Empty Beds in Medical Institutions

Just the other day I needed to get someone into a rather high quality medical institution. I was worried that there would be no place, but was told that so-and-so has connections there, so I called the guy up. He said to call the place directly and if they had no place available, to call back. So I did and the place said they had absolutely no empty beds, possibly they might have someone check out unexpectedly tomorrow, call back then. So instead I called back so-and-so and he said he would get back to me in a few minutes, and he did to tell me to call “Janice” at the medical place who would fit my guy in. Which is what happened.

So my question is why the place told me there were no beds available to begin with. Obviously they had a bed sitting empty at the time, because otherwise my connected guy couldn’t have swung it for me, so why tell me that there was no place initially?

My wife thinks a high quality place probably has a policy of deliberately keeping an open bed or two for just this purpose - so as to allow connected people (mostly doctors at the institution) the ability to get their people (patients, in the case of doctors) in.

But perhaps someone more familiar with the way these institutions operate has actual knowledge.

I believe it’s also an issue of RN-to-patient ratio. There are instuitional rules on the maximum number of patients an RN can cover, and if there are positions not filled or a nurse is on vacation the maximum number of patients can be less than the number of beds. These rules can be bent.

It’s the same as with a hotel or resturant, when they are filled up and then suddenly they can get President Obama in. Did they build another room? Put in another table? No they just bump someone to make room.

If I work at a hotel and it’s truly filled up, it’s filled up. If I am “filled” and have 10 reservations that have yet to arrive, I simply “bump,” one of those people and give the president a room. I send the guest to another hotel. Is that guest mad? Sure but it’s more beneficial to be able to say “President Obama slept here,” than it is detrimental if the person sent to another hotel is mad.

Also remember that things like elective surgeries are scheduled in advance so they know that 3 currently unoccupied beds will become occupied unless someone changes their mind…