dcampbell 3,436 Views
Joined: Jan 13, '07;
Posts: 130 (32% Liked)
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I have read this whole thread and have resisted jumping in.
Back in the 90's, a nurse I worked with had problems with driving home sleepy. She was a single mother with two children and worked full-time nights (eight hour shifts). She was either not taking the time to get enough sleep or her sleep quality was poor. One night when I was just coming on my shift in the nursery, I found out that my coworker fell asleep driving on the way home, got into an accident, and died. Her two children were sent to live with their father and his girlfriend.
So long ago, we did not know about the dangers of driving tired. PLEASE deal with this problem. Now there are some treatments that are able to help. I was happy to read that you are seeing a doctor. I pray things work out for you.
When I am getting a ped admit to our adult ICU, I go to the ED and begin my admission there. I make it a point to mention sweetly somehow that I have ZERO peds experience, but I'll do the best I can. This is completely honest, and my employer cannot punish me for being honest with patients/families. 9 times out of 10, mom and dad insist on a transfer. ;-)
I am guessing you couldn't use as a defense (if something terrible happened) that you were floated to an unfamiliar unit.
I am still amazed that hospitals are willing to expose their staff and hospital to such potential problems just to save some money.
Thank you so much for addressing the visitor situation. Really, that is the big problem that I see consistently. Number two would be lack of staffing/time.
I wish I had a nickle for everytime a baby was just starting to latch on well and eat and there would be a knock on the door and visitors arriving with gifts and squeals of delight over the new baby. The pt. usually stops nursing to greet everyone and let them hold the baby.
Also first time new moms have visions of relaxing in their beautifully appointed post-partum suites, receiving visitors and opening gifts, taking pictures, wearing gorgeous nursing gowns with perfectly applied makeup and styled hair. Many are not prepared to do the real work that is required to initiate and maintain breastfeeding. When latching on or other issues occur it really seems to throw these young women for a loop.
I hate to say this, but in many ways I feel that breastfeeding is a "head game". Women need to be educated, supported, AND have the focus and determination to do just about whatever they need to do to make BF work.
I KNOW that for a good number of women, they did everything possible and things still did not work out. (Including myself with my firstborn.) But I think that many of us can tell as soon as we walk into the room to assist a mother, we can "feel" the difference between a woman prepared to do what is needed to be done to make BF work and the new mother who probably won't be able to go the distance.
While 605m$ sounds like a lot of money, it's not. In north NJ, all the hospitals around mine recive zero charity care dollars. Also the hospitals that recive the most, a number have just shut down..
As for the fed supplying the service, what makes you think they will be any better. You will have long lines and poor service.
I am from Europe, and have seen this first hand. You really don't want it.
It is too slow, poor service, too expencive, and will have too litle say in our health care..
Just Remember, You get what you vote for..
So this pt will probably be going home soon?
How will the family deal with her care at home? (When she falls because they get her up.)
When she becomes injured at home/or needs to be readmitted due to her dx, does your facility HAVE to take her back?
Can it be suggested that she go to a facility with bariatric equipment?
I don't need to tell you, but you DON'T want to have to deal with this family again, or have any more staff injured.
I worked at a Plasma donation center for three months when I was an EMT. I did physicals on new donors, yes they pay, and yes the place looks like a jail, because usually its poor people that are donating, they are the ones that need the money... The thing is, a person can donate plasma twice a week, but can donate blood only every 120 days. Plasma rebuilds faster.
Its interesting what they do with the plasma. Some places use human plasma for make-up, and others use it to make drugs. Grifols, where I worked used it to make Immune Globulin, Albumin (Human) and the tested donors for Tetanus titer and hepB titers, they can make immunizations from these donors.
In the end it was a dirty facility that didn't seem to adhere to their own rules and I wasn't comfortable working there, I don't think I would have been comfortable donating either.
Restraints! Just kidding. I hate dealing with family members who can't seem to use common sense.
Honestly, I think the people in Haiti and other disasters recieve their medications faster
now than our own elderly in LTC units. We nurses are left holding the bag once again while
our patients pay the ultimate price of being in pain waiting sometimes long hours and days
for pain relief. My solution is simple, pack them up and send them to the ER---STAT for
pain relief if no response within 1 hour of time from the doctors. I can tell you it would NOT BE
MY MOTHER waiting any longer than that. Good grief, we are going backwards in everythng in
this country. How sad!
I left management so that I could get PAID for the hours that I actually work. We have this new nursing director and she is having us attend these charge nurse educational meetings to "train" us. I am a bit insulted by this, having been a director of nursing 3 times in the past myself but whatever. I live in Washington state and most nurses are union here. So she tells us at this meeting that we should expect that we will be doing some work "off the clock" as "professionals" we should not expect to get paid for every single thing that we do. Well, this may be a blue collar attitude but that is BS. I did my time not being paid for what I did and those days are OVER. I am sending her a copy of the union contract with a little note reminding her that she cannot work us without paying us least she end up in court herself.
What good advice.
How can you find a "good doctor" to get your tyroid checked?
At the practice I go to I can't even get to see the doctor. They will only let you see PA's unless you are dying. The PA's, God bless them, seem unwilling/unable to do or order anything. And I know how much practitioners love it when you ask for a test or suggest that you might have something that needs to be checked out.
Before anyone says to change practices, you then become a "doc hopper". Even with good insurance it is hard to find someone to take new patients. Not asking for oxy, just want some blood work done. Please? Even a familily history of low tyroid gets you nowhere. sigh....
Could the father somehow be the cause of the boy's problem? The father doesn't want the boy to say anything or anything be discovered by a Dr.?
Possibility of drug use?
Or, Dad could just be the kind of guy we all know that thinks a boy should just "walk if off", whatever the problem is.
Financial concerns? Leery of getting a big hospital bill.
How is the boy now?
What is our OP's responsibility, being a nurse, if she does not call 911 to at least try to get him care? The hospital would then have to sort out getting consent from Dad. Our OP does not necesarily have to have consent to call 911, does she?
Basal cell carcinoma (a type of skin cancer). Don't hold me to this, but this is the cancer I think some researchers have linked to statin use. I am not too computer literate. Maybe some of you all could do a search on "statins, cancer". And see if you can post anything for us.
This kind of sticks out in my mind because my Dad (now in his 60's) was put on statins and developed Basal cell carcinoma. What is interesting is that he has coloring of that of an American Indian (darker features/dark eyes/jet black hair). I am sure maybe he got some sunburns as a child but overall he worked indoor jobs his whole life and was not really an outdoor person. Though this is just anecdotal, as skin cancer can occur in anyone of any race not just blue-eyed white people.
Anyone care to share how they injured their rotator cuff or did they just start to have symptoms (shoulder pain) that required a repair?
What kind of cancer did the article mention? (If you can remember).
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