rupey

Patient came in for an abcess on his thigh right below his butt cheek. It was I&D and surgery team left with some packing and a abd pad as a dressing. Patient kept bleeding through abd pads and chucks on the bed. Kept calling surgery team and they finally came up and put a stitch in the patient. a few hrs later walked in the room to give mealtime insulin and could hear the STAT tele phone ringing while he brady downed and slumped over. Coded him for 1.5hrs. His stomach was obviously distended more than in the morning. Finally got him back and got him to the ICU and then found out they had nicked his artery when they did the I&D and then throwing the stitch in just made him bleed internally.

It basicly is a billing thing... sounds funny but you have observation patient and inpatients. Observation patients stay anywhere from a few hrs to 48hrs. Inpatients have to meet certain criteria for inpatient admission. Observation units are very fast moving units because the patient aren't there long so you admit alot of patients