Sherri Miller
May 2019
Sherri
Miller
,
RN
Emergency Department
UT Health East Texas Jacksonville
Jacksonville
,
TX
United States

 

 

 

A patient presented to the Emergency Department (ED) at UT Health Jacksonville requesting treatment for an animal bite. The Director of Admitting was notified who then notified the Director of the ED. The patient explained she was from Crockett, Texas and had recently been discharged from a nursing care facility after recovering from a surgical procedure. Upon discharge from the care facility, she went to her home to find her apartment (government assisted housing) emptied by a neighbor who was to look over her belongings but told police the patient had offered the neighbor to take what she wanted during her nursing care stay. The police were unable to file charges so the patient loaded what was left into a pick-up and drove to Rusk, Texas, where she had a brother living. She checked into a local motel for a couple of nights not knowing the motel had a bat infestation. She was bitten by one of the bats in her room and presented to another local ED for evaluation and treatment. In the other Emergency Department in town, Animal Control was called and animal control took the bat for testing. This emergency department discharged her with a prescription for rabies immune globulin only - which was incorrect. The correct treatment was for two shots rabies immune globulin and rabies vaccine. The patient had no follow-up instructions, no primary care to coordinate her care, no education on how/who should administer the shots, and no information related to animal control testing the bat. Because the patient was scared, confused, couldn't afford the medication, she presented to UT Health Jacksonville's Emergency Department 4 days after the bite and the treatment is 7 days after the bite. Sherri Miller, RN took this lady under her care. Sherri saw to it that she found a primary care doctor so that she could have treatment orders. Sherri made sure she received her shots, contacted her family to arrange for them to meet and personally made hotel room reservations for her in another hotel room for two nights until other living arrangements with her family could be arranged. When the patient went to Ambulatory care for her treatment - the patient told the nurses that "Sherri saved her life!"