I'm so frustrated at the inadequate care I see some of my patient's receiving in the ER's before arriving on my unit!
I know Psych patients pose many challenges in the ER but come on! I've seen everything from a missed & untreated broken hand, to pieces of glass left in someone's head, to a patient arriving from the ER so dehydrated from not eating or drinking for days that I've had to send them right back to the ER for fluids, to a patient arriving after a car accident bleeding from his ear without even a CT done.
I know this is certainly not true everywhere or for every ER, but it seems the local ER's near me do the minimum work up so they can move them out of the ER as fast as possible to an involuntary pscyh bed. Frustrating!
Some of our hospitalists openly refuse to come (if we manage to even get a return phone call) and are often rude to the nurses. We had to contact the house supervisor on a rather regular basis. One doctor finally crossed the line with some serious verbal abuse to one of our nurses (was not the first time, but was the worst incident) and our psych doc and unit manager got involved. The doctor had to step down as lead attending hospitalist.
Things are better now as 3 docs volunteered to be the only docs who come here. We usually see only one doc, but we are satisfied as he is a great doctor and person in general.
Last edit by inthesky on Jan 21, '09
: Reason: more information