nightsinBoston

Our ER started with verbal reports, then went to faxed reports. We now get virtually no report at all. We can have as little as 10 minutes notice. The online reports we can see, consist of vital signs and meds given. We might be able to look at the doctors notes, but often no note is written until after the patient hits the floor. I am so worried that something bad is going to happen. Last night we got a patient that the floor doctors didn't even get report on. ER said, well if they need report they can come down and get it. It isn't a courtesy, it's protocol. I am so worried.

How do you get admissions from the ER? Verbal report, computer generated? Do you feel ready to take care of your patient?

We have had a couple of kids with tuberous sclerosis. Two were sibs, Mom did not know she had it until the second child got diagnosed. Her cousin came in with a child who had it also. There was one other child who likely had the diagnosis, she had greater than 30 cafe au lait spots, low set ears, developmental delays. The problem with this disease is you only need one gene to pass it on. You can't guess how bad off your children will be. All of these children were delayed, the first two severely. Good for you in doing so well. I wish you luck in your endeavors.