I think one of the problems concerns company policies. For instance the company I work for has been sued multiple times by greedy family members who seize a loophole and get millions of dollars. Because of this, the company has set in place certain policies that dictate that nursing staff send folks out to the acute hospital for minor things like an unwitnessed fall - even if there is no apparent injuries. Granted, we all make mistakes, but come on!! When there is no obvious trauma, it is frustrating that I have to do the paperwork to send them out, then some EMT comes in and gives me a hard time about it. I can only explain the policy, admit that it may seem foolish, but if the resident is not transferred, I will have to call their supervisor, and have our administrator get in touch with their supervisor. So, I guess we could point a finger at the general public as well. Just a thought.....