision Unit. It was a 7 bed unit that was designed to
hold the asthma patients, etc. who need a little more observation prior to
deciding to admit rather than just admitting. However, it has become a hold
unit. When we first opened our new ER a little over ayear ago the unit was
staffed with all flex pool nurses and they did all the inpatient paperwork. The
floors loved it. However, the floors were than having to cap earlier because
the nurses who were staffing their floors from flex pool were pulled to the ER.
So the hospital canned that idea. It's a shame because the ER staff was happier
being able to concentrate on ER patients and traumas and the floors were happier
getting a patient who has been in the ER for 36 hours with the completed
paperwork. If you have enough flex pull staff you may want to consider that an
option. I think it really worked out well but there wasn't enough staff to go
around.
Good Luck,
Jane
----- Original Message -----
From: whaddayanuts
To: emergency-nurse@yahoogroups.com
Sent: Sunday, October 16, 2005 9:44 AM
Subject: [emergency-nurse.org] admissions nurse


Hi all!
I know we have visited this topic before (i cant find it though) but
i am developing the position of 'admissions nurse' (aka bed nurse
etc) in the ED.
I would like to make it beneficial for both the ED and the floors
and make it help the flow of traffic through the ED.
Currently I fill out the 'admission assessment', enter
administrative data into the computer, develop and enter the care
plan, and do the 'flu/pneumonia shot screening'
Floor nurses love it, as it cuts down on their paperwork when the
patient arrives, and helps when family members (who help with
assessment information) leave when the patient goes up to the floor.
currently this position is on a temp basis, but if i can develop it
to meet the needs of both ED and floor staff i have a better chance
of making it more permanent.
do you have an admission nurse?
if so what are her duties?
does one nurse do this or are there several who fill the position
(ie; floor nurses picking up extra time?)
do you find it helpful?
thanks for your input.
tracy





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