A nurse is a family member too.

Nurses General Nursing

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OK, this might take awhile. My 90 year old uncle,who by the way has never been married and has no children, therefore my parents and my siblings and I are very close to him, is having his birthday party today. My mother called me at work to tell me he was in the ER today and that the Dr. wanted to admit him. My uncle told the Dr. no because of the party. I go down to the ER to see what was going on. My uncle had already left and the ER Dr. and nurses told me they couldn't tell me anything...HIPPA. I told them I understood and asked if my uncle fully understood because he is very HOH. The Dr. told me my uncle was fully aware. I go back to my unit and call my uncle. Surprise!!!!! He had no idea what was going on. He told me he went to the ER to get "cleaned out"

( He does get constipated) and all of a sudden all these other people were there talking to him telling him he had to stay.

I called the ER to tell one of the nurses that my uncle was totally unaware of what was happening and to please understand that he is 90 and HOH. 30 seconds later the ER Dr. calls me screaming at me about HIPPA. When I was able to get a word in, which was quite difficult, I told him that I hadn't called for info, that I was concerned about my 90 year old uncle being in ER with no advocate then informing me he understood everything when he clearly didn't. I wonder if that Dr. would have screamed at a family member if she wasn't a nurse. I am very upset and don't know how to handle this. I did not deserve to be talked to that way.

He didn't understand WHY they wanted him to stay...he came in because he was constipated for Pete's sake. BTW... ER not busy...empty...nurses and Doc sitting talking.

Is it possible that your uncle didn't want to go into the reasons for admission with your family and is feigning ignorance?

Constipation is not an emergency and does not warrant an ER visit. Was there something else going on that he wasn't telling your family about?

I've had to be the bad guy when a patient's family doesn't understand the plan of care or the basis for the patient's decisions, but the patient doesn't want them to have any information and is being vague or outright lying to them about what is going on.

True...It's just frustrating not knowing how serious this might be....what exactly did they want to admit him for?

Why not have him call and seek clarification? Or take him back to the ER and ask.

Thanks, but remember, I was questioning as a family member, not a nurse.

Unfortunately, when you come downstairs to the ED in scrubs with a hospital badge on, you're questioning as a nurse in their eyes. If you call from a hospital extension, you're questioning as a nurse in their eyes. I understand where you're coming from -- as someone who has had multiple family members in her hospital, I promise I do -- but the ED staff just sees you questioning their judgement. Unfortunately, that's the nature of the beast when you are trying to play multiple roles in one building. My suggestion would have been to take a quick break and call the ED from your personal cell phone.

If there are concerns about why they wanted to keep your uncle, I'd suggest taking him back after the party. That will provide you the peace of mind you all need about his condition. Good luck to you all... I hope your uncle is well and that he enjoyed his party!

get. over. it.

It has nothing to do with you being a nurse. Most, MD's are not out to get you simply because your a RN. He felt threatened because you questioned his judgment (rightfully so) regarding the discharge.

OK, let me see if I have this straight, Your uncle went to the ER "to get cleaned out". He was constipated, which is not an emergency at all except in some EXTREMLY rare circumstances. The ER wanted to admit him (per a family member), for some unknown reason (you never explained this), so what we are left with is you claiming that but for your uncles hearing deficit and the staff's ignorance of this; he should have been admtted for SOMETHING. He refused, went home, and apparently, is doing OK.

I cannot understand why you are so upset. The hospital is right in claiming HIPPAA, I don't care if you are the Surgeon General, you are still not entitled to any information.

If you were worried, your only recourse was to present yourelf and your uncle in triage with yourself designated as his DMPOA.

Specializes in Geriatrics, Home Health.
My uncle had already left and the ER Dr. and nurses told me they couldn't tell me anything...HIPPA. I told them I understood and asked if my uncle fully understood because he is very HOH. The Dr. told me my uncle was fully aware. I go back to my unit and call my uncle. Surprise!!!!! He had no idea what was going on. He told me he went to the ER to get "cleaned out" ( He does get constipated) and all of a sudden all these other people were there talking to him telling him he had to stay.

I called the ER to tell one of the nurses that my uncle was totally unaware of what was happening and to please understand that he is 90 and HOH.

Is it possible that your uncle said that he understood, just to get the MD (or other nurse) out of the room, then told you, a family member, how he really felt? I've been there as a nurse more than once, and it was incredibly frustrating.

Call your uncle and get the story.

Specializes in med surg nursing.

Just wanted to give you all an update. I went to my uncles Dr. appt after the incident in the ER. I told his PCP what had happened over the weekend. He told me the ER Doc never should have berated me the way he did and he will make sure that the ER doc knows that. The pcp also told me that my uncle still had no idea why they wanted to admit him!!!! His admission to the hospital would have been for nothing because the ER doc and the doc on call had no idea of my uncles history of A-fib. I, however, do know. I know his complete medical history. Thankfully, my uncle is in good health for his age and we had a great time at his party.

The kicker....I AM on his hippa form!:rolleyes:

Specializes in ICU, Research, Corrections.

Why don't you have your uncle name you as MPOA on every trip to the ER? I

have my parents trained on this. It is very frustrating dealing with HIPPA

when you have the need to know things.

He is 90 and will need a MPOA in the future. It might as well be you!

Specializes in med surg nursing.
Why don't you have your uncle name you as MPOA on every trip to the ER? I

have my parents trained on this. It is very frustrating dealing with HIPPA

when you have the need to know things.

He is 90 and will need a MPOA in the future. It might as well be you!

We have discussed this and it will be our next course of action. Thanks

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