You know it is going to be the admission from hell when..... - page 6
You know it is going to be the admission from hell when.... 1) Pt arrives and hands you a 4 page typed document that lists medications on page 1, allergies on page 2, diseases on page 3, and... Read More
Jan 1, '03Occupation: RN Joined: Aug '01; Posts: 2,276; Likes: 42I work for a small facility. I have literally not even had the paperwork done on an admission, and the doctor comes in and decides to transfer the patient to a larger facility.... We have one ER doc who is notorious for admitting patients to our floor that we know 2 hours later the cardiologist is going to come in and have them transferred...
Jan 1, '03Occupation: Licenced Practical Nurse, Long Term Care. Certified wacko. Captain Star Command. Sous Chef, Sculpter,maid, Cert. Butt wiper,secret agent,thief,Level Seven Mage.Lover, hater,musician at large.Starving artist, ME ME ME ME ME Joined: Feb '01; Posts: 1,631; Likes: 44hmm... once on rehab, we had a rather cruddy (as in CTD) pt to be admitted to the unit.... Its SOP for the MD to write the orders AFTER the pt's on the floor...
Several Hours later, after paging and hoping to get orders... the pt dies... Full Code.
Mind you, I have no chart, no history and no orders...
We coded this rather old gent (like in his late 70's S/P Craini for SDH), the pt was dead....
then... the kicker...
b/c the pt was there over 2 hours, I had to admit him(?) into our system, so we could give him an astral discharge...
I was angry.
it was a bad day...
oh...and another thing-- 3 admits (rehab admits where I worked were 17 pages long, and required upwards of 6 signatures depending on the case) and 2 codes..... just on your module...and everyone else being swamped with their own junk... (that was the night of unstable GI bleeds, 2 CVA's, and some people projectile vomitting from inc ICP's.... yummy.)
Gotta just love it...
I wonder why we dont get paid hazard pay?
Jan 3, '03Occupation: rn supervisor Joined: Jul '02; Posts: 472; Likes: 10THe ER brings u[ a patient in PEA, you hook them up the the heart monitor, HR 20, no pulse...
..... they respond as they're running "we'll come back for the stretcher later (patient still on it)"
Intubated paralyzed patient arriving from ER...... NO FOLEY, but lots of urine in the bed
Jan 3, '03Joined: Jan '02; Posts: 5,673; Likes: 159[QUOTE]Originally posted by nimbex
[B]THe ER brings u[ a patient in PEA, you hook them up the the heart monitor, HR 20, no pulse........ they respond as they're running "we'll come back for the stretcher later (patient still on it)"
Ouch...I feel your pain...I hate when that happens!! We occasionally get a 'dead' patient from surgery too...the surgeon refuses to admit his patient died there...so he turfs it to ICU and then acts 'surprised' and attempts to place blame anywhere else but with himself.
Also hate those pulseless postop extremities on initial ICU asessment. Simply amazing how fast those pulses just disappear into thin air...yeah right. The ICU nurse gets to deal with it and of course the surgical team has quickly gone home....when we insist on calling them back in the surgeon blames the 'incompetent ICU night crew' who did something (voodoo maybe?) to cause the pulse to disappear... <sigh>.
Following one incident like this the RR nurse admitted on an incident report the SURGEON had actually checked the last few postop pulses because she couldn't find it by doppler...and she charted what HE said. He denies this.. then blames the 'incompetent RR nurses'. Of course docs are ALWAYS right and would NEVER compromise a patient's life and limb over their egos.... I suspect this is what probably happens in most of these incidents.
I know.. I'm old and jaded...hehe. But...nurses beware!! These types are really out there giving nurses nightmares and writers' cramp. Believe it or not both of these surgeons still operate... but no longer at our facility thank goodness!
Jan 3, '03Occupation: Forensic/Psychiatric LVN Joined: May '02; Posts: 1,164; Likes: 80Originally posted by lateblumer
Top this! ten minutes after finishing all admission assessment forms, the patient is found dead and is a full code.....unable to contact next of kin, and your shift ended 10 minutes ago.
Jan 3, '03Occupation: Assessment Nurse Specialty: 39 year(s) of experience in Case Management, Home Health, UM ; Joined: Apr '02; Posts: 2,611; Likes: 940:chuckle Sounds like "Hotel California"...They can check out any time they like, but they can NEVER leave!