Admissions people

Specialties Geriatric

Published

Specializes in Gerontology, Med surg, Home Health.

I know everyone has a job to do, but I've just about had it with the admissions people in my building. One of them sent me a text, about me, meant for someone else and it wasn't very nice. The other one talks down to me as if HER opionion of who we admit is more important than mine. I want my building to be full, but I want it to be full of people we can care for and then send home. I have a list of "I told you so" in my desk. All the ones they convinced the administrator to take who have either been long term or behavior nightmares. End of rant.

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How disrespectful. .. Is the Administrator aware of what is going on? Undermining the DON is a no no!

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Specializes in Gerontology, Med surg, Home Health.

No, he knows I have issues with one of them but I don't like to rat out my co-workers to him. Believe me, I've saved the text and if it happens again, I'll share it with him.

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oh no.....in the words of Fred Sanford "You big dummy!".

She must have felt like a complete idiot when she realized what she had done.

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Specializes in Rehab, LTC, Peds, Hospice.

I think it's a good thing you got the email. Now you know exactly what you are up against. Sorry you have to deal with this though.

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Specializes in NICU, PICU, Transport, L&D, Hospice.

Personally, I wouldn't wait to share the unprofessional and destructive behavior verified by text with administration. Health care requires a team approach to successfully meet the needs of the patient. TEAM cannot survive the behavior you describe.

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Specializes in Geriatrics, WCC.

Having just finished a run of 5 different facilities for one corporation as the Interim DON, I know what you are saying. Their Admissions people are not nurses, they make all the decisions on who to admit per a list of who to accept from corporate. It's the "head in a Bed" methodology. In order to refuse a resident, it has to be run up the ladder to a corporate person. I have had to send residents back to the hospital due to being unable to handle them in the facility, or providing 1:1 for them. Not easy to staff a 190 bed facility and provide 1:1 for 6 of the residents at the same time. I feel your frustration.

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Specializes in LTC,Hospice/palliative care,acute care.

Why do these people have such power? I have stepped on the toes of ours a few times regarding code status.They focus on the needs of the family, not the resident. I get that. But how dare you, a non--clinician-try to tell me how to do my job? Don't go to the DON's office to complain about me contacting the family member of a hospital transfer at 4 :30 on a Friday night regarding the code status because the family is not coming to the facility until the next TUESDAY to compete the admission and drop of clothing and the resident is SOB and desatting and looks like warmed over death, he is confused and calling out with pain and review of the transfer info reveals he is full of CA and 98 years old. BUT YOU told the family he was appropriate for short term rehab, could use up his skilled days at no out of pocket cost to them .....WHAT??? He lived less then 3 weeks and PT,OT and ST basically sat at his bedside and documented watching him die....Couldn't bring in hospice for support.have to consider the bottom line,you know. At least he did receive good end of life care from our staff. And,I had just left the DON's office with permission to work over time and get the family on the ball to deal with the advance directive.

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Specializes in critical care, ER,ICU, CVSURG, CCU.

you have to choose your battles, and sometimes i have had to go to Admin, and remind them rhat it was not just my lis. liability when level of care could not be met, actually the administrator may have actually more liability, those poor decissions that result in IJs......sting for a while....... some times admission coordinators are only after their bonus and % occupatancy quotas..... and do not see the big picture :nono:

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Specializes in LTC-Geriatric-PPS-MDS.

Sadly our admissions coordinator IS a nurse... and still makes the same decisions and does not "Consult" with MDS (to do a PAS prior to admissionfor MCd or for PPS to observe for skilled services) prior to admission.

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Specializes in Gerontology, Med surg, Home Health.

In theory, as the DNS, I have the final say, but if I say no and my case manager says no, the admissions people often remove the sheet with our comments on it and hand it to the administrator. Sometimes I literally stomp my foot and say "Are you crazy? We can't care for that person and don't make me get the list of I told you so's out of my desk." I'M the one with a license to protect. These women used to be activities assistants...

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Specializes in LTC,Hospice/palliative care,acute care.
In theory, as the DNS, I have the final say, but if I say no and my case manager says no, the admissions people often remove the sheet with our comments on it and hand it to the administrator. Sometimes I literally stomp my foot and say "Are you crazy? We can't care for that person and don't make me get the list of I told you so's out of my desk." I'M the one with a license to protect. These women used to be activities assistants...

One of our problems starts with our administrator-the policy is "the customer is always right" The DON keeps reminding her over and over that the DOH still expects us to deliver appropriate care and not just give in to unreasonable family demands. We are all working at cross purposes and no-one's ego will allow them to admit the bottom line is the care of the RESIDENT. Our DON does have the final say but it gets ugly in there. I have seen it myself.

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