As The Hospital Pervs-- It's Overtime Time
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gunthernehmen
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I have a day surgery coming up.
I'm hoping to be molested while I'm out!
I'm hoping to be molested while I'm out!
sweepthefloor
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Oh I wish I could be at the Beach right now Momma! I have been pretty Q lately but I found myself a real lover. I am still surviving on the adrenaline of critical care. I keep thinking of less stress, home care, out on the open road- but I am not ready to leave the unit just yet.
I hope you are doing alright too!
sweepthefloor
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Are you free? Did they keep you for the night with a treat and release? Monitored on an observation unit? I hope everything is alright now.
sweepthefloor
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Day surgery is better than emergent night surgery! Did you have a good nap?
gunthernehmen
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I did. And a kind nurse even molested me after I woke up! Well, she checked my stuff for any issues.
sweepthefloor
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Molecular jewelry! I want some dopamine around my neck.
http://cenblog.org/just-another-electron-pusher/2010/07/profile-molecular-jewelry-design/
http://cenblog.org/just-another-electron-pusher/2010/07/profile-molecular-jewelry-design/
sweepthefloor
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Oh! I am so glad that your stuff was well cared for, because we care about stuff.
gunthernehmen
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Oh! I am so glad that your stuff was well cared for, because we care about stuff.
I suppose it was just another schlong to her, but I appreciated it! I'm just going to assume that while I was out, the team did naughty things to me!
gotsnowgotslush
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Good Gracious! Out of state money spent on ads fighting bill put forward by Boston union nurses.
Nurses want good, acceptable nurse to patient ratio, hospitals kicking up a fuss.
The question will be on the Boston ballot.
Nurses want good, acceptable nurse to patient ratio, hospitals kicking up a fuss.
The question will be on the Boston ballot.
Hypoxia
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That was a prior scheduled hospitalization but it didn't come off. My heart wasn't crappy enough for the procedure. That whole episode was quite an adventure in stormy weather, dashing about far from home.
I had a more definitive procedure two weeks ago today and I *was* in overnight for 'observation' -- which means being wired, tubed, and IV'd up the wazoo; odd, shivery medications; someone intruding every hour to do something important. Not much sleep.
I'm out and home and doing better but I'm on low-activity for a month and not expecting recovery for a month or two more. Most bruising is down but all the holes they poked in me still hurt. Now they get to work on my other defects. More -ologists in my future, FTW!
ObTopic: California and USA are running short of medical professionals. That gets political.
sweepthefloor
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We need a better system. My only concern about a fixed legally mandated ratio is that it does not consider acuity. Some patients need 2 or 3 RNs just to make it through a shift and I have seen it happen.
The money spent on ads fighting ratios could be spent on nurse education and training! Give us the money to obtain and retain registered nurses.
I am going to search for the ads now, because I am curious.
sweepthefloor
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I hope all the hole hurt is gone! There is no rest in the H, there is talk of post traumatic stress related to critical care admissions and it makes sense. All the poking, dinging, beeping, dinging is delirium inducing!
The never-ending shortage. The work is hard and getting harder.
gotsnowgotslush
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Hi!
A new, slightly different commercial about cookie-cutter regulation, is running twice as many times as the original. It is short, informative, and warns.
I look at it this way- The Ministry of Magic has been infiltrated by Dark Forces, ( from Harry Potter's stories ) is attempting to directly interfere with Hogwarts School of Magic.
A new, slightly different commercial about cookie-cutter regulation, is running twice as many times as the original. It is short, informative, and warns.
I look at it this way- The Ministry of Magic has been infiltrated by Dark Forces, ( from Harry Potter's stories ) is attempting to directly interfere with Hogwarts School of Magic.
gotsnowgotslush
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O.K.
From what I can observe, and interpret-
(Up too late watching movies *yawn*)
We have competing spokesperson nurses.
One nurse is supporting the hospital executives, and she is supporting granting the CEO the authority to over-ride nurse's judgement, and impose rigid numbers for each category.
What is also rigid about the New Law, is that fines will be imposed for not adhering to requirements of new law. Big fucking fines.
One nurse is firmly on the Boston nurse's side, and does not believe one size fits all
With so many medical universities and teaching hospitals on the East coast, we have nurses that have many categories under their belt. They have the ability to be fluid in many studies. They have earned the right to author orders. When they say that this particular nurse is authorized to stick like glue to this particular patient, those orders will not be counter-manded. Like-wise, if the nurse is mutli-skilled, , they will be sent where needed, when appropriate. Why let great expertise die on the vine ? Rigid rules help no one, except for disease prevention measures (wash hands, sterilize, ect)
WCVB TV Politics On The Record OTR, September 23, 2018 episode
The newest commercial was made by the Pro New Law side, legally giving the state a right to dictate to nurses.
This is not California-
Boston's law has been written differently, Boston's system is different.
It will cost a billion dollars to change the system that we have in Boston, said the nurse fighting mandated numbers.
What she did not have a chance to say, is that each Boston hospital is unique. They have their own particular system in place.
