Most annoying reason for admission?

Libby1987 · Feb 28, 2015

Wow, with the tight admission criteria these days I wouldn't have thought that would qualify. Wonder how they did it.

Nola009 · Feb 28, 2015

"Failure to thrive" for a 90- something.

Farawyn · Feb 28, 2015

The worst are the holiday "dumps". I haven't worked in the ED in years- does this still happen?

HeartRN13 · Feb 28, 2015

Near syncope... Did you pass out or did you not? Lol

Nola009 · Feb 28, 2015

The worst are the holiday "dumps". I haven't worked in the ED in years- does this still happen?

Yes. They come to us in MS from the ED Â»Â»Â» altered mental status and failure to thrive once in awhile.

blondy2061h, MSN, RN · Feb 28, 2015

Fall at home (without injury). Great, bring them in here so we can give them meds that increase their fall risk, deprive them of sleep, and place them in an unfamiliar environment so they can fall here on our hard floors instead or at home on their rug. They could get better quality PT as an outpatient.

Also, the admissions for people whose caregiver pretty much deserted them and they have to be admitted because they're not self sufficient.

jadelpn, LPN, EMT-B · Feb 28, 2015

Respite care. Patient sometimes older, sometimes not, however, is not compliant at home. Caregiver wonders why this is such a challenge, enables all sorts of stuff, then dumps them for a few days because "they need a break". Topped with "I would NEVER even THINK of a LTC facility!! That would be so AWFUL".....

So, they admit with "change in mental status"...

Even more scary when you can't really "prove" it, however, interestingly, someone's INR, blood sugar, heart rhythm or some other chronic condition is rock solid, until the day before a family trip--then it is a drop and run....and not a soul can be contacted to come get the patient, who can not be sent home alone. Then, magically, 14 days later the family strolls in like they have never left (and don't get me started on the reprimands the nurses get for their care of Grandma whilst they were sunning themselves in Aruba..."don't you DARE judge us!! I will put zeros on your survey so fast your head will spin!!)

Pangea Reunited, ASN, RN · Feb 28, 2015

"Failure to thrive" for a 90- something.

I didn't think I had one until I read this. And it's usually a contracted, aphasic 90- something with a PEG tube and at least four unstagable pressure ulcers. We have to weigh them daily, too...

calivianya, BSN, RN · Feb 28, 2015

"Chest pain."

That was an ICU admit for me once at one job, and it was only because he had a known heart condition. Cardiac enzymes were WNL every time they were drawn. Serial EKGs were WNL. The patient looked great, perfectly A&O, skin color great, no sweating, perfect pulses, perfect heart sounds. He was just a little dehydrated and very dirty because he was homeless, probably drank 20 juices and ate us out of house and home with the soup, graham crackers, peanut butter, and jello, and talked about how excited he was to get to watch TV. Uh huh.

There are HOMELESS SHELTERS for this stuff, dude. I feel for the homeless, I really do, but taking up an ICU bed because you want to watch TV, get a bath, and eat free food is just ten kinds of messed up.

dirtyhippiegirl, BSN, RN · Feb 28, 2015

Intubated in the field or ER for suspected inhalation injury. No thermal burns. Often for fires in non-enclosed spaces. The patient then gets flown to our burn center. We run parameters, extubate, and often send the patient home the same day.

mmc51264, BSN, MSN, RN · Feb 28, 2015

Cough. getting that a lot lately. Are we talking TB kind of cough? flu? allergies? We get gen med overflow (ortho unit) and I just have to shake my head at this one sometimes.