ALL RIGHT! They DIDN'T move the pt!

mycrofft

Still crazy but elsewhere
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Pt allegedly fell off the upper bunk in her sleep, reported by another "witnessing" inmate. No bruises, red marks, lacs, etc; teeth fine, says can't move. Then hx charges to bottom bunk and neck hurts too. The doc responds, calls for the ambulance litter and spine board and C collar...then belays that. Fire squad already on the way, gets there five minutes after the call for the C collar etc was kiboshed. Pt returned later that evening, take two ASA and etc etc. Exam of chart (not available at the of incident) was that this pt has had multiple c/o falls and neuro affect, but after exam and ambuance trip findings are always (so far always) nil and complaints gone, except seeking narcs.

Kudos on two counts: NOT unnecessarily moving the pt, but even better, treat the pt based on what you see hear feel etc at the time, not the chart hx or the verbal c/o.
I tell them they have two years and I'm gone. A few are getting it together.
 
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