Comments on: Have you had an unpreventable hospitalization? http://www.homehealthnews.org/2009/07/have-you-had-an-unpreventable-hospitalization/ Helping home health care workers thrive Thu, 29 Jul 2010 17:04:38 -0600 hourly 1 By: chinmanrn http://www.homehealthnews.org/2009/07/have-you-had-an-unpreventable-hospitalization/comment-page-1/#comment-20 chinmanrn Wed, 26 Aug 2009 02:34:27 +0000 http://www.homecareful.com/?p=40#comment-20 We occasionally have unplanned hospitalizations, as do all agencies I'm sure. The latest one happened just today. Hospital discharged the patient yesterday evening. She was not therapeutic on her Coumadin yet and they did not administer any Coumadin before she left the hospital nor did they give her one to take that night in case she didn't get any medications filled until the next day. She arrived home in the evening, after the pharmacy was closed. When the nurse went out this morning to admit her, her O2 sats were 81% on room air and the doctor suggested that due to the 2 hour car ride home, not being therapeutic on the coumadin and with her sats so low, she had to go to the ER to be evaluated for a PE. Sure enough, she is admitted to the hospital with a PE. Luckily for the agency, we had not gotten the admission done, so we will have to hold off now until she gets discharged. But the patient and her insurance company have alot to go through now! We occasionally have unplanned hospitalizations, as do all agencies I’m sure. The latest one happened just today. Hospital discharged the patient yesterday evening. She was not therapeutic on her Coumadin yet and they did not administer any Coumadin before she left the hospital nor did they give her one to take that night in case she didn’t get any medications filled until the next day. She arrived home in the evening, after the pharmacy was closed. When the nurse went out this morning to admit her, her O2 sats were 81% on room air and the doctor suggested that due to the 2 hour car ride home, not being therapeutic on the coumadin and with her sats so low, she had to go to the ER to be evaluated for a PE. Sure enough, she is admitted to the hospital with a PE. Luckily for the agency, we had not gotten the admission done, so we will have to hold off now until she gets discharged. But the patient and her insurance company have alot to go through now!

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