ER didnt treat our resident......

[tatgirl]

Hello all. I am posting this in hope of figuring out why the ER acted the way they did.... I work in LTC and I was "floated" to a unit I havent worked on in a couple of weeks. I get report and was told one of the residents had a "distended" abdomen, the doc was aware, was getting pain meds, and this had been going on for a few days. I go to take a look for myself and this mans abdomen was HUGE. The dr happened to be in the facility so I paged her overhead and had her to go take a look. She came back and told me to give him an IM injection of Lasix. I drew up the medicine went into the pts room and he refused. I go back and let the doc know that he had refused, she took the syringe and her and I both went into the room. Once again he refused and said he wanted to go to the ER to have the fluid drained out (evidently he has a hx of ascities and has had this done before) Doc said ok and had me make arrangements to send him out. This man also had diminished bowel sounds, and was gurgling when he was talking. I made arrangements, and called the ER to give them report. He goes to the ER, and a couple of hours later our house doc called me and told me that the ER doc was furious that we had sent them there! No treatment was given to this poor soul. I was in shock, since when does the ER refuse or not treat people who obviously need treatment???? Long story short, the docs argued and the resident was being sent back to us. I charted about his symptoms and his refusal of meds, how he was being sent back to us, and that ER didnt treat him. Now this man is a DNR, but since he wasnt DYING, shouldnt the ER have at least drained the fluid from his abdomen????? Sorry for the rant, but this really ticked me off last night......

Tatgirl

LPN

[Gabie Baby]

I think Gabiebaby needs to TAKE lunch and chill. Good grief we arent writing for our thesis papers are we? And im pretty sure everyone who has posted their thoughts have probly seen instances where what they related happened in just that way. (i dont think i said he refused the ER, but it was said he refused any LTC treatment and wanted ER, which also tells me he most likely had some refusals at the ER, because what he really wanted was admitted. The patient just didnt know there was another way other than ER).

For whatever reason this doc in the ER didnt admit and i really dont know of any that would have(oh and BTW ER docs dont admit GP's and primary physicians have to AGREE to treat on admission). To admit through the ER he would have had to have the medical on call take the case(probly not his dr unless his GP happened to BE on call that day AND had practicing priviledges at that facility), the surgeon on call(probly not familiar with him at all) and the doctor that saw him at the LTC would have been out of the case all together(patient dumping). Direct admit with a referral to a surgeon is one thing but to send this guy through the ER is another.

Regardless, its not anything that needed the reply posts nitpicked and spellchecked and shouldnt have been made that way by Gabiebaby.

So you read into the OP something that was not there, you assumed other behavior at the ER, too. No, Meow, you are definitely not (not "probably", as opposed to "probly" not) writing for your thesis. And if it's not anything that needed nitpicking, why are you now nitpicking at me? No offense was meant, please don't take any.

[meownsmile, BSN, RN]

Hmm, Wordnet, 2003 Princeton University,, as i said chill.. When we need a proofreader we'll call. Get over it and dont hijack threads with this kind of behavior.

probably

adv 1: with considerable certainty; without much doubt; "He is probably out of the country"; "in all likelihood we are headed for war" [syn: likely, in all likelihood, in all probability, belike] 2: easy to believe on the basis of available evidence; "he talked plausibly before the committee"; "he will probably win the election" [syn: credibly, believably, plausibly] [ant: incredibly]

[prmenrs, RN]

Closing thread for moderator review and a 24 hour cooling off period.