Oh no it gets flung around plenty in on-unit report and with your work besties. Some of it is commiseration about unpleasant patients, but it's also practically helpful to describe the background to float nurses or nurses new to the unit that the patient has some kind of long running problem whether it's financial or cognitive-emotional that's preventing them from managing their problems properly outpatient. But when you go to write that practical concept (of a patient who has a stable and predictable hospital course with a treatment plan that evolves minimally over multiple hospitalizations) you write "known to us."