Special treament of a patient with money

Nurses General Nursing

Published

Guess this is a combo ethical situation/vent:

So in the ICU in which I work, we have a patient who had cardiac surgery, did well post op and all...but she is a well-to-do lady who apparently is buddy buddy with a hospital administrator and also frequently invests millions of dollars (through her business, I think) into my hospital every couple of years.

We all knew she was coming in for surgery. Several days prior to her admission, the hospital blocked off an ICU room, had it terminally cleaned, and taped off. Under no circumstances were we to use that room. Mind you, during this time, my hospital was on ICU divert in the ER (bc of lack of beds). They also blocked off/terminally cleaned a private room on the tele floor, in anticipation of her departure from the ICU. There has also been a shortage of tele beds lately, too.

The whole situation with her has been a headache for many reasons. One, the whole blocking off room thing. Two, her personality. Besides being filthy rich, she is demanding and unreasonable...wants a fresh box of tissue paper each morning, flowers in her room (which we do not do in the ICU), linens changed twice a day, special food that we have to obtain in the dead hours of the night.... She has even been dictating how she wants her nursing/medical care. Normally, unless a patient is unstable in my unit, we get all of our surgical patients out of bed every morning...well she doesnt like that at all, so we have been told to let her do what she wants. She also decides when she wants her medications, regardless of our medication schedule. My manager even said we have to make her a 1:1 assignment at all times (even though she has been completely stable the last few days, no drips or lines) and he even picked which nurses he wants to take care of her each shift, presumably bc he thinks some are better at "customer service" than others, regardless of how good of a nurse they are. She even has a hospital sitter in her ICU room to get her whatever she wants...again something we dont do in the ICU.

The whole thing is disgusting. It seems like money can get anyone anything. And its a shame that the uppers in my facility are just falling all over this lady and catering to every need, no matter how unreasonable. LOL the hospital CEO even telephoned into the operating room during her procedure to make sure everything was going ok.

The nurses in my unit are totally disgusted by all this show. We treat all of our patients equally and provide excellent care to everyone, regardless of their bank account. And keeping beds open for days before her arrival, in our opinion, is unacceptable when there is a patient in need of that bed. Makes me miss the county hospital I worked at, where there were no special privledges, only good nursing and medical care.

**Update** When I left work this morning they were planning on transferring the princess out to her telemetry "suite". The hospital adminstrators were planning on stopping by to escort her to her new room, which by the way, was supposedly going to be full of flowers and candy, balloons, and gifts...all from the hospital **GAG** What a spectacle.

Specializes in UR/PA, Hematology/Oncology, Med Surg, Psych.

I know how money talks in this society, but just because something is a certain way, it doesn't make it ethically or morally right. So she is "special," and the patient having a MI should be transported to a further hospital so as to not dirty her room prior to her using it. She is "special", so who cares about the patient down the hall with worsening respiratory distress due to her flowers.

So she has money and donates to the hospital. Justify it anyway you want, it is wrong. We as nurses are supposed to treat all of our patients to the best of our ability, not on their bank account. You can't have it both ways. Either everyone deserves the same in healthcare or not. You can't you treat everyone the same, except for the "special" people.

If she wants to pay for special treatment, she can get it at the spa, the Hilton, Rodeo Drive, the Mercedes dealer, the airline, or wherever. But not in healthcare.

Just MHO.

Specializes in Hospice, Med/Surg, ICU, ER.

If she wants to pay for special treatment, she can get it at the spa, the Hilton, Rodeo Drive, the Mercedes dealer, the airline, or wherever. But not in healthcare.

Just MHO.

Your screen name says it for you... you're dream'n.

Without taking a moral or ethical stand on this issue, the fact of the matter is: here in the USA; $$$$$ talks!

My hospital is planning to install luxury rooms with 1:1 staffing, special meals, concierge service, etc. I am all for it is the customer (pt) can pay for it. If I could pay for it, I'd want that kind of service too.

dang, i can be bought.

cha-ching.

leslie

And how do you know that she did not pay for those rooms ahead of time to be terminally cleaned? How do you know she is not paying a big old load of cash for her stay? I bet she is paying a pretty chunk of money for her extra treatment. There are concierge medical services here that will provide for those things but the people pay for them. I do not begrudge anyone anyhting they can pay for.

Just a thought here, too...if she's paying for those services, then she should have a PRIVATE nurse, hired and paid for privately, not assigning handpicked staff to care for her. That doubles up assignments on the rest of the staff, and the other patients have to do with less nursing care in order for Miss Aster to have her special hand picked nurse on each shift.

I wouldn't have a problem with the specially cleaned rooms, they should be more thorough in cleaning rooms anyway.

But she shouldn't be able to hold the room for days ahead of time just in anticipation of her surgery.

Things like flowers in ICU....I think the nurses should toe the line on that one. No flowers for her, because it might be good for the other patients.

Just my 2 cents worth, which ain't much.

Specializes in UR/PA, Hematology/Oncology, Med Surg, Psych.
Your screen name says it for you... you're dream'n.

Without taking a moral or ethical stand on this issue, the fact of the matter is: here in the USA; $$$$$ talks!

My hospital is planning to install luxury rooms with 1:1 staffing, special meals, concierge service, etc. I am all for it is the customer (pt) can pay for it. If I could pay for it, I'd want that kind of service too.

Perhaps I am dream'n, but I tend to think that most people do care about ethics in healthcare. And again I say, even though you are correct that in the USA; $$$$$ talks, that doesn't make it all right. And if I could pay for the special treatment, I wouldn't want it because I believe that someday I will have to account for my actions and that I spent $$$$$$ on perks instead of lending a hand to my fellow man with that money I wasted. Everyone has a right to feel or believe anyway they want. But that is my own personal belief. So let's agree to disagree.

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