RSS Feed

Is Sunday a Day of Purgatory?

Posted on

Hospital administrators are fond of saying, “The hospital is a 24 hour, 7 day a week business.”

Some nurses, on the other hand, say, “If you’re having chest pain and it’s Monday, go straight to the Emergency Department.  If it’s Friday, take a Tums and aspirin and stay home until Monday.”[i]

The reason is, despite our supposed 24/7 availability, little gets done on the weekends.  For example, if you come in on Friday afternoon with chest pain and you might be having a heart attack, count on getting some emergency treatment such as taking an aspirin, getting blood drawn to check for certain enzymes,  and getting an EKG.  Also count on getting a stress test and other needed care—on Monday.  And to make your long weekend in the hospital more pleasant, we won’t let you eat or drink (or smoke)—all weekend.

Or suppose your daughter has a g-tube that is not working and she cannot get proper nutrition.  Regardless of your daughter’s current nutritional state, expect to get the new g-tube placed—on Monday.

While Sunday is supposed to be a day of worship, in hospitals it’s often a day of purgatory.  Patients end up in a state of limbo wondering when and if they will be able to get their needed procedures, wondering if they will be okay, wondering how serious their condition is, and wondering when they will be allowed to eat next!

It’s great that health employees can have Sunday off, but certainly there has to be a way to provide better care on Sundays.  Babysitting patients, without taking care of them, drives patients and staff crazy. It also means we are wasting a huge amount of money as procedure and operating rooms sit empty and beds remain scarce.  Granted extra staff would have to come in to work, but surely their salaries would be offset by the fact that it can cost ONE MILLION DOLLARS PER DAY to run a hospital. Further, patients can be paying about $8,000 a night at the hospital.  Keeping them in the hospital for extra days can cost patients and their insurers a huge amount of money.  If we were able to do stress tests, radiology procedures, etc. during the weekend, we will save money, make patients happier, and perhaps even save a life through intervening earlier.

Wouldn’t it be nice to spend fewer unneeded days in the hospital?  Wouldn’t it be nice to save yourself and the system some money?  And if we get you through your procedure and home on Saturday or Sunday, you can truly have and appreciate your day of rest.

[i] Please don’t take anything on this site as medical advice. It is for entertainment purposes only.


Addendum: My father would like me to point out that if you come to the hospital and you are indeed having a heart attack and not indigestion, you will be treated very quickly.  In fact, hospitals track how long true heart attack patients have to wait before receiving emergency care.  My point is only that if the first few tests come back negative, you will spend a lot of time waiting around.  If the first few tests come back positive you will receive emergency care and probably don’t need a stress test at that point anyway!


About Lindsay

I'm a nurse and a wife. Mom of two fur babies (read:dogs). I love God, my family, and taking care of people.

4 responses »

  1. WOW!

  2. Her dad is a cardiac surgeon…So listen to him and go to the doc.

  3. And I wonder if full time operation would save us from running around in total chaos the rest of the week?

    • So true. As far as I’m concerned they should run tests everyday. It may be expensive to staff on weekends but I think shortening length of stay would save money in the end.


Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

%d bloggers like this: