Flaming Mad at Local Hospital!!!

Nurses General Nursing

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: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!

S.N.A.F.U. Jay Jay; I hope it goes well for your parents. I would like to say that this sort of episode never occurs on this side of the Pacific but not even I can tell Porkies that big.

Originally posted by Token Male

S.N.A.F.U. Jay Jay; I hope it goes well for your parents. I would like to say that this sort of episode never occurs on this side of the Pacific but not even I can tell Porkies that big.

i know the word snafu, but what does it stand for?

Originally posted by Edward,IL

I have been doing home health for years (US). This is yet another example of poor discharge planning/lack of communication between the providers and the patient's family. I'm sorry it happened.

This is what ya'll would call "the American way". We're fed a daily diet of this kind of crap.

Just my opinion.

I do home health as well and there were many times the dicharge planning was not communicated in a timely, and accurate manner. And it made my job harder. So I know what ya mean. Best of luck to the to all. ~Amanda~

Specializes in LTC, Alzheimers, hospice.

Well thank god your dad got the help he needs & extra heavy duty prayers will be sent you way.

nrw350.

SNAFU= Situation Normal All F****d Up and another personal fave FUBAR F'd Up Beyond All Recognition....

Tres

Just some questions and observations....

Could you not have worn a mask and/or gown to be allowed to stay in your dads room at the first ER?Doesnt make sense to me how they got him discharged without anyone being present.

Also,did they not stand him up and walk him at the hospital?Or try to?

I used to work in an ER.And I know,yes,the hospital got full at times,and we had to juggle patients.But,we had a policy(which admin didnt like to use)that we would call toall the local hospitals and find this person a room if they truly needed to be admitted.Which,your father did,no doubt,if anything for 24 hour observation and IV antibiotics.At the VERY least.

Also,we nurses,and sometimes the docs if they had any doubts,would speak with the family to make sure they could care for the patient at home before..BEFORE wed consider releasing them....to safeguard against such situations.

Hugs and prayers going out to you:(

Christine

Well, someone WAS looking out for me today! :) That 11:75 hours ended up being only 9 after some sympathetic RPN's took a few clients off my hands. Plus there was another pt. who'd already been seen yesterday, and didn't need a visit. The capper was when I stopped for a coffee and a snack. Who do I meet, but a local parish nurse, who is a lovely, lovely person, well known to me because she has MS, and has occasionally needed our services for flare ups. She recently went through something similar with her father, and was glad to provide a listening ear. We also discussed nursing in general, and had a wonderful visit!

Thank you one and all for the prayers/good thoughts!

The latest on Dad is that he has been admitted to a room and is on IV antibiotics. Probably what he needed in the first place! And no, the OTHER hospital obviously did NOT assess his ability to walk. (BTW, I did ask them if I'd be allowed in gloved, gowned and masked, and they said "NO") I have to admit, I made a mistake: I TRUSTED the nurses. I believed them when they said he was all back to normal, didn't have an infection, all tests negative. What a load of crock that was!! :( Next time I'll know better!

I would think that they would allow you back there with your dad if gloved, gowned, and masked even if there was a risk simply because you are also a nurse and understand the implications! That is also a load of crock too. IMHO.

Let us know how it all works out.

I am glad your father got admitted, he needs the IV and the antibiotics! I would like to point out that toronto is under strict orders for the department of health for NO VISITORS due to to the SARS outbreak. The only exception is for family members when a patients death is iminent or partners of women in labor.

If they made an exception for one, they would have to justify to many many other family members why the same exception cannot be made for everyone. I hope some of your blame goes around equally to administration, discharge planning and the MD also. Hope dad gets better very soon so that he can be back to normal and get out of the hospital. Best wishes

~Paulette~

i know this might be hard to read but maybe what happened is a blessing in disguise. the original hospital was obviously not able to meet his needs. if he had been admitted the worst case scenario is that he would have ended up in restraints, in a diaper and the possibility of developing all kinds of complications. at least at home you were able to find him alternative treatment.

unfortunately this scenario is all toocommon. i used to work social work in ltc and it was very common for the elderly to only get the help they needed when a crisis happened. you are in crisis now so now it is time to do some planning and making some changes. one thing to do once your father is settled is to get your mother settled. living in a 2-story home with no bathroom on the first floor is asking for trouble. i know change is hard but sometimes it is needed. good luck.

Originally posted by Jay-Jay

:angryfire :angryfire :angryfire :angryfire

He had a UTI. Hmmm...no surprise there! He had a cystoscope done last Thursday.

I'm sorry to hear about your father's experience. I think the staff in the cysto clinic would want to be informed that he developed a severe UTI following the cysto. It helps them to know who should be treated prophylactically with antibiotic and they can flag your father's chart in case he has invasive urological procedures in the future.

Wow. My heart and prayers go out to you, your brother, and your precious, precious parents. It is so frustrating to see the elderly maltreated when they can't speak up for themselves. And they put you in a position where you couldn't speak for him. God is faithful and just and He has this thing about vengence so you don't even have to worry about that! But please do follow up with reporting this. I know your plate is full but they can't get away with this. Many blessings to you and your family.

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