Flaming Mad at Local Hospital!!!

Jay-Jay, RN · Apr 30, 2003

:angryfire :angryfire :angryfire :angryfire

Okay, here's what happened. My father's health has been declining rapidly for several weeks now. This morning, my mom could not get him out of bed (he's 88, she's 90). My brother left work to be with him, and at my prompting, called for an ambulance.

They took him off to hospital around noon and kept him all day. When he arrived there, he was unresponsive and unable to answer questions. They did a full battery of tests: CT scan, bloodwork and urinalysis. Due to SARS, no family members were allowed in the ER, so my brother and I stayed home with Mom, and kept in contact with the hospital by phone.

Finally, my brother left to go home and get some clothes so he could stay overnight (mom is legally blind, and dependent on my dad to be her eyes.) I called the hospital at 5 pm to get my dad's test results. I was told that he was 'fine' ....coherent, and in his right mind. The nurse 'thought' he was mobile, but wasn't sure. She said they couldn't find anything wrong and 'all tests were negative, so we are sending him home by Ambu transport.'

I pressed her for more information. She said she'd just come on shift at 3 and didn't know anything. She passed me to another nurse, who said my dad 'did not have an infection' and his CT scan was negative. I wasn't terribly happy with their report, but decided to allow them to send him home.

He arrived home around 7 pm. It took two people to get him off the stretcher and into a chair. His legs would not support him. As soon as he stood up, he urinated all over the floor. I got him settled in the chair, brought him some dry clothes, and fed him supper. Yeah, hospital hadn't even bothered to feed him! Mom supervised his meal, while I got on the phone to the hospital, with smoke coming out of my ears!!! Before I did so, I glanced at the papers the hospital had sent home with him. Well, well, well, what have we here?? A script for SEPTRA??? And the nurse told me he did NOT have an infection?? Yeah, RIIIIIGHT!!

Once I got a nurse on the phone, I demanded to know WHY he had been sent home when he wasn't even able to walk without assistance. The nurse responded, "Well, we understood that you had a meeting set up for tomorrow to complete long term care papers."

I angrily informed her that the papers required an examination by a doctor, and just HOW was I going to get him to the doctor's office in the shape he was in?? And, moreover, you cannot get someone into long term care just at the snap of your fingers...it takes time. Meanwhile, we are stuck with him at home. There is NO bathroom on the first floor of the house, and nowhere to put a bed, either. Mom doesn't even have a hideabed couch. So far, we have ONE hour a day of homemaking services to get Dad up and dressed, and that's it. Hardly enough for someone who cannot even walk to the bathroom. And of course, both my brother and I work, and neither one of us lives with Mom and Dad anymore.

She passed me over to another nurse who was more sympathetic and better able to answer my questions. She went to look for dad's chart, to see if she could find out why he had been put on Septra. Meanwhile, I'm glancing at the test results they'd sent home, and figured it out for myself. He had a UTI. Hmmm...no surprise there! He had a cystoscope done last Thursday. I checked my watch, and realized the pharmacy was closing in ....ooops!! FIVE MINUTES!! I dropped the phone, and sprinted for my car. Got there just in time to get the medication.

When I got back my brother had returned, and we decided to get him settled in bed. Dad is just over 6' tall and weighs about 185 lbs. Luckily, my brother is 6' 1' tall, and I'm pretty tall too, and as a result of my nursing, know body mechanics. Between the two of us, we managed to get him upstairs to bed, but there was more than once on the trip when I was sure he was going to topple backwards down the stairs. I did pericare on him, and got him settled. Meantime, he was humming and singing to himself, totally out of it. My brother and I had to use main force to get him to lie down on the bed, as he just wasn't capable of following our instructions.

AAAUUUGGG!! I am SO furious at this! I tell you, E----------General Hospital is going to hear from me tomorrow! I am totally DISGUSTED at what they did to this poor man!

sedate_me_stat · Apr 30, 2003

I can understand and I would also be very angry

I'm not trying to defend anyone or what have you but it was an MD That wrote the order for him to be discharged correct?

I work in a hospital where there is confirmed SARS and really anyone who absolutely does not need to be admitted is sent home. Again not trying to take anything away from you or your situation. Hope your father feels better soon. I know that nurses are capable of bad behaviour and this is clearly an example of that. I'm thinking it might be the extenuating circumstance of the SARS crisis that lead the to abrupt answers. I worked easter weekend and spent far too long on the phone. I understand that the family members are frustrated and upset, however the lenghtly calls meant even less time for me to take care of their mums and dads. Healing thoughts.

~Paulette~

sedate_me_stat · Apr 30, 2003

I can understand and I would also be very angry

I'm not trying to defend anyone or what have you but it was an MD That wrote the order for him to be discharged correct?

I work in a hospital where there is confirmed SARS and really anyone who absolutely does not need to be admitted is sent home. Again not trying to take anything away from you or your situation. Hope your father feels better soon. I know that nurses are capable of bad behaviour and this is clearly an example of that. I'm thinking it might be the extenuating circumstance of the SARS crisis that lead the to abrupt answers. I worked easter weekend and spent far too long on the phone. I understand that the family members are frustrated and upset, however the lenghtly calls meant even less time for me to take care of their mums and dads. Healing thoughts.

~Paulette~

jnette, ASN, EMT-I · Apr 30, 2003

I'm so sorry you and your dear family had to go through this.

It's such a shame and such a waste of precious time and energy.

Hope all goes well from here on out and that your Dad gets the care he needs... and deserves.

Hugs to you all.

jnette, ASN, EMT-I · Apr 30, 2003

I'm so sorry you and your dear family had to go through this.

It's such a shame and such a waste of precious time and energy.

Hope all goes well from here on out and that your Dad gets the care he needs... and deserves.

Hugs to you all.

P_RN, ADN, RN · Apr 30, 2003

Jane I hope your dad gets better soon. I've been there.

Why do we have to assert/force/threaten doctors to do what is the obvious?

I often wonder why more nurses and doctors don't catch the link between UTI and confusion. For as long as I can remember that was drilled into my head. I've dealt with the elderly most of my nursing career.

Confusion?=UTI more times than not.

Just last week my sister recognised Mama's behavior indicated just that. She took her to an urgent care center where she had to almost FORCE the doctor to do an in and out cath and do a u/a c&s. It took threatening to call the administrator to get it done.

Now my sis is not a nurse...she's an attendance officer in a school.

Nurses and doctors see a LOT of elderly. WHY don't they recognise this?

P_RN, ADN, RN · Apr 30, 2003