what is everyones view on this?
A Resident attempts to stand from W/C and fall forwad, resulting in a laceration to the forhead. The nurses on the floor cleaned and dressed the wound called MD and obtained order to transport to the ER ( 3 miles from facility) for sutures. Bleeding had stopped, Resident was alert, responsive and oriented at normal, no N&V, color normal flesh tone for Resident, PEARRL, VS at baseline, hand grasps etc. norm for Resident and in no apparent distress. Approx 1/2 hour prior to fall had recieved AM insulin ( regular and NPH ) and had not yet eaten.
Supervisor was called to the floor as nurses prepared to 911 resident to hospital, assessed Resident, got a breif report from nurse on floor and told them to cancel 911. (facility has a van with W/C lift for non-emergency transport) Resident was stable and in no distress, would most likly be triaged in ER for several hours before getting stitched up and would not be fed until return to facility(100% gaurenteed by experience) The Resident was given breakfast, inc. brief changed and warm clothes applied and transported to hospital by van in stable condition and with out distress to return 6 hours later in stable condition with sutures to laceration.
Another Resident calls adult protective services and reports abuse/neglect for cancelling 911 on a Resident in immediate need of medical treatment. Now adult protective investigates if $cost$ of ambulance ride or medical condition was primary reason for use of van. (PPS does not apply)
what is your take on this???
peter
Nursing News