(When you say discharged from the room, I will assume you mean electronically rather than physically, since their goal in pulling this move is to show a quicker through-put time.) I would go to them in person in real time and tell them that the case needs to be put back on the board.
Adms are welcome to provide conveniences to these members of the general public if they wish no nursing care (or involvement) is required. I will not provide informal surveillance to patients whose episode of care has ended. I have successfully refused this in the past. The first requires clarification regarding whether the patient has been formally discharged or not (signed out). How do you guys feel about this? Is this something you've seen consistently in your ED?īoth of these situations represent nonsensical decision-making.
Later that shift, management "discharged" another of my patients from the room even though antibiotics were to be administered and she was supposed to be watched for an additional half hour for an allergic reaction and was in the room, on monitor and everything. But the patient is physically in the room. "yeah, management took them off the board since they're done and just waiting on transport home". I came on shift this morning and was being given report when I realized one of the patients I'm getting report on isn't on the board (we use Epic). So leadership at my local ED is obsessed with treat and release times and things are starting to be.creative.
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