Got sent by dispatch to take a patient from ECF to inpatient room at a small hospital 20 min away.
Get to the ECF and check out the pt in her room; (RN states that she has been weak and dizzy * 2 days; worse than normal); I asked RN if they had VS from the last few days; and was told that their orders were only to do her VS weekly, sunday mornings.
We do a set of VS (which the RN got upset about, because I was told that we couldn't do them (it was thursday).
HR 96 B/P 52/18 (we both checked and even the nurse checked it) couldn't get a SPO2. Pt was confused and weak, though. Loaded pt on cot, on O2, fast to the truck; start emergent to the hospital; Fluid boluses and Dopamine. Called the ED; told them that it was supposed to be a direct admit; but we were stopping there due to the BP and IV's and Dopamine.
When we arrived the charge nurse had a fit because if it was a direct admit we didn't have permission to do anything to the patient except take her to a room.
ED doc walked in asked what was going on, nurse gave her report; without mentioning pt condition. I gave mine doctor checked VS and told us to stick around because she needed a 'real hospital' his words not mine. He also kicked the charge nurse out of the room, asking her to send in a real nurse. We transported her in 25 minutes. Her BP came up to 80/40 with Dopamine at 20mcg/min/kg.
And people say that IFT's are boring, and you never see anything good
You should have contacted the floor first and seen where they want you to bring the patient. The Dr on the floor knows your patient and history already. At least you didn't divert to another hospital