Originally Posted by Doctor Bagel
But sometimes finding a SNF for patients can be hard, especially for people with things like dementia with behavioral issues, so treating people needing placement isn't that abnormal for most residents, I think. I've been on medicine, psychiatry and neurology teams composed of a good numbers of folks waiting around for placement. Maybe surgeons escape this more than the rest of us. From a work perspective, it's not the end of the world if you're on a team that's always going to be capped anyway because it spares you admits. It sucks when you don't have a cap or when you never reach the cap anyway.
Yes, we've all had to deal with patients with placement issues. But I do think that there may be a specialty difference. If patients are too ill to undergo surgery because of major medical/psychiatric problems, they are generally not on the surgical service; IMHO these are typically the patients who are often placement problems.
Surgery also doesn't have caps on admissions. I can honestly say that having more than 1 or 2 patients waiting for placement was unusual during my training and waiting more than a few days was very unusual. Perhaps we just had good case managers.