GeneralVeers

Globus Hystericus
10+ Year Member
Mar 19, 2005
5,383
2,974
Las Vegas
Status
Attending Physician
Why was "admin" even aware of this case and making decisions about it?
It's "against protocol" for the nurses to send someone home with an IV, so it took them 3 hours between the charge nurse, and house supervisor to figure out they couldn't send her home with an IV. I told them that I thought it was literally the stupidest nonsense I had ever seen.
 

TooMuchResearch

i'm goin' to Kathmandu...
Lifetime Donor
10+ Year Member
Oct 21, 2008
5,308
1,558
Townsville, USA
Status
Attending Physician
Glad I work at a place where nurses do still most often remind me that I'm the doctor and can do whatever I think is best.
It's "against protocol" for the nurses to send someone home with an IV, so it took them 3 hours between the charge nurse, and house supervisor to figure out they couldn't send her home with an IV. I told them that I thought it was literally the stupidest nonsense I had ever seen.
 

Dr.McNinja

Nobel War Prize Winner
Moderator
10+ Year Member
Aug 2, 2006
10,174
6,784
Texas
Status
Attending Physician
It's "against protocol" for the nurses to send someone home with an IV, so it took them 3 hours between the charge nurse, and house supervisor to figure out they couldn't send her home with an IV. I told them that I thought it was literally the stupidest nonsense I had ever seen.
Cool. So get me the AOC, and have that person call the hospitalist and tell them they have to admit this patient since I can't keep them in the ER. Otherwise, I'm going to transfer them to another hospital. Kthxbye.

This reminds me of the time I had to transfer a patient for chest pain from a freestanding. The patient refused to go by ambulance due to cost, but was willing to be admitted. So I had them sign AMA for no ambulance transport, and told the nurse to get their transfer packet ready. The nurse refused. Said all the "it's my license" nonsense. Said we couldn't transfer without an ambulance. So when I asked her why it was ok for the patient to get in their car and go home, but not to the hospital, she doubled down. I ended up printing off the packet myself and just having the patient leave on their own. And then the hospital called her for report. It was great.
 

VA Hopeful Dr

Senior Member
15+ Year Member
Jul 28, 2004
20,111
25,547
Status
Attending Physician
Cool. So get me the AOC, and have that person call the hospitalist and tell them they have to admit this patient since I can't keep them in the ER. Otherwise, I'm going to transfer them to another hospital. Kthxbye.

This reminds me of the time I had to transfer a patient for chest pain from a freestanding. The patient refused to go by ambulance due to cost, but was willing to be admitted. So I had them sign AMA for no ambulance transport, and told the nurse to get their transfer packet ready. The nurse refused. Said all the "it's my license" nonsense. Said we couldn't transfer without an ambulance. So when I asked her why it was ok for the patient to get in their car and go home, but not to the hospital, she doubled down. I ended up printing off the packet myself and just having the patient leave on their own. And then the hospital called her for report. It was great.
I'm hoping said nurse was not employed for much longer after that
 

VA Hopeful Dr

Senior Member
15+ Year Member
Jul 28, 2004
20,111
25,547
Status
Attending Physician
One can't fire nurses. What's a FP doing up so late?
He said it was at the freestanding ED, should be able to fire whoever from one of those.

And it was 6:13am my time