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General Parenting
difficult child discharged - 24 Hrs after "Team" Mtg Agreement to Keep Him!
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<blockquote data-quote="susiestar" data-source="post: 498026" data-attributes="member: 1233"><p>I think what made me the angriest during the whole experience with the 2 later psychiatric hospital admissions was that the decision to admit was NOT made by a healthcare professional who was trained in the various problems the patients could have but instead was made by a $10/hr employee based on what the insurance co was willing to pay. Unless someone was brought in in shackles while ranting, screaming and being totally out of control and dangerous, there was NO ONE with anything above an associates (2yr) degree who was involved in the process of deciding to admit or not to admit. They had a checklist and if enough boxes were checked and the correct boxes were checked then you got admitted. Have all but one box checked and that one box was about insurance? You went home. It wasn't even as much about having a bed available. </p><p></p><p>Part of the reason they responded to my complaints was that I claimed that their staff was practicing medicine and were not licensed healthcare professionals because the intake person decided if you were sick enough to be admitted. If she said you were not sick enough to be admitted, then you didn't get treatment. So care was being delivered based on her decisions and she was NOT a nurse or doctor or licensed anything. She admitted to me that she had a 2 yr associates degree in being a veterinary tech, but this job paid better and had better hours. Seemed she wasn't supposed to tell patients what her background was. I actually thought she was a parent or friend of someone waiting to be admitted when she told me this - it was at the vending machine outside the locked waiting room and she took her break there. I was taking a break from Wiz, who needed to be admitted but was getting very agitated by me just sitting in the same waiting room, so I went to the lobby just outside where I could see him but there was some distance between us. </p><p></p><p>We had orders from Wiz' psychiatrist, who worked for this psychiatric hospital, to admit him but we still had to fight tooth and claw to get him admitted because this admissions person (who was about 22, so she had sooooooooooooooooooooooooo much experience - NOT) had the POWER to over-ride the psychiatrist's orders. I cannot think of a regular hospital that would allow a 22yo with an associate's degree to send a patient home after an M.D. had ordered admission to treat a problem. But that is how crazy the entire mental health system is. I think most psychiatrists are pretty sick of the system too - how frustrating it must be for them to know they spend about a decade going to school and getting advanced training so that they could send a person to be admitted to a hospital and a 22yo kid could override their orders. </p><p></p><p>But, I am preaching to the choir here. So I will get off my soapbox.</p></blockquote><p></p>
[QUOTE="susiestar, post: 498026, member: 1233"] I think what made me the angriest during the whole experience with the 2 later psychiatric hospital admissions was that the decision to admit was NOT made by a healthcare professional who was trained in the various problems the patients could have but instead was made by a $10/hr employee based on what the insurance co was willing to pay. Unless someone was brought in in shackles while ranting, screaming and being totally out of control and dangerous, there was NO ONE with anything above an associates (2yr) degree who was involved in the process of deciding to admit or not to admit. They had a checklist and if enough boxes were checked and the correct boxes were checked then you got admitted. Have all but one box checked and that one box was about insurance? You went home. It wasn't even as much about having a bed available. Part of the reason they responded to my complaints was that I claimed that their staff was practicing medicine and were not licensed healthcare professionals because the intake person decided if you were sick enough to be admitted. If she said you were not sick enough to be admitted, then you didn't get treatment. So care was being delivered based on her decisions and she was NOT a nurse or doctor or licensed anything. She admitted to me that she had a 2 yr associates degree in being a veterinary tech, but this job paid better and had better hours. Seemed she wasn't supposed to tell patients what her background was. I actually thought she was a parent or friend of someone waiting to be admitted when she told me this - it was at the vending machine outside the locked waiting room and she took her break there. I was taking a break from Wiz, who needed to be admitted but was getting very agitated by me just sitting in the same waiting room, so I went to the lobby just outside where I could see him but there was some distance between us. We had orders from Wiz' psychiatrist, who worked for this psychiatric hospital, to admit him but we still had to fight tooth and claw to get him admitted because this admissions person (who was about 22, so she had sooooooooooooooooooooooooo much experience - NOT) had the POWER to over-ride the psychiatrist's orders. I cannot think of a regular hospital that would allow a 22yo with an associate's degree to send a patient home after an M.D. had ordered admission to treat a problem. But that is how crazy the entire mental health system is. I think most psychiatrists are pretty sick of the system too - how frustrating it must be for them to know they spend about a decade going to school and getting advanced training so that they could send a person to be admitted to a hospital and a 22yo kid could override their orders. But, I am preaching to the choir here. So I will get off my soapbox. [/QUOTE]
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difficult child discharged - 24 Hrs after "Team" Mtg Agreement to Keep Him!
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