Wait, are we suggesting that the "skilled" nursing facilities can not appropriately do their job and push their patients off to EMS and the hospitals? Shocker.

I get called all the time for near stable patients who would otherwise not need to go had the staff just done their jobs. Ex: the dehydrated man who cannot be given a glass of water because quoting the pt "the staff say they are too busy to hold the cup of water for me to drink from, and won't allow for me hold it myself". Or the dementia patient now acting more abnormal than usual, which surprise to no one, is probably caused by their dementia worsening or a UTI the facility neglected for two weeks.

On the opposite spectrum, there are also the patients that they wait too long to call for who are very septic, about to code or the 8 hour dead-fully rigor patient who was "last seen talking normally 15 minutes ago".

But remember, their shift change was at 11 pm, and its 3 am now. I hate SNF/rehabilitation facilities.