I don't know if it is just our particular facility or what, but we have had major problems getting the larger facilities to accept pts for transfer. We are a small hospital, and there are certain conditions we are not equipped to handle. But lately when our family docs have tried to get a patient to a larger facility, no physician wants to accept them. I am talking about cases like a 13 y/o with a grand mal seizure (with no history of seizures) who is post-ictal for hours. We do not have a neurologist or a pediatrician on staff at our facility.... took about 14 hours to convince a peds guy to accept this kid....(kid ended up having viral encephalitis)...complicated pneumonia in a young adult failing to respond to antibiotics...the docs at the larger facilities don't want to accept these cases....gets real frustrating at times....anyone else running into this problem?
For many hospitals it is not staffing that is an issue- it is level of service that we are able to provide. Currently I work in home health in a small town 45 minutes from my house. In that town is the closest hospital to my house. It has 25 beds with limited telemetry, no surgical services, no anesthesia. There is a CT but the MRI comes around once a week on a van. In many cases the patients need to get out of there and to a bigger facility. The less urgent ones are transported by ambulance down a twisty mountain road along the river. Until 2 weeks ago, this road had been closed for 3 weeks due to a landslide of 150,000 tons of rock and dirt. Most of the time these folks are flown out. You never know the other side of it until you are there.
Last edit by Traveler on Jan 27, '05
: Reason: spelling