3-11 shift
22 beds, census 21
Start report
3:05 patient falls, bleeds, 911. IR, transfer paper, copies of chart, etc.
3:10 patient left alone on toilet by 7-3 falls, hits head, 911. IR, transfer paper, copies of chart, etc.
7-3 not only took no responsibility for fall #2, much less #1, she told me she has to chart, so 'get back to me when those two have been sent out'. Nice.
Back to report.
Count. Narcs missing. Told 7-3 not taking the cart till it's audited.
Phone call, wife is coming to discharge her husband, NOW.
Admissions director comes by, asks why there are two ambulances out front, and "How many empty beds do you have?" Told her "One- the other 2 are going to the ER, but I'm sure they'll be back- don't get any funny ideas, this place is already a DISASTER". Did not tell her about the call from the wife coming to d/c her husband.
4PM, she drops THREE admit packs onto my med cart, says "You need to get housekeeping to prep those other two rooms, and pack up their stuff- if they come back, they're going to the long term care hall. I need those beds!".
5PM, wife comes to take husband. Same exact time, a patient died. But he was DNR, so that was a walk in the park.
2 falls/discharges, 3 admits, a sudden discharge, and a death/discharge. Almost all before the first med pass?
Yes. I confess. I dropped the f bomb. But I learned- never again did I get report without my first making rounds, or getting report given to me DURING rounds.