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Started By
Message
re: To any hospital admins...why so fricking long to be discharged?
Posted on 12/30/20 at 12:19 pm to udtiger
Posted on 12/30/20 at 12:19 pm to udtiger
Just because the doctor tells you that you can go at 8am doesn't mean the order gets put in at 8am...
Depending on the doctor a separate nurse could be doing the discharge, they are probably not on the floor to start your discharge right away and they could have a handful of discharges to do that all the patients were told they could go home before 8am.
Your nurse doesn't just have free time, they are responsible for everything even if someone else is suppose to complete the task, often with 6 patients. Food, tests, procedures all happen on a schedule and can tie up a nurse. Don't forget having to document everything that happens... EVERYTHING.
People love to make fun of "tik tok" nurses who couldn't make it through a semester of nursing school. Not to mention, people in their chosen careers post dumbass shite on the internet too.
Depending on the doctor a separate nurse could be doing the discharge, they are probably not on the floor to start your discharge right away and they could have a handful of discharges to do that all the patients were told they could go home before 8am.
Your nurse doesn't just have free time, they are responsible for everything even if someone else is suppose to complete the task, often with 6 patients. Food, tests, procedures all happen on a schedule and can tie up a nurse. Don't forget having to document everything that happens... EVERYTHING.
People love to make fun of "tik tok" nurses who couldn't make it through a semester of nursing school. Not to mention, people in their chosen careers post dumbass shite on the internet too.
0
Posted on 12/30/20 at 12:19 pm to udtiger
She probably has more than 1 doctor that needs to approve of the Discharge. Nurses are over worked because the hospital refuses to hire more nurses because they want their profit margins high and pay nurses so little...... Call administration to complain how your nurse is over worked.
Posted on 12/30/20 at 12:25 pm to udtiger
Sir, we are busy.
Posted on 12/30/20 at 12:28 pm to udtiger
If they keep you till noon, they get to charge another day on the bed.
Posted on 12/30/20 at 12:33 pm to udtiger
Walk the frick out... if you can... I am not waiting for another 30-45 mins just waiting on a wheelchair. Got my papers signed and I’m gone.....
Posted on 12/30/20 at 12:34 pm to TigerstuckinMS
(no message)
This post was edited on 2/28/21 at 10:46 pm
Posted on 12/30/20 at 12:40 pm to Tiger985
Walk out AMA and your insurance co can refuse to pay for your stay..... 
Posted on 12/30/20 at 1:24 pm to udtiger
Because they get to charge you an extra day
Posted on 12/30/20 at 1:39 pm to TigerstuckinMS
quote:
Because hospitals set the cutoff at around midday for charging you another day
Clueless here. Room charges are based on where you are at midnight. It's totally not like checking out late at a hotel.
And if I were waiting 2 hours for my discharge papers, I'd tell them I'm leaving in 15 minutes. They can't keep you there and they will get a move on. They don't want anyone going AMA.
Posted on 12/30/20 at 1:44 pm to the_watcher
quote:
They encourage me to do both the hospital financials and the housekeeping duties
Times are tough
Posted on 12/30/20 at 1:44 pm to tigerbru17
quote:
you are considered AMA. Your entire bill is now out of pocket.
Incorrect. They cannot charge you anything if you have any contracted insurance including Medicare and Medicaid without having you sign a statement saying you are responsible for these charges.
Almost everyone on here is fricking clueless about hospital billing.
Posted on 12/30/20 at 1:47 pm to the_watcher
quote:
Most systems use each day, not a specific time during the day. If you leave at 1pm or 9pm it doesn’t matter. CMS also has average length of stay penalties that affect quality dollars as well as to prevent the exact scenario you referenced.
And I'd add (hospital CFO here) that most systems add the charge during overnight processing. Technically, wherever you are at midnight (there's a reason they call it the midnight census) is where you are considered to be in your medical care.
The time you leave or arrive makes no difference at all. Generally, all of your charges make very little difference in what a hospital receives from the government or the insurance company.
Posted on 12/30/20 at 3:12 pm to LaLadyinTx
quote:
Incorrect. They cannot charge you anything if you have any contracted insurance including Medicare and Medicaid without having you sign a statement saying you are responsible for these charges.
Isn't this done on admission though? I seem to recall having to sign my life away before being admitted, even if it was from the ER to a room.
Posted on 12/30/20 at 4:23 pm to udtiger
I've pulled out an iv and got dressed before the doc made his rounds. He came in and said, "I guess we're going home now." Told him, "Well, I don't know bout you, but I am!" He approved the discharge.
Posted on 12/30/20 at 4:26 pm to TheFonz
The few times I've had to stay in the hospital, they didn't take the IV out until I was minutes from being rolled downstairs to leave.
I imagine they do it that way so you don't just get up and leave with a capped off IV hanging on your hand.
I imagine they do it that way so you don't just get up and leave with a capped off IV hanging on your hand.
Posted on 12/30/20 at 4:32 pm to LaLadyinTx
quote:
Almost everyone on here is fricking clueless about hospital billing.
And that's supposed to stop the OT from weighing in with expert opinion?
Posted on 12/30/20 at 4:34 pm to jeffsdad
quote:
I've pulled out an iv
Posted on 12/30/20 at 5:30 pm to RealityTiger
quote:
The few times I've had to stay in the hospital, they didn't take the IV out until I was minutes from being rolled downstairs to leave.
I imagine they do it that way so you don't just get up and leave with a capped off IV hanging on your hand.
They leave it until the last second, in case you need IV meds for pain, nausea, antibiotics, or whatever. They don't want to have to stick you another time, and restart an IV, should you need anything prior to D/C.
It's really not hard to take out an IV, if you don't want it. It's about the equivalent of pulling off a bandaid. You realize there is no needle in an IV hub, right? It's just a tiny plastic tube.
This post was edited on 12/30/20 at 5:32 pm
Posted on 12/30/20 at 5:35 pm to udtiger
quote:
In hospital with elderly parent since Monday.
Doctor advised discharge today at around 8:30 am.
Still fricking here.
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