We're seeing a larger influx of homeless coming in who aren't accepted at the shelters saying that they "have ankle pain", etc. While they aren't completely overwhelming our emergency room, the worry is that one of these times someone will be in need of care but no one will see it because "you know, it's just Steve
So we do the million-dollar-workup each and every time they come in. It's draining and time consuming.
Yes, this is typical in my facility. They complain that the shelters are not safe and that they would rather sleep outside but tonight is too cold or too rainy, etc. usually, they know the right complaint, know they can refuse to go to fast track and drag their feet with regards to their care. They will refuse to speak with md when he or she arrives (prompting some residents to "wait a minute") buying the patient hours on end sleeping in stretcher. They will refuse labs until they see md to delay process. They will refuse to speak to nurse so process is slower than usual. What is your question?
Last edit by VICEDRN on Oct 14, '12
: Reason: Typo