Surprize!!

[CapeCodMermaid]

Got called out of a meeting from the admissions coordinator. It seems a patient we HADN'T accepted was sitting on a stretcher in the lobby! The hospital told him yesterday that we would 1.take him, and 2. have all his meds ready...trouble is, they didn't tell us. I almost sent him back but it would have been more than a 3 hour ride. So he's irate because obviously we didn't have his meds and the nurses on the floor are mad at me because they didn't know they were getting 2 (oh my God the sky is falling) admissions. The drama is beyond belief...they'll probably call the union and grieve something. Sorry...had to vent.

[caliotter3]

This reminds me of the famous after hours admit that arrived at our LTC facility without an invitation after our admissions coordinator determined we couldn't accept the patient. The administrator got involved and countermanded the DON. She walked out of the facility after demanding her final pay check. He called her all weekend to no avail. The administrator got more on his hands when the state came in all ready for shooting bears. For some reason most of the nurses seemed to think they knew why the state was looking in every corner. I'll bet the administrator wished he hadn't intervened in that importune admit that our facility wasn't prepared to handle. We all thought the DON was a hero for what she did.

[southernbeegirl, BSN, RN]

why do administrators do that??? the don wants the census numbers up as much as the admninistrator so why won't they trust the don when she says no to a train wreck???

we have one too. don and even admissions said no to this guy. admin says "we arent turning anyone down" and overrides them all. he may be a number for our census but he's single handedly eating our budget like potato chips.

[CapeCodMermaid, RN]

I've seen it all...from 5 planned admissions to one unit on one shift to an old guy trying to drop off his wife at the front door because she needed a nursing home. I've had people show up at my front door and had the rig drivers screaming at me even though THEY were in the wrong facility! Luckily, my ED always defers to me if I say we can't take care of the person clinically even if we do have empty beds.