discussion/questions about report between floors vs ed

no hate or shade, just a couple of questions to maybe better my side and my point of view. i am an er person (although i absoutely love my sickies that i am running multiple drips on and intubations). so much respect to icu however couple questions i would love to hear comments on:

* (ive had an icu nurse float to the ed and reject my assignment, and had an icu nurse float to the ed and run away from helping me with an incoming very sick patient)

1. i haven’t understood asking about skin issues since icu does the skin assessment full head to toe bath right when they get there. (i always make sure to document and take pictures and upload them IF they come regarding sepsis or any kind of ulcer they have while i completely change them out of the clothes ive had to cutoff)

2. i get slightly knowing what vent settings the patient is on however i don’t have time nor the absolute knowledge of what goes on completely with the vent (just the er basics like peep, tidal volume, and fio2). why is it i get such harsh judgement for not knowing everything.

3. not just wondering icu but medsurg and stepdown as well why is there such judgement on not having inpatient orders for patient in the ED

4. im sorry but there usually isn’t a diet ever ordered in the ed unless they’ve been a hold patient for longer than 12 hours. we might get the verbal but its hard to go through everything

5. why is it such backlash on ed when we governed minimal report, now im talking i give the basics but deep deep history and complete knowledge of EVERYTHING on a patient i dont understand.

6. im suppose to stabilize, not immediately fix. not granted ill fix a very high bp, but if a patient is very non compliant with htn meds, it does it worse to completely tank a bp to normal range that quickly when a patient isn’t use to it.

*sorry for the long post im just a new grad trying to show grace and understanding when it comes to report and maybe help me know what to let floors know. i work in a very busy level 2 trauma and the #1 for stroke/neuro, #1 cardiac, #1 in transplant and we see about 215 average patients ON A GOOD DAY, it’s hard to rotate and know everything but id like to know how to become better. thank you!