Sorry to attempt resuscitation of this dead topic going on day 3 (whyyy give Hilton any attention?????), but just wanted to clarify a few things on behalf of the nursing home.
The call came in 911, very rare considering that we provide them the primary transporting contract, and if they'd called for even an emergent transport instead of 911, the facility would have paid $$$ hundreds less.
However on the back side of the coin, the staff didn't take a temp and consequently no tylenol/motrin PR was administered. Cannot say why, typically they do and will relay that info to us. Complete agreement here with Mrs Vent about how EMS too frequently fails to relay the verbal info given by nursing facilities/clinics.
Despite the DNR bashing, the pt was treated by EMS & ED with everything short of bagging and intubation.