Something happened similarly in Anchorage. Rather than spend a  night in a hospital room, we were sent home with an automatic pain pump to support my wife's pain after a relatively simple surgery. We were assured 24 hour access to a nurse if there were pump issues etc. The support would be a call away and if necessary a nurse would visit. Well you can guess the rest. The pump failed, doctors numbers were forwarded to on-call services and the nursing support was too. A nurse arriving hours later (in the morning) needed a doctors orders so recommended I take my wife by car to the out patient surgery center.  My wife and I would return to the out patient surgery location two times spanning a thirty six hour period. Both visits were confusing for the doctors on duty. They were surprised and were on their own rounds. Finally, the faulty pump was replaced with a manual pump missing the mark causing additional pain. I was told how to remove the pump from my wife over the phone, which I did.