Discharged at the point of death. - page 5
by DixieRedHead 5,837 Views | 42 Comments
Are you getting lots of residents admitted from hospitals that are breathing their last breath or still sick as a dog. Hospital sent me a lady, that went back in 16 hours and died, one on 10 lts of 02 (hello, how high do your... Read More
- 1Nov 27, '11 by lilredrnQuote from DixieRedHeadI wish I could make this happen for my patients who have a poor prognosis, but this creates much anxiety for their loved ones. Often they ask for the patients to be transferred to a medical floor or to a SNF to die. I think they want to feel like they did everything they could.At home in your bed, asleep.
You know, I wish our society didn't view hospice as the "grim reaper." They provide such compassionate care and really do an amazing job facilitating the most comfortable death possible, with as much dignity possible in the most comfortable surroundings.
- 1Nov 28, '11 by nerdtonurse?Quote from Asystole RNI'm in a small rural hospital. We have a set 2:1 or 3:1 ratio, but that would affect our admissions (like holding someone in the ER until another nurse gets in from home) -- and when we are full, it's the MD who decides who goes upstairs. I wish we did have unit case managers for our frequent flyers. We get to decide almost nothing about patient care, as we have a lot of paternalistic MDs -- they set things, not us.You don't have RN Case Managers who coordinate the patient's care and plan the discharge? No RN CNO who sets the overall staffing budget? No RN Unit Manager who dictates patient ratios?
Ah, the joys of rural nursing...