Oh and I forgot but added above:
f) I almost forgot! All hospitals these days are actually supposed to do a full body skin check! A regular hospital patient who is voluntary could be documented as having refused (but they also don’t pose the same risks!) but we are actually supposed to check for fall and pressure injuries on admission! Fall and pressure injuries are actually reportable events and depending on the severity we can actually get in a LOT of trouble if we can’t prove they were already there on admission. This is part of why most places require TWO licensed staff members (a CNA is only a cert!) to inspect all patients. This can affect minor things like billing (well, I think it’s minor, my boss disagrees!) or if it’s very severe even be grounds for malpractice. Self inflicted injuries during your stay are less likely to be determined as the facilitie’s fault, but it’s still possible.
Apytele@sh.itjust.works 3 weeks ago
The cops will also completely lie their asses off. I once received a patient with an O2 sat in the shitter who had been in the back of a cop car coming down from the mountains for 2 hours. When we got oxygen on him he cleared up significantly which suggests that he was mostly hypoxic and likely not experiencing as severe of a (if any) psychiatric crisis as was reported. Part of that is the transferring ERs fault but part of that is also the cops not having enough training (or fucks to give).