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My hospital gets about a quarter of our patients from areas that are considered long distance calls from the hospital. My hospital does not allow patients to use their bedside phones to call long distance. I've worked at one other hospital where long distance was free to patients (except overseas calls), so this seems a bit ridiculous to me, but maybe it's more common than I think. Is this the norm?
Same protocols in the LTC places that I've been, long past and recent past.
One place DID allow long-distance calls until abuses got way out of hand. Bedbound, semi-responsive pts were having huge long distance calls to Haiti, Puerto Rico, Nigeria, etc. Mgt did investigations and found the culprits, but they changed the policy. Calls could only be made by nurses with assigned PIN numbers and you had to sign-out on a log. And you DID NOT give out your PIN.
On 11-7, there were few times that I had to call long-distance, but I logged it to the family of pts needing info on change-of-status. And the DON would come to you if the phone log missed your long distance call that showed up on the facility's phone bill (with PINs). So you better know who you called.
The younger, walkie-talkies that are skilled rehab in today's facilities all have their own cells so problem solved, pretty much.
I also work at a tertiary care hospital with patients from a 4-state region. By the time those who have arrived unconscious or critically ill/injured are in a condition to make phone calls, generally family/friends have been in to see them and bring them some belongings including their cell phone. In the rare instance where that is not the case, a social worker generally assists them in obtaining a phone card.
Are you sure they can't if they dial the operator first? i thought pt at my hospital couldn't make long distance calls for the longest time, then I found out they could if they dial 0 for operator first.
I'm sure. When I try to call a patient's family I have to go through the operator, they always ask if I am "medical staff" and they then remind me that I can only make long distance calls to get consent for something from a POA/NOK. Most of us lie and say this is why we are calling, then hand the phone to the patient so they can talk to family. There are many times where it's not really that big of a deal whether or not they can talk to family, but there are also times were a patient gets denied and it turns out that would have been there last time talking to family. The straw that broke the camel's back for me was a patient recently who wanted to talk to her husband who was at home, the patient's daughter was bringing in her cell phone for the patient to use the next morning, the patient got intubated that night then died later and never did get to talk to her husband after being admitted.
blondy2061h, MSN, RN
1 Article; 4,094 Posts
We can have the operator connect them to a long distance number if there's a pressing need.