The Story of an Admission, by (Mostly) Numbers

Age of patient: 92

Residence: retirement home

Reason sent to hospital: Fall, query hip fracture.

Number of actual fractures: 0

Reason preventing patient from being discharged: poor pain control

Number of consultants initially willing to assume care of patient: 0

Number of non-physician health care professionals involved in the arranging community supports to get the patient home again, and avoid admission: 5

Hours spent arranging community supports for this patient: 9

Hours personally spent trying to sort out the patient’s discharge: 2

Number of baulking Home Care managers needed to irreversibly screw up the above arrangements: 1

Minutes needed for said Home Care manager to screw up above arrangements: 1

Number of services called to get patient admitted: 3

Number of physicians spoken to before finding one who would accept care: 4

Hours it took to find a physician to admit: 2.5

Number of physician hissy fits: 2

Days patient spent in the emerg before admission: 4

Days patient spent in the emerg after admission before getting a bed on the floor: 2

Acutely pissed off family members: about 20

Bottles of wine drank by myself when I got home: 1


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  1. #1 by JennJilks on Friday 05 March 2010 - 0855

    May I quote you on this one? I would like to do a blog post, from the point of view of a family member, and advocate in LTC.
    Also, I am speaking at a Palliative Care Conference in June. This is the kind of thing we need to be talking about.

    You have such an impact and a chance to make a difference. Thanks for highlighting this issue. It needs to be talked about…

    • #2 by torontoemerg on Saturday 06 March 2010 - 2126

      You may abuse me as you like, Jill. :)

      I got your email — I haven’t forgotteb about it, just wanted to give it proper consideration, and I haven’t had time to think about it this week.

  2. #3 by Canuck on Friday 05 March 2010 - 1412

    4 days BEFORE admission??? We’ve got a 24hr policy -admitted (even as a hold) or discharged before that time. No wonder there were so many pissed off family members…..that poor lady!!

    • #4 by torontoemerg on Saturday 06 March 2010 - 2127

      Amazing, eh. She came to the emerg at on Friday evening, and of course nothing is done on the weekends, because of course we get no new patients on the weekend.

  3. #5 by Maha on Friday 05 March 2010 - 1501

    4 days in the ER?? Holy crap! I’d sign my family member out AMA. The hell with that crap! I spend 12 hours and I’ve lost my mind. That’s disgusting.

  4. #6 by torontoemerg on Saturday 06 March 2010 - 2128

    Yep… I’m begging to think one of our roles as nurse bloggers is to expose the crap. . .

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