The epic battle with my bête noir, Five North continues. Their latest tactic in patient avoidance? Over the weekend, they decided only to take patients with clear swabs.
Let me explain. As an infection control practice, to prevent the spread of nasties like MRSA and ESBL we collect nasal and rectal swabs on certain classes of patients thought to be at high risk of carrying these pathogens. Five North was requiring proof that all swabbed patients be cleared before accepting them for admission.
Of course, this is utter bullhockey. 5 North just makes things up, and then gets away with it. Nevertheless, on the weekend, the only recourse was to call the manager on-call.
So we called.
The manager-on-call was, in real life, Manager of Stores or Housekeeping or some other non-clinical department. In other words, both clueless and useless.
Oh well, she said, Let the patients stay in Emerg. Infection Control can sort it out on Monday. And of course, Infection Control needed to “assess the situation” in person before coming to a determination. We were screwed.
So 5 North managed to stay below its census while we were drowning in patients.
Ha ha, take that, Emergency Department!
And how did this serve quality patient care? You can probably guess.