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Three days into the new skilled nursing facility and I have already:

  1. Called the prior place my dad was receiving rehab before his recent trip to the hospital and pleaded for them to take him back, and
  2. Put the pieces of the puzzle together to figure out why my dad’s experience where he is currently placed was so much worse than where he had been.

FIRST LESSON TODAY:

Never, ever, ever, ever (have I said that enough times?) assume any prior knowledge by ANYONE. I had assumed that when my father was sent over to this new skilled nursing facility, that all his prior medical history came with him.  I had assumed that the facility knew that my dad had fractured his hip, that he had a recent hip replacement and that, as a reaction to the blood thinner the doc placed him on, he had an upper GI bleed. After all, both hospitals he had been at were a part of Mainline Health and shared computer systems.  They are a well-respected health care system of doctors and hospitals in the area where I reside.

What I observed during the first 3 days of his time at the new facility was seemingly no deference to the fact that he had had recent hip surgery.  He was being asked to physically do things that I knew he was incapable of doing (yet).  They were transferring him from chair to bed, from chair to commode as if his only problem had been an ulcer. In one case, during a transfer from the wheelchair to bed, I prevented my dad from hitting his head on the bed rail when an aid flung him onto the bed! When I witnessed this sort of stuff, it sent shivers up my spine as I wondered if this might be my fate some day. (Kids, I hope you are reading this blog and taking notes!)

What I learned this morning was horrifying to me.  I still am mystified as to how this can happen in the today’s world of electronic medical records.  Apparently, this is common.  So, folks, pay attention here.

LESSON #2

It is the protocol for a hospital to refer a patient to a skilled nursing facility with discharge papers from JUST THAT HOSPITAL.  In my father’s case, he had recently been at TWO hospitals:  one for his hip replacement and one for his GI ulcer.  Apparently, the first hospital doesn’t release any data to the skilled nursing facility because they didn’t make the referral.  SO….essentially, my father was sent over to rehab and the receiving party assumed he was there after an ulcer ONLY.  The only way to get the information about the first hospital is for the family to request it.  That would have been fine IF SOMEONE AT THE SKILLED NURSING FACILITY HAD TOLD THE FAMILY!!!!!!!

Once I realized there had been a very large gap in the information provided to the skilled nursing facility, I sat down with the Director of Nursing and worked out a plan.  We moved my father to a private room (which we have to pay the difference for privately –  this is the subject of my next blog post, coming soon!) and moved him to the dementia area, where the staff has training in how to interact with dementia patients. I am hoping it will be smooth sailing from here, but I have learned that during this phase of life, that’s a bit optimistic.  I’ll take even just a week or two off from the drama.

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