The nurse on the executive's side, minimized the dollar cost.
(Ms. Pro corporation CEO, does not care if Dark Energy influences and interferes with Hogwarts. Vote Yes, if you want Voldemorte to sneak into Hogwarts)
Vote No, if you want to say No to a new law, that will take decision making out of the hands of nurses. Rigid rules have un-intended consequences.
Who constructed this law ? Did they not observe that nurses's days consist of many complicated tasks, in many disciplines- They are not ants, or pieces of equipment that achieve only one objective! The nurses' communication system is interconnected and awesome. Their knowledge base has only grown under computerization. (Sadly, the computer age has not solved the documentation and billing problem. (Miniaturization might be the fix. A.I. would help, if paranoia about recording events gets calmed.)
gsgs comment- Cookie cutters are for cookies, mud pies, or clay. Not human beings. Every endeavor that involves human beings needs leeway, and provisions for human error, flaws, and special circumstances.
This new law, is a sword that can cut both ways. What it might cut is a thread to a human life. It might cut off the passageway to useful alternatives. It might kill highly- achieved nurse's careers. It might close hospitals, that are very needed.
Bean counters serve their purposes, but a bean counter should not be in a position to endanger a human being's life.
/end gsgs comment
From what I can observe, and interpret-
(Up too late watching movies *yawn*)
We have competing spokesperson nurses.
One nurse is supporting the hospital executives, and she is supporting granting the CEO the authority to over-ride nurse's judgement, and impose rigid numbers for each category.
What is also rigid about the New Law, is that fines will be imposed for not adhering to requirements of new law. Big fucking fines.
One nurse is firmly on the Boston nurse's side, and does not believe one size fits all
With so many medical universities and teaching hospitals on the East coast, we have nurses that have many categories under their belt. They have the ability to be fluid in many studies. They have earned the right to author orders. When they say that this particular nurse is authorized to stick like glue to this particular patient, those orders will not be counter-manded. Like-wise, if the nurse is mutli-skilled, , they will be sent where needed, when appropriate. Why let great expertise die on the vine ? Rigid rules help no one, except for disease prevention measures (wash hands, sterilize, ect)
WCVB TV Politics On The Record OTR, September 23, 2018 episode
The newest commercial was made by the Pro New Law side, legally giving the state a right to dictate to nurses.
This is not California-
Boston's law has been written differently, Boston's system is different.
It will cost a billion dollars to change the system that we have in Boston, said the nurse fighting mandated numbers.
What she did not have a chance to say, is that each Boston hospital is unique. They have their own particular system in place.
The nurse on the executive's side, minimized the dollar cost.
(Ms. Pro corporation CEO, does not care if Dark Energy influences and interferes with Hogwarts. Vote Yes, if you want Voldemorte to sneak into Hogwarts)
Vote No, if you want to say No to a new law, that will take decision making out of the hands of nurses. Rigid rules have un-intended consequences.
Who constructed this law ? Did they not observe that nurses's days consist of many complicated tasks, in many disciplines- They are not ants, or pieces of equipment that achieve only one objective! The nurses' communication system is interconnected and awesome. Their knowledge base has only grown under computerization. (Sadly, the computer age has not solved the documentation and billing problem. (Miniaturization might be the fix. A.I. would help, if paranoia about recording events gets calmed.)
gsgs comment- Cookie cutters are for cookies, mud pies, or clay. Not human beings. Every endeavor that involves human beings needs leeway, and provisions for human error, flaws, and special circumstances.
This new law, is a sword that can cut both ways. What it might cut is a thread to a human life. It might cut off the passageway to useful alternatives. It might kill highly- achieved nurse's careers. It might close hospitals, that are very needed.
Bean counters serve their purposes, but a bean counter should not be in a position to endanger a human being's life.
/end gsgs comment
sweepthefloor
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I would vote for what the nurses are asking: a safe staffing law.
My reasons:
Nurses in general do not involve the government or demand attention except for the benefit of the public health.
Nurses are strong, if they are asking for something, it would be prudent to give it to them because they do not ask for much.
The current ratios must be unsafe or they would not be making demands.
The nurses must have exhausted all other interventions to obtain a safe ratio for their patients and the legal route is a last resort for them. Nobody has time to organize and reach out for public support, we have long shifts and need to care for ourselves when off duty.
You do not see nurses nationwide demanding for legislative safe staffing ratios because they probably get reasonable ratios on most shifts. I can imagine the scenarios on the H floors/units that have pushed them to this level.
My reasons:
Nurses in general do not involve the government or demand attention except for the benefit of the public health.
Nurses are strong, if they are asking for something, it would be prudent to give it to them because they do not ask for much.
The current ratios must be unsafe or they would not be making demands.
The nurses must have exhausted all other interventions to obtain a safe ratio for their patients and the legal route is a last resort for them. Nobody has time to organize and reach out for public support, we have long shifts and need to care for ourselves when off duty.
