[RedChariot]

Originally Posted by rp001

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.

We were a facility that was in an under privledged area. Non Profit. Often in the red. Have the state walk in and ask you why each patient was being held in the ER will keep you on your toes. If you do not provide organized care, it can open you up for liability. We were in the business of caring for people. The patient was our priority. Nursing needed to set up another Nursing Unit called ER Holding. ER dept staffed it. Senior Nursing Adm on duty made the decision on where that staff was being relocated from. Used Critical Care agencys and Per Diem nurses, in addition to our own staff. All documentation and care was exactly the same as any other unit in hospital. Cardiac monitors, Nursing assessments, pneumonia screenings all the same. So the standard in house was the same as the ER Holding. We were not in a seasonal community, but there are busy times in all hospitals. Flu season could be overwhelming with many sick elderly patients. Senior Nursing Adm would prioritize with the ED physician and staff on who needed the bed first. We were a teaching facility and the Residents were part of the solution. An On Call Operating Room and staff was available for emergency ORs. I so understand the issues TVH is facing. I cannot speak to what they have done to provide care and comfort for those waiting for a bed. As others have said, I am concerned about health care in FL.