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Originally Posted by RedChariot
Ok I'm going to venture into this thread again against my better judgement. Last time another poster pretty much told me I did not know standards of care because I was in Nursing Administration. What? Who do you think sees to it that hospital policy is adheared to? Anyway, on this issue of being in the ER for so many hours. The state required adequate care to the ER patient that is admitted and no available beds in house. We built a seperate area. Patients were taken off the ER stretcher and put in a hospital bed. I had to see that there was adequate staffing for that ER holding area. We even had critical patients on ventilators. Critical Care certified RNs were staffed there. In addition Medical-Surgical patients were held there with Med/Surg certified RNs. Too many situations can present themselves in acute care to discuss here. We had to find the answer.
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Sounds like your facility was willing to spend a little money and actually manage those that were in limbo. What is the difference from your operation than that at the villages? Is it only money or having the knowledge and ability to manage the circumstances? In my opinion what is missing here is just plain management. What they do have leaves a lot to be desired.