Treat & Release or Admit

[malusport]

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I have a quick question to all current ED residents. Do you feel any pressure to treat and release a patient instead of admitting them? Which one does the hospital prefer?

Thanks,
Aaron

 

[Homunculus]

I have a quick question to all current ED residents. Do you feel any pressure to treat and release a patient instead of admitting them? Which one does the hospital prefer?

Thanks,
Aaron

i'm not an ED resident, but in my experience on ED rotations as a resident they really don't care either way. the pressure is to make up your mind which they need and to do it asap-- the ED is about opening up rooms for the next patient. admit, treat and street-- they don't care as long as you're moving the meat.

--your friendly neighborhood move along little doggies caveman

 

[southerndoc]

Unfortunately that is the case in most ED's... dispo, dispo, dispo.

 

[bartleby]

I have a quick question to all current ED residents. Do you feel any pressure to treat and release a patient instead of admitting them? Which one does the hospital prefer?

The hospital prefers that all patients with a billable diagnosis get admitted to the hospital...they don't make money by sending people home.

The admitting docs are a different story. Everybody's overworked and underappreciated these days, and sometimes it seems that the admitting docs don't give a crap about the sick person you have in the ED who needs to stay. Not necessarily they don't need to stay but, "Gee... that guy sounds sick... admit him to (insert name of other consultant)".

Do I care? Yes. It's my ass if they go home when they should have stayed, and believe it or not, I'm still interested in doing the right thing for my patients.

 

[EMResident]

I have a quick question to all current ED residents. Do you feel any pressure to treat and release a patient instead of admitting them? Which one does the hospital prefer?

Thanks,
Aaron

I agree with the prior answer regarding admitting services. The hospital genuinely doesn't give me as a resident (and most of our faculty excluding the quality/process administrators) any feedback regarding too few or too many admissions. The services, however, are usually quite ready to give that anonymous, over-the-phone feedback that for some reason they never seem to give in person.

We're patient advocates, and as such the only pressure to which we should succomb is that of our own knowledge and conscience.