ER Abuse - Page 4

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  1. Dec 1, '11 by
    Well this is super frustrating to read because now I see what the LT nurses have to deal with! Although.. I did get a pt twice (same pt, 2 different times) that came in for seizures, with, A HISTORY OF SEIZURES! Just thought that was really strange. Like really?? You can't send out for labs and have the doc adjust his meds in house? 1st time not sure what happened to him if he was admitted or not, the 2nd he was sent right back once he was out of his postictal stage.
  2. Asst. Admin
    Dec 1, '11 by
    Quote from LindsayRNer
    Well this is super frustrating to read because now I see what the LT nurses have to deal with! Although.. I did get a pt twice (same pt, 2 different times) that came in for seizures, with, A HISTORY OF SEIZURES! Just thought that was really strange. Like really?? You can't send out for labs and have the doc adjust his meds in house? 1st time not sure what happened to him if he was admitted or not, the 2nd he was sent right back once he was out of his postictal stage.
    I'm glad you recognize the dilemma of a nurse in LTC....the "nurse" has 50 patients and one of them is seizing, another has fallen, another's in CHF....the MD doesn't come until next week and won't answer the phone/return pages. These poor nurses are overwhelmed, understaffed AND under trained/under equipped...they just can't keep thme and keep them safe. What drives me batty is the gum snapping, pierced, tatooed 14 year old (sorry for the sterotype) wanting a "Pi$$" test to see if the are "knocked up" and the "fever" patients that A) have not had tylenol B) have not called the MD C) haven't had their temperature taken they just "felt" warm.

    But to be fair we have to blame the system that rewards them for going to the ED. That makes it easier to see emergency treatment than follow up with a PCP
    ~*Stargazer*~ and psu_213 like this.
  3. Dec 9, '11 by
    Quote from misswhitney
    We frequently have patients who are frequent fliers at my hospital. Pain med seekers often hospital hop. We have a problem with nursing homes sending us patients they simply do not want to have there anymore. We had one patient get sent to us for something that was common with their disease. When the ER cleared them, the nursing home refused to take them back (seriously, took about 4 hours to eval him and for the ER docs to state it was pointless for him to have even came to the ER-they ended up getting admitted because they had nowhere else to go. Wasting tax payers money). That should be illegal.
    It is!!!!!!!! A nursing home cannot refuse return of a previously accepted resident if he/she has been cleared medically for any condition that would require treatment/care that facility is not capable of providing. They are legally responsible for the patient's care and have received payment for such.