I agree she should have been sent to L&D for a complete evaluation first. Dawngloves makes an excellent point in her post! I would think that would be one difficult question for the physician and administration to answer to... especially in a court of law... if the patient hadn't had a good outcome.
Our Mother-Baby Unit received post-partum and some undelivered patients (who were too stable for L&D but not stable enough to go home yet). Once in a while, usually on the night shift, we'd accept a patient who had just returned from surgery for a D&C after miscarriage, stillbirth, or ectopic pregnancy. As soon as a bed was available on the GYN floor, these types of patients would be transferred. When GYN was full we'd sometimes get hysterectomy patients. Over time this changed and if the GYN floor was full, the Admissions department was instructed to call for a Med-Surg floor bed before calling us.
We had a good nurse manager who really advocated for the patients, and she had a good working relationship with the GYN floor manager. The two of them realized the emotional upheaval a Mom goes through when loosing a pregnancy as well as when a hysterectomy is performed. Not everyone wants to have a hysterectomy... emotionally it means the fact you will never bear another baby slaps you in the face... For example, the realization that, "I'll never be able to give my husband the son he always wanted." and stuff like that can really work on a woman's emotional side. Along with the physical stress, they don't need any more emotional stress added needlessly. The last thing these women need to hear is babies cooing and crying as they are wheeled down the hallway; they don't need to go walking in their halls for post-op and other ambulation reasons and have to pass mothers and their babies... nursery windows... cutsie photos on the walls... pamphlets on baby care... "It'a a boy/girl" balloons... you get the picture. Somehow they were able to work with administration and the Med-Surg manager to work out this plan. The med-surg nurses, who weren't used to D&Cs or hysterectomies freaked at first, but quickly received education from our L&D/Mother-Baby Clinical Nurse Specialist and then there was no problem or complaints from those Med-Surg floors. Another thing they worked out was to have our Sickle Cell Undelivered Moms be cared for on the Cancer floor. I know that sounds strange, but the were usually long term patients with difficult IV sticks, had implanted and other types of venous access catheters, and generally needed much more care in the way of pain medication, nutrition, hydration, etc. and took up loads of our time... they were much more acute care than the normal Mother-Baby patient is.
Anyway, fortunately our managers understood this element and would work together quickly to get these patients sent to the GYN floor or a Med-Surg floor. As time went on, the Admission department began to realize that they shouldn't even call our Mother-Baby Unit except as a last resort... after calling GYN first and then the Med-Surg floors second for room assignment before calling us.
Our manager did explain to us, financially, why they couldn't allow a patient to stay in L&D for longer than a couple hours after a D&C, etc. because the rooms were so much more expensive, etc. Sad but true... money is the bottom line.
I suppose a lot of how a hospital takes care of such issues has to do with the size of the hospital too. Our's was a 600 bed hospital. Many smaller hospitals don't have a GYN floor to care specifically for GYN type medical and surgical patients. I still think Med-Surg should be the second place to look for a bed for these patients. Ones who still have retained placentas need to be in L&D or surgery. Period!
I'm just glad the woman in this situation received the good care she did on the PP unit there. The fact that she began to hemorrhage 10 minutes after being admitted to your unit screams red flags for administration and risk management. Hopefully they have spoken with the physician quietly and let him know this should not occur in the future. Sometimes physicians are scolded and we nurses never know about it... hospitals like to help physicians save face that way... and since we nurses wouldn't have much work to do without physicians admitting patients, they tend to be treated in a more special way that we nurses are. This is just my humble opinion...
I'm rambling and I apologize. It's a curse for being able to type fast.