Another problem is the hospital nurses frequently ignore what is written on the transfer sheet - had a patient with a stage 1 sent to hospital for 3 days, care written on the transfer sheet - when return report was called, our staff asked about skin and the hospital nurse said "intact" - and at admit to us, the 1 was now almost a 3. Simply ignoring what we send is a BIG part of the problem.
-----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of nursejane Sent: Saturday, May 01, 2004 3:12 PM To: [EMAIL PROTECTED] Subject: Re: Re: transfer forms Another thought. It is our responsibility to our residents to send as much information to the admitting hospital as we possibly can to ensure the resident the best care they can get as well as continuity of the care we have already provided. Yes you would think the hospital personnel could use their assessment skills to figure this out, but we all know it doesn't work that way very often. Look how long it takes us sometimes. The resident is hopefully just in the hospital short term for something acute. That is what the hospital personnel are focusing on. So, I want to give my resident the best shot they have from my end. Jane ----- Original Message ----- From: <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Saturday, May 01, 2004 2:50 PM Subject: Re: Re: transfer forms > > > Yes, you would think so but .... when we have a resident who has dementia or is confused go to the hospital we know if they are gone for more than 3 days they will come back with at least one stage II, ususally more and usually worse. We have only one hospital that we can discharge to "the only game in town". When they get a dementia resident they 1) INSERT A FOLEY CATHETER SO THEY DON'T HAVE TO DEAL WITH URINARY INCONTINENCE, 2) RESTRAIN THEM AS THEY DON'T HAVE STAFFING TO DEAL WITH DEMENTIA PATIENTS 3) IF THEY ARE NOT ON PSYCHOTROPICS THEY CHEMICALLY RESTRAIN THEM -- SOMETIMES EVEN IF THEY ARE ALREADY STABLE ON PSYCHOTROPICS THEY CAN'T RESIST THE URGE SO NOW WE HAVE A DEMENTIA PATIENT WHO IS ILL, RESTRAINTED, ZONKED. THEN THEY BRING IN MEAL TRAY AND SET ON OVERBED TRAY TABLE. SOMETIMES THEY PUSH TRAY TABLE TO BED SOMETIMES NOT. WHEN AIDE RETURNS TO PICK UP TRAY THEY WILL NOTE THAT RESIDENT DIDN'T EAAT ANYTHING -- SOMETIMES RESULTING IN G-TUBE BEING INSERTED. OF COURSE, NO MENTION IS EVER MADE OF THE FACT THAT RESIDENT > WAS RESTRAINED AND COULDN'T EAT INDEPENDENTLY. SOUND BITTER? YOU BET!!! AND NOTHING WE CAN DO ABOUT IT. IF WE COMPLAIN, WE GET TO REFERRALS FOR ADMISSION. > > From: "Lisa Roederer" <[EMAIL PROTECTED]> > > Date: 2004/04/29 Thu PM 07:11:02 EDT > > To: <[EMAIL PROTECTED]> > > Subject: Re: transfer forms > > > > many elderly patients develop pressure ulcers after being admitted to a hospital-especially on the heels- it is very common for the elderly especially those who are confused or who are unable to call for assist-very, very common > > ----- Original Message ----- > > From: Bryan Sims > > To: [EMAIL PROTECTED] > > Sent: Wednesday, April 28, 2004 6:32 PM > > Subject: Re: transfer forms > > > > > > You would think that a hospital when evaluating an admit, sees that a patient has decrease mobility, or is incontinent, or is a diabetic, etc, that they would be able to use there assessment skills and figure this one out! I do not see that this is necessary. Just my thoughts! :) > > > > Mychal > > ----- Original Message ----- > > From: Lisa Roederer > > To: [EMAIL PROTECTED] > > Sent: Wednesday, April 28, 2004 4:05 PM > > Subject: Re: transfer forms > > > > > > I was just at a conference and they suggested to use a colored piece of paper (such as Yellow) and type on it that Resident is at risk for: Falls, Elopement, Pressure ulcers, etc. This allows for a quick alert. It is to be attached in front of the transfer form. > > Lisa > > ----- Original Message ----- > > From: [EMAIL PROTECTED] > > To: [EMAIL PROTECTED] > > Sent: Wednesday, April 28, 2004 5:27 AM > > Subject: transfer forms > > > > > > How does your facility communicate to the hospital that your residents are at risk for pressure ulcers or that they are being treated for pressure ulcers? Do you have it on your transfer form? If anyone has a way that has been working please let me know. > > > > Thanks, > > Carol > > > > > > /---------------------------------------------------------- > The Case Mix Discussion Group is a free service of the > American Association of Nurse Assessment Coordinators > "Committed to the Assessment Professional" > Be sure to visit the AANAC website. Accurate answers to your > questions posted to NAC News and FAQs. > For more info visit us at http://www.aanac.org > -----------------------------------------------------------/ > > /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. 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