I found this in my Twitter stream this morning (and I apologize for the language, which is not mine, not that we aren’t all adults here anyway):
— Rachel Amanda RN, MS (@Nurse_Rachel_) August 27, 2013
What’s apparently going on here is that Sinai Hospital of Baltimore, part of the not-for-profit LifeBridge Health organization, is that nurses are being given a financial incentive, albeit a small one, to make sure that as many patients as possible are discharged by noon each day. Each unit “must be at 20% discharges by noon,” according to this sign, which looks legit, though I can’t say I have been able to verify its authenticity. The sign says nothing about medical necessity. Let’s just keep those beds turning over so we can admit new patients and make more money.
Someone please tell me this is a hoax or that the tweeter has taken things out of context. Our healthcare institutions couldn’t possibly be that misguided, could they? Who am I kidding? Of course they could.