You do not see nurses nationwide demanding for legislative safe staffing ratios because they probably get reasonable ratios on most shifts. I can imagine the scenarios on the H floors/units that have pushed them to this level.
sweepthefloor
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I am concerned about the amount of money the Hospital Organizations have spent in order to campaign against the safe staffing proposal. I am also concerned that their propaganda machine has created enough confusion to sway public and some nursing opinions.
The reality is that some settings a high patient to nurse ratio affects quality of care and outcomes. If a nurse has six patients: one of them is short of breath, one is hypotensive, the other four waiting for education, discharge instructions, preparation for the OR, pain medications, a diet tray, a bedpan-- all of them will wait based on the priorities of care.
The reality is that some settings a high patient to nurse ratio affects quality of care and outcomes. If a nurse has six patients: one of them is short of breath, one is hypotensive, the other four waiting for education, discharge instructions, preparation for the OR, pain medications, a diet tray, a bedpan-- all of them will wait based on the priorities of care.
sweepthefloor
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and they do wait....
I remember being a nurse on the floor attending to a septic patient really doing badly and worrying at the same time about the patient in the next room laying in a dirty bed, unable to move covered in urine and stool, screaming in confusion for help.
I felt so terrible. I just wanted to help clean that patient but I had to save the septic patient's life first. The decisions the nurses face on a daily basis are often a cause of nurse distress. The kind of distress that keeps us awake at night and push us out of the profession.
What if that was my sister, aunt, mother laying in the dirty bed?
The septic patient trying to die is the priority. The CNA can't just clean up the dirty bed alone because the CNA is running for the code cart or running around trying to keep everyone who is climbing out of bed actually in the bed to prevent falls, and they are answering all the call bells while half of the floor nurses are focusing on the urgent life threatening issues.
I am lucky enough to make it to an ICU with an appropriate staffing ratio, but I will not forget what it feels like to work the floors. It is unbelievable.
The question for the public: wouldn't you want a suitable nurse to patient ratio for yourself, your loved one?
Sure, it will cost more money initially but like everything else it will stabilize over time. The savings of less nurse turnover alone is probably enough to cover the cost long term, the savings of quality care: preventing readmissions, reducing hospital aquired infections, etc., is that not enough? The evidence is clear: for each additional patient a nurse assumes the risk of death increases by 7% according to some research.
The nurses are asking for help. Help them help us all.
Demand better.
I remember being a nurse on the floor attending to a septic patient really doing badly and worrying at the same time about the patient in the next room laying in a dirty bed, unable to move covered in urine and stool, screaming in confusion for help.
I felt so terrible. I just wanted to help clean that patient but I had to save the septic patient's life first. The decisions the nurses face on a daily basis are often a cause of nurse distress. The kind of distress that keeps us awake at night and push us out of the profession.
What if that was my sister, aunt, mother laying in the dirty bed?
The septic patient trying to die is the priority. The CNA can't just clean up the dirty bed alone because the CNA is running for the code cart or running around trying to keep everyone who is climbing out of bed actually in the bed to prevent falls, and they are answering all the call bells while half of the floor nurses are focusing on the urgent life threatening issues.
I am lucky enough to make it to an ICU with an appropriate staffing ratio, but I will not forget what it feels like to work the floors. It is unbelievable.
The question for the public: wouldn't you want a suitable nurse to patient ratio for yourself, your loved one?
Sure, it will cost more money initially but like everything else it will stabilize over time. The savings of less nurse turnover alone is probably enough to cover the cost long term, the savings of quality care: preventing readmissions, reducing hospital aquired infections, etc., is that not enough? The evidence is clear: for each additional patient a nurse assumes the risk of death increases by 7% according to some research.
The nurses are asking for help. Help them help us all.
Demand better.
sweepthefloor
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The acute care ratio should be as follows given a usual acuity:
ICU: 2:1 or 1:1 depending on treatments and 1:2 aggressive active life saving interventions.
PACU: 2:1
Intermediate step-downs and progressive care: 3:1
Telemetry: 4:1
Surgical: 4:1
General Medical Floors: 6:1
The public should step up and demand safe quality care and transparency, before you go in for that elective surgery... ask what the nurse to patient ratio is and make an informed decision because when you are laying in that post-operative bed in pain waiting for your nurse, she/he might be handling 5 other patients with needs greater than your own.
ICU: 2:1 or 1:1 depending on treatments and 1:2 aggressive active life saving interventions.
PACU: 2:1
Intermediate step-downs and progressive care: 3:1
Telemetry: 4:1
Surgical: 4:1
General Medical Floors: 6:1
The public should step up and demand safe quality care and transparency, before you go in for that elective surgery... ask what the nurse to patient ratio is and make an informed decision because when you are laying in that post-operative bed in pain waiting for your nurse, she/he might be handling 5 other patients with needs greater than your own.
Saint Peter
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Nurse Jane!!
sweepthefloor
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Saint Pete!
Saint Peter
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Want to go with me to a tractor show?
gotsnowgotslush
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Thank you, sweep.
Good feedback comes straight from the nurse's mouth.
Good feedback comes straight from the nurse's mouth.
gunthernehmen
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