We continually have trouble transfering hospital patients to a few of our local NH's if the patient has any skilled "nursing" need. Of course almost all of the transfers have PT/OT referals, and they welcome that, but IV antibiotic tx?, sterile dressing changes?, tube feedings?, PICC line?, central line dressing changes? No thanks, no thanks, no thanks, no thanks, and again, no thanks!
Today, one of their patients came as an outpatient for PICC line insertion, and the charge nurse called to say, "I really think he should stay the night to stablize". "Stablize?! He's not, nor has been, unstable! He is being D/C'd right now and we have sent along our routine care of the line, and detailed instructions on his antibx and it's infusion. Call us anytime with questions or in need of any support."
Do you guys deal with this?
Is this the way it is everywhere?
Thanks for any insight!