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Discussion

this was weird to me

I was admitted to a local hospital (in dallas) for "pouchitis" (an infection in my j-pouch). I was admitted on Monday afternoon, and discharged on Thursday evening. What concerned me is that I was never "assessed". Even my admitting nurse. Never was listened to, etc.

I work in an LTAC, and our admission assessment is very thorough. Our daily assessments include even a quick head to toe assessment which includes listening to lungs, etc.

I don't know how a nurse can chart everything WNL without assessing....it just bothered me.

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Don't worry! I am sure a full assessment was "charted.". :icon_roll

  • Author

Yea, I'm sure everything was WNL....lol.

I would have had to ask! That just kills me. I have seen HH patients who tell me "the other nurses don't take my vital signs or listen to my lungs, etc..." everything is documented in the chart, vital signs and all. Wrong, very very wrong!

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