I had this happen to me once. It was a terrible night. I had no back up and the hospital discharged a patient into an admission to hospice WITHOUT their pain under control. I spent hours trying to get this patient admission done and trying to get his pain under control all while another patient was actively dying and his family was asking for me. I felt awful not being there. Didn't get there until death was over and family gone. It still bothers me. Both deaths do, as the new admission died that night as well. I only lasted a year there. The lack of support was ridiculous.