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Spoken too soon [Mar. 16th, 2005|09:32 am]
[Current Mood |pissed offpissed off]

So, my five-minute drop-in this morning once again turned into an hour and yelling at nurses. Medication hours late, decatheterization without bathroom assistance, generally a mess. Again. Ferrett, who was dropping Erin at the airport, will now be bringing Josh down there for the entire day. Poor kid, but his mom needs the help and he doesn't start school until Monday.

As soon as I get a couple things done here, I'm calling patient services and the head of nursing and reading riot act to both.

[User Picture]From: adjust_56
2005-03-16 02:51 pm (UTC)
Unfortunately that has been my experience with hospitals... when my sis goes in I actually have a group of poeple that will volunteer some time to stay with her.... you really do need to keep vigilant at all times... good luck, the good thing is you are studying to be an attorney, I haven't met one that isn't a bulldog for a good cause, no offense meant but you need to be a bulldog for your sis right now.... seems that's the only way they listen... been there done that.... Good luck!
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[User Picture]From: kathrynrose
2005-03-16 02:53 pm (UTC)
While you're at it, find out who the licensing entity is for your state. All hospitals are licensed, and if they receive federal funds, they have to meet federal standards as well. If you document what's going on with your sister, they'll have to investigate it. Also, if you ask the hospital administrator what the number for the licensing agent is, the administrator is likely to become very accomodating.
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[User Picture]From: redherring
2005-03-16 02:55 pm (UTC)
This whole saga has my mind reeling at what it would be like to go into a hospital without an incredibly supportive family around to make sure things were running smoothly. I'm stunned that the nurses don't realize that being sick and stuck in a hospital is bad enough, even without having to beg and scream for pain medication.
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[User Picture]From: adjust_56
2005-03-16 03:06 pm (UTC)
always have a support system... the nurses realize but are SO short staffed there isn't much they can do but run trying to catch up....always,always have a support group
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[User Picture]From: fieryfae469
2005-03-16 04:49 pm (UTC)

short staffed....

how well i know that.
And when I make someone wait longer than i wish for soemthing I always feel SO DAMN bad. But if you have 10 patients and every one of them has some really big need at the same time (nearly alwyas change of shift is the time things fall apart) it is so hard to decide who gets my attention first. I try to put the pain med needs first though...

:le sigh:
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[User Picture]From: adjust_56
2005-03-16 05:39 pm (UTC)

Re: short staffed....

having worked at a hospital I know how hard it can be.... it's a difficult situation on both sides.
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[User Picture]From: girliewhirl
2005-03-16 02:58 pm (UTC)
Oh,damn! I was getting ready to respond to last night's encouraging news. Hopefully you got at least one night of restful sleep after seeing her so well in the evening.

Give 'em hell!

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[User Picture]From: kyburg
2005-03-16 03:03 pm (UTC)
There's also a call you can place to the state health department as well - don't know it in your state, but I'm certain a call or two will find it for you.

Oh we knows how hospitals are put together. And we knows how to take them apart, one brick at a time if necessary....
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[User Picture]From: zarhooie
2005-03-16 03:22 pm (UTC)
The nurses are so fucking short staffed, it is insane. (that's why I'm going to school to be one: I will be able to find work just about anywhere.) But seriously, HOURS late? That is ridiculous, and given that Kristi's condition is a rare one, they ought to be paying more fucking attention.
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[User Picture]From: fieryfae469
2005-03-16 04:47 pm (UTC)
geez they really ARE messed up there.

One of my patients told me a month ago she'd never go back. SHe liked the smaller hospital care best. Like our size...

:/ SO SO so sorry she is getting piss poor care.
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[User Picture]From: fieryfae469
2005-03-16 05:11 pm (UTC)

a few ideas..

she does know she has to ASK for pain medication?? for help up?? right?? Pain meds are almost always written as PRN which means on an AS NEEDED basis. The staff will not always know to ask, unless someone calls for it. She should try calling long before shift changes too. If they work 7 a to 7 p ... call before 6 am or after 8 am... or before 6 pm and after 8 pm... That will help.

Also have her start calling before it gets reeal bad. Maybe even second guess it and call the first twinge. This weekend i had someone needing it every 3 hours. I tried to anticipate and have it signed out 10 minutes early for her. Once we got on top of the pain she actually got some rest. I always try to medicate them close to shift change if possible so that carry over in time does not make them hurt more.

