The other hospital's not good enough?

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Specializes in Ortho, Neuro, Detox, Tele.

Hey, all...VENT WARNING!!! You know, I don't mind when people come into the hospital for the above stated reason.....generally. However, when you choose to have surgery at the hosptal .5 miles away and then your 15 hr morphine PCAs not good enough...and you have a history of pain med behavior....and you choose to go AMA to our ER for a change in treatment.....and then you get 2 diludid shots.....and everything's ok.....

Do you SERIOUSLY think that once you get to the floor, and you don't follow treatment that you're going to be ok? That we have drugs available immediately to give you....and we can give them to you without orders?

Yes, we will start a PCA...we will get you said meds....but this is like the government...there are things we MUST do before we can do other things.

And your leg swelling? It might go down if you put your legs higher than your heart.....not your brain up into 90 degree Fowlers.....*sigh*.

I have a real issue with signing out AMA just to go to the other ER and getting some different meds that your regular doctor wouldn't give you because your doc knows your history...where the ER doc doesn't....

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Specializes in Med/Surg.
I have a real issue with signing out AMA just to go to the other ER and getting some different meds that your regular doctor wouldn't give you because your doc knows your history...where the ER doc doesn't....

Be relived knowing that this patient will have to pay all the bills by signing out AMA. Insurance will not pay a dime. That will be his or her surprise.

The ER doc is an idiot. He should have called the surgeon before ordering shots of Dilaudid. Wow, what a mess. Sorry you had to go through this.

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Specializes in ICU, Psych.
Hey, all...VENT WARNING!!! You know, I don't mind when people come into the hospital for the above stated reason.....generally. However, when you choose to have surgery at the hosptal .5 miles away and then your 15 hr morphine PCAs not good enough...and you have a history of pain med behavior....and you choose to go AMA to our ER for a change in treatment.....and then you get 2 diludid shots.....and everything's ok.....

Do you SERIOUSLY think that once you get to the floor, and you don't follow treatment that you're going to be ok? That we have drugs available immediately to give you....and we can give them to you without orders?

Yes, we will start a PCA...we will get you said meds....but this is like the government...there are things we MUST do before we can do other things.

And your leg swelling? It might go down if you put your legs higher than your heart.....not your brain up into 90 degree Fowlers.....*sigh*.

I have a real issue with signing out AMA just to go to the other ER and getting some different meds that your regular doctor wouldn't give you because your doc knows your history...where the ER doc doesn't....

Could it be that the patient was in pain? if everyone is quick to judge someone as pain seeking, no wonder they leave AMA and go someplace else for pain control. Seeing people denied of relief of pain makes me sick, even if they were addicts to begin with so what, you did mention they had surgery right? so if your an addict that means you have to suffer? sadly addicts need much more opiates to control their pain.

Sorry judgmental nurses make me sick!

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Specializes in ICU, Psych.
Be relived knowing that this patient will have to pay all the bills by signing out AMA. Insurance will not pay a dime. That will be his or her surprise.

The ER doc is an idiot. He should have called the surgeon before ordering shots of Dilaudid. Wow, what a mess. Sorry you had to go through this.

Oh, perhaps the ER doctor realized that there was a person in pain requiring medical help instead. I see that your still new, perhaps rethink coming to a quick judgment and looking at all the facts. Maybe the primary nurse above should have called the surgeon, but from what I read in her letter it was clear that the patient was a drug seeker not in need of proper treatment.:banghead:

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the thought just occurred to me, perhaps the nurse at the first hospital was diverting?

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Specializes in Community Health, Med-Surg, Home Health.
Be relived knowing that this patient will have to pay all the bills by signing out AMA. Insurance will not pay a dime. That will be his or her surprise.

The ER doc is an idiot. He should have called the surgeon before ordering shots of Dilaudid. Wow, what a mess. Sorry you had to go through this.

That is an FYI that is great to know...insurance will not pay if a person goes AMA. Thanks for that tidbit!

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