Quote from kellykul
Sounds like possibly this might be a situation where home health might benefit the patient. If I have any doubt the pt is able to care for themselves at home I ask them how they would feel about a nurse coming to the house.
But I do agree these patients are responsible for themselves. We must give them some guidelines with our teaching so they aren't clueless and hopefully won't wait at home too long if something were to go wrong or they developed a complication.
These patients are not given option of home health. Family members take them home. In some cases, doctors have not been available to help patients or change the medications. As a matter of fact twice over I have instructed patients to call their PCP as soon as they arrive home due to blood pressure medication issues.
We will be starting new computer system with discharge teaching soon; but only for a few diagnoses. Not all the doctors are on board with the patient teaching instructions.
Quote from meownsmile
We do all our own discharge teaching. The physicians number is clearly on the discharge papers and we call most scripts to their pharmacy if they want. Thats just one less thing they have to deal with. I have patients call sometimes a couple days after discharge to ask questions. Thats ok though, even though they werent my patient id rather have them call us and ask than not find out. After you are in your unit long enough you will be ok with talking to a post surgical after they go home. And if it is something i dont know about, i tell them they should visit the ER if they are uncertain if there is a problem or call their doctor and the service will have him call them. As long as most of the information you are giving them is in writing so they can reread it after they get home you should be fine. We send home discharge care sheets along with their instruction sheets that help also.
Thank you for your post as well. Interestingly, your response correlates quite closely to my own views. However, I noticed that you hail from the midwest. I grew up in the midwest as well. Unfortunately, in my new place of residence, this is not an accepted practice, to answer patients questions after they call back to the hospital with questions. We are expressly informed that these patients are to be referred back to the doctor's office. The doctors don't or aren't able answer the patients' questions.
It is illegal to call prescriptions in for the patients in this location.
I've been working here for a while. Due to politics, angry docs, litigation issues and whatever else, things just keep a changing.
To heck with theorists Orem or Sister Callista Roy, this is unfortunate.
I have emailed my state BRN to see exactly what the law says. I'll let everyone know when they email or call me back.