But this goes with years of experience too.

Some nurses (many) are new and just out of school.
So not all of them know what they need to do.

The thing is... with the way insurances are, and the amount of law suits that are just rediculous, the high cost of medical malpractice etc .... fewer and fewer are going into this field or staying for long. You are no doubt intimidating them all, scaring the shit out of them and they are afraid to take care of Kristi, which in turn puts it on the shoulders of the one and only RN assigned. I know I would be totally intimidated by being screamed at for an hour when I just came in, got report and maybe had 5 others in similar or worse needs.... Sometimes the Doctors never call back either for long periods of time since they may have another emergency. That too IS a possibility. If anyoen is coding, near death etc... or just out of surgery, newly admitted and needing everything initiated etcetc. that will supercede anyone elses needs on the floor. It just is hard to understand because in your shoes your sister IS the ONLY patient there and the only one you care about.

I could help more if I knew what her orders state. If it says "up ad lib" in activity that means unless she calls for help, she is allowed and thought able to get up to the bathrom on her own. Especially her being as young as she is, no doubt the aids and nurses think she can. IN this day of going home 4 to 5 days after open heart... You are EXPECTED to be independent more than you use to be even 10 years ago. I dunno how many tubes she has still in her. I don't know what her orders are. But there are many fascets of this dilema that I do NOT know...

The family support system IS a MUST because of many things i said above, in this day and age, because of the shorter stays imposed by Insurances... SO it is a lose lose situation in many ways. So if you have anyone that can be with her and help... that is alwyas good.

Also, it always seems to be the case, that murphys law hits hard with the patients and families that are most learned... The Med will cause a rash, or the patients epidural will malfunction for some reason or another... It is frustrating for all of us. MOst of those nurses went into the field wanting to "help peope" so we get so frustrated too when things go badly... You depend on eveyone in the care unit. The RN, the LPN, the aid, the PT and OT and anceillary staff etc to work together and sometimes no matter what ... it doesn't.

Not making excuses. Just trying to give you my side of how it looks many times over.

Me... I always work my ass off and in the end skip a meal, a break or anything else so my clients get everything done they were suppose to have. But I am at MedCentral and NOT the Cleveland Clinic. :/

good luck... Hey at least she is healing. Look at the other side. Things are improving...
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[User Picture]From: zoethe
2005-03-16 05:52 pm (UTC)

Re: a few ideas..

She started asking at 4am. Yes, she knows.
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[User Picture]From: ohhjuliet
2005-03-16 05:22 pm (UTC)
they're horrendous. There is no excuse for such a lapse in care. I say call Diane Sawyer as well.
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[User Picture]From: apostate_96
2005-03-16 07:50 pm (UTC)
Personally, I'd include the red-hot tweezers and broken glass along with that reading. Christ, I hope this can be straightened out, because that is insanely unfair to all of you.
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[User Picture]From: jadziaesq
2005-03-16 10:06 pm (UTC)
This LJ entry and your previous ones, just show hove crappy our medical system has gotten. IF I remember correctly, you stated that this was one of the best hospitals in Cleveland. If this one of the best ones, I would hate to see what the charity hospitals are like. It is ridiculous what is happening to your friend and thank God that you are there to read them the riot act. Think about those people who don't have friends like you or family that care.

I hope things get better from your friend and that she recovers soon.
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[User Picture]From: moominmuppet
2005-03-17 02:37 pm (UTC)
best hospitals in Cleveland

Best in the US. 5th, I think, at the last rating.

Unfortunately, they have a well-deserved reputation for being so egotistical about their level of technical competence that they pay waaaay too little attention to providing actual patient care that equals it. Right now they're doing this big "World Class Service" initiative to try to change that impression, but it seems to mostly be superficial shit, and not really addressing the real issues.

(I work for their computing department, which is how I know this).
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[User Picture]From: call_me_harmony
2005-03-17 12:28 am (UTC)
What a bummer, it certainly sounds like a round the clock family support team is the only way to go. I will burn another candle for her.
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[User Picture]From: tygher
2005-03-17 12:39 pm (UTC)
Sound like being a nurse in that hospital is suddenly going to be scary. Nothing's worse than angry family members ... and worse yet, angry fam ily members with law dgrees (or nearly there!)


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