Reference no: EM133394895

You are the evening house supervisor of a small, private, rural hospital. In your role as house supervisor, you are responsible for staffing the upcoming shift and for troubleshooting any and all problems that cannot be handled at the unit level.

Tonight, you receive a call to come to the emergency department (ED) to handle a "patient complaint." When you arrive, you find a Hispanic woman in her mid-20s arguing vehemently with the ED charge nurse and physician. When you intercede, the patient introduces herself as Theresa Garcia and states, "There is something wrong with my father, and they won't help him because we only have Medicaid insurance. If we had private insurance, you would be willing to do something." The charge nurse intercedes by saying, "Theresa's father began vomiting about 2 hours ago and blacked out approximately 45 minutes ago, following a 14-hour drinking binge." ED physician added, "Mr. Garcia's blood alcohol is 0.25 (2.5 times the level required to be legally intoxicated), and my baseline physical examination would indicate nothing other than he is drunk and needs to sleep it off. Besides, I have seen Mr. Garcia in the ED before, and it's always the same thing. He does not need further treatment."

Theresa persists in her pleas to you that "there is something different this time" and that she believes this hospital should evaluate her father further. She intuitively feels that something terrible will happen to her father if he is not cared for immediately. The ED physician becomes even angrier after this comment and states to you, "I am not going to waste my time and energy on someone who is iust drunk. and I refuse to order more expensive lab tests or x-rays on this patient. I have met the legal requirements for care. If you want something else done, you will have to find someone else to order it." With that, he walks off and returns to examination room where other patients are waiting to be seen. The ED nurse turns to look at you and is waiting for further directions.

1. How will you handle this situation?