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!

I too automatically think UTI when I see sudden confusion in the elderly, so it must be a fairly common occurrence. I imagine the SARS epidemic is distracting for hospital staff, but this is not right to do an elderly previously healthy, independent geri patient this way. :(

I agree the facility turfed your Dad way too fast. I hope he completely recovers from this. At his age, often an event like this can be a turning point...so my thoughts are with you if you have to make some difficult decisions down the road.

It's hard when our parents begin to fail. Hope you have lots of support when that happens, many of us have been there and know its not easy. (((HUGS)))

I would contact administration at that hospital and report the event. Not to be revengeful, but that type of behavior is entirely inappropriate and hopefully not a trend. Your dad is lucky to have such smart children, but someone else's children may not know and things like that can be deadly.

Thank you all for your support! A person needs all the encouragement they can get at a time like this.

To follow up: EGH did not hear from me today. I was far too busy trying to get him admitted to the local hospital my parents have always dealt with. Oh...did I mention the icing on the cake here?? Our very wonderful GP of many many years is currently a PATIENT at this same hospital, having just had a second round of back surgery. Rotten, rotten timing....guess he doesn't know doctors aren't supposed to get sick! ;)

After numerous calls back and forth, the CCAC case manager finally agreed that the best thing to do was to book an ambutrans to take him to the hospital. First, she called ahead to make sure they were not refusing ambulances, as they were yesterday. They were busy,and we had to wait a long time, but the social worker who had done a geri assessment on Dad a few months ago smoothed the way with a message to the doctor (God BLESS her!) He agreed my Dad should be admitted, then given an emergency placement in LTC.

I tell ya, one of the hardest things I've EVER had to do in my whole life was to walk out of that ER, and leave him there alone in that little cubicle! :crying2:

I would have felt better about it if the nurses had been more attentive to him. One of them did come in to help reposition him so he could use the urinal. Other than that, they never came near him.

Well, at least they let me in to sit with him. That OTHER hospital wouldn't allow anyone else in the E.R. If they had, yesterday's fiasco never would have happened.

THAT IS SICKENING! There is no excuse for the treatment of the elderly that way. I had to go to my HTN doctor today for some lab work and as I was walking in an eldery lady and her daughter-in-law were working hard to get to the door. I would not allow myself to not get the door. Sure enough, had the daughter-in-law taken the time to get the door herself, the elderly lady would have fallen as her knees gave way. They said I did not have to do that, but I insisted that it was no trouble at all, but rather my pleasure. I wish more people repected the elderly...... there are many nice ones out there that I would soon deal with than a lot of younger people today. And I am young myself at early 20's.

Jane, I've been thinking about you today. Glad you were at least able to get some care for him. How is your mom doing through all this? And, how are you holding up now ?

I'll keep the positive energy coming your way. :kiss

Originally posted by jemb

Jane, I've been thinking about you today. Glad you were at least able to get some care for him. How is your mom doing through all this? And, how are you holding up now ?

I'll keep the positive energy coming your way. :kiss

could not have said it better myself. Please keep us updated on your father, and I hope that your mother is doing okay. All the best to you and yours.

Hope things get better for you.

what does the discharge planner or floor case manager have to say? sounds like 24-48 hrs of iv antibiotics would've made a world of difference.

Mom's coping not too badly. She's seen this coming for awhile. She nearly wrecked her back trying to get him up off the toilet and back to bed on the weekend, so she realizes that she just wasn't able to cope.

Me, I'm a basket case. Just finished up last-minute taxes (delayed by all this) and headed off to bed. They've given me 11.75 hours of work for tomorrow, and if you know community nursing, well that's a lot more hours in actual fact. Probably their revenge for me missing team meeting today! ;)

Heavy-duty prayers would be appreciated for tommorow!

Heavy-duty prayers coming your way.

Sue

please do not forget the heavy-duty hugs too!

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too bad the government cut so deep into the home health benefit.

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