inappropriate admissions....discuss

Specialties Geriatric

Published

What a fugly day-our admissions people really dropped the ball on this one.We have 2 secure units in the facility and I have lost track of the number of mobile batty folks that they admit to the open units who end up being transferred that same evening. What a mess today-wacky resident with the oddest family dynamic going on-truly I have never seen anything quite like this one. We sounded the alert to the upper echelon within a half an hour of the admit's arrival this am and by the time we got the resident to the appropriate unit it was change of shift.I'm beat....Don't most LTC's send real nurses into the field for interviews? Why are these unskilled people making these decisions? What a mess-and added turmoil for the resident and family too-I could JUST SPIT!!! I'M:yawn: I'm:angryfire I'm:cry: I'm just disgusted by the entire mess....the supervisior runs around like a chicken with her head cut off-and she is "old school" to the extent that she is an RN and no-one else had better attempt to have thought unless they are her peer..However she is so frickin scatter brained I think she is getting dementia.....But I swear I came close to smacking her down today-the doc was down the hall doing the admission H and P and told her he wanted the chart-I proceeded down the hall with it-she approached me and said " Hurry up,run,run-he is waiting" Run? RUN? Kiss my booty!!! I should have thrown the chart to her and told her to RUN....RUN! :bowingpur Yes ma'm-right away,ma'am....HELLO-this is 2009-we don't RUN BECAUSE THE DOC IS IN A HURRY...Anyway-he really wasn't but that is how things were back when she was on the floor.They used to actually open the chart on the desk in front of the docs and TRUN THE PAGES FOR THEM! :bugeyes: O I'm tired....

I am angry with the SW, DON, and ADON at present for accepting not one, not two, but three residents with problems we cannot handle, completing the admit only to see the resident shipped out in less than 12 hours d/t severe health and mental issues. What was the point? Ih yes, I know they had great insurance and we are having a funding crisis. What about the needs of the Resident?

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and the other residents? We spend so much time on these difficult admits that the other ones suffer. Oye...

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Specializes in Gerontology, Med surg, Home Health.

At one place I worked, we had very high acuity patients but,let's face it, we're still a SNF not a hospital. When we heard an admission was coming up in the elevator, the other nurse or I would run to the elevator to make sure we would let the resident off the stretcher. We had one guy come in with significant respiratory distress...he was turning blue...and was not a DNR. I told the drivers to turn right around and bring him back. They couldn't so I had to call rescue. What a mess...

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Specializes in LTC,Hospice/palliative care,acute care.
and the other residents? We spend so much time on these difficult admits that the other ones suffer. Oye...

We have so many 1 on 1's that there are times we work our 42 bed unit with 4 cna's because we have to pull someone to sit...And we don't even charge extra for the service....

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"totally continent, minimal meds, ambulatory" They end up showing up--602 in hand, with a dementia diagnosis, incontinent of bladder and bowel, total transfer assist, late riser, fussy and mean.

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Specializes in Rehab, Infection, LTC.

our DON last week had a little meeting and told us we'd better get our fall numbers under control or she is going to start writing people up.

yeah ok...you approved a pt that was in restraints in the hospital until the very SECOND he was transferred to the transporting stretcher. and then you get pist cuz he falls 3-4 times a day????

you approve orders on patients that have prn ativan, haldol AND geodon, not to mention they are on seroquel 4 times a day. the case manager at the hosp says they have no behavior problems so you approve them. did you ever think they had no behavior problems because they were drugged outta their mind???

pt with brain CA with mets so sick can barely raise an arm...and we are going to rehab them???

i havent read the thread. i just saw the title about unapproriate admissions and got on my soapbox, lol.

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