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Anxious Patient 19,414 Views

Joined: Mar 2, '07; Posts: 1,103 (61% Liked) ; Likes: 1,979
housewife and mother; from US

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  • Feb 16 '15

    I work in the OR as a surgical technologist, and I am currently a nursing student. The stress of working in an OR, and because the crew is tight knit does not make it ok to make fun of patients! You as an OR nurse and me as the surgical technologist, it is our job to be an advocate for the patient. I speak up when I hear it happening in the rooms I am assigned to. Anyone that makes fun of a patient while they are laying on an OR table, naked and vulnerable with a tube down their throats is not only unprofessional but overall not a nice human being. My sister is overweight and she was made fun of on while she was walking dow the hall to the OR to get her C section by 4 of the members of her OR team. She heard them, and not only did they ruin was supposed to an amazing day, they made her distrust her surgical team and she became fearful of them. I was with her and she begged me make sure they didn't touch her. You can bet I started yelling for a charge nurse and her team was changed, I got a surgical technologist, a nurse, a CRNA and a resident reprimanded. It is not right to make fun of a patient PERIOD!

  • Feb 15 '15

    Quote from Anxious Patient
    I'm curious. Isn't one of the reasons Versed is used so that the patient can't remember anything later?
    Yes. But anesthesia is individual for each person. Not everyone can have the same drugs (allergies, contraindications, family history of/risk factors for MH), some procedures require specific types of anesthetic agents, etc. Agents are administered and titrated differently (inhalation vs IV and even among that different IV agents are given/titrated differently). What it might take to anesthetize you is probably not what it would take for me. And just because you give versed on call to the OR? Some people it doesn't have an effect on, and it may or may not last long enough. If your patient's procedure lasts hours? That pre-op versed isn't going to "cover" the entire OR time (considering versed peaks in 5-7 minutes with a duration of something like 20-30 minutes when given IV). Hopefully the anesthesia team maintains the patient "deep" enough that they have no remembrance of anything. But awareness under anesthesia happens.

  • Jul 17 '12

    Blog post in yesterday's Sunday NYT from a local hospital nurse about the "July effect" and how it affects patient care.

  • Jul 17 '12

    Several of the city's most troubled hospitals are partially or completely uninsured for malpractice, state records show, forgoing what is considered a standard safeguard across the country.

  • Feb 28 '12

    This already exists in countries with universal health care. Every time we access healthcare we provide out ID number to ensure payment to the hospital. Old records are requested under the number via phone and/or computer. Wish they'd auto populate our triage screen, since most people assume I already know all their allergies and meds via the system.

  • Feb 13 '12

    Hey nurses! I was wondering...I had the opportunity to go down the OR with my pt last week (I'm a NS). This pt was very sweet and easy preop, the surgeon, anesthesiologist, CRNA and circulating nurse all came by at one point to introduce their self to the pt. They were all very sweet to her, smiling, taking her hand, etc. Fast forward 15 minutes- she's in the OR but not yet on the operating table and had just "gotten gassed."

    It was like a switch had been flipped. This pt was by no means a small person, in the 260 range. As soon as her gown is off, everyone in the room makes at least one comment like "Damn, that's one big girl" and "Man, why do we always get the big ol' ones in here" and "everyone we've had in here is huge today, we can't catch a break!" At one point pre-procedure the surgeon even manipulated her large abdomen and said "wow!" when is rebounded dramatically. And no, the procedure was not abdominal-related in the slightest. Irrelevant side note; at least two of the people in that room were NOT small people their selves, but I guess when you're wearing big baggy surg scrubs it's pretty easy to pick on someone who is so vulnerable and naked and unconscious and spread out in front of you under bright lights...

    I've had other experiences with surgery, but only ambulatory stuff- no surgeries as major as this before. So the music and the joking were no shock to me. It was just the cold insensitivity to the pt that really was like a slap in the face.

    Aside from the fact that some pts have reported recalling hearing things from the OR and the whole situation being a potential liability, it just seemed overall mean-spirited and nasty. It made me ill to flash back to 20 minutes before to when the surgeon was holding her hand and smiling and telling her how committed they were to doing a great job or 5 minutes before when the CRNA had her hand gently on the pts hair, telling her soothing things in a soft voice. Like how very incredibly two-faced! Sure, I've been nice to a pt who was giving me a really hard time and then gone to the nurses station and ranted briefly, but this lady was nothing but smiles and sweetness to the staff the whole time she was there.

    I get that she's a big lady, I get that it probably really is a pain the arse to have to move such a large person onto the operating table, I get that she is "out" while these things are being said. But it still seemed really nasty and just unnecessary. Yes, she is a big lady but if it's obvious enough that everyone in the room feels the need to comment on it, is there really a need to say anything at all unless it is directly related to safely transferring the pt onto the operating table?

    Maybe I'm just naive. Maybe I still have rainbows shooting out of my butt since I'm just a green student. But it seemed crappy and inappropriate to me. Of course I didn't dare say anything since I was below the lowest on the totem pole in there... Have any of you seen things like this? Am I silly to be bothered by it, like do I just need to toughen up? I'm pretty sure OR is the right place for me but I don't know about it if I'm going to have to end up seeing stuff like that happen every dang day. My pt was a person, a lady, and I feel she deserved more respect than that whether she was conscious or not.

    Y'all's thoughts? Thanks a lot, hope you're all well :heartbeat

  • Jan 9 '12

    Oooh tears! lol How sweet, I am glad that she saw him & could help, and a Cardiologist right there soon after how crazy that happened. Good story & Yes I bet they would make a good, cute couple! I bet they date haha wish we could find out

  • Jan 9 '12
  • Jan 9 '12

    Boy she sure got her first code out of the way early. Major kudos to her, and I agree they would be adorable together

  • Jan 9 '12
  • Jan 8 '12

    Awwwwe! This was a great read and they would make a cute couple! LOL!

  • Jan 8 '12

    wonderful story, anxious.
    and yes, they would make an adorable couple.
    did you read the comments following the article?
    the pt's older sister responded, and noted that "meg" (the nsg student/hero) is a part of their family.
    who knows what their relationship is...
    it's awfully nice to think about though.

    here's some info on noncompaction cardiomyopathy.

    Noncompaction cardiomyopathy - Wikipedia, the free encyclopedia


  • Oct 10 '11

    Agree to both above. People are not going to stop going to the ER. And they cannot and will not be turned away. They have nothing so nothing to get from them. They do drive nice cars thou, or many do. And just look at the nails! People know how to play the system well and of course the ones who really need it get a bad name too. Prison can be great: "three hots and a cot".

  • Oct 10 '11

    Actually, a guy did this over the summer. James Richard Verone worked for Coca-Cola for 17 years, got laid off, and never was able to get a job with health insurance. When he noticed a growth start on his chest, he went to a bank, wrote a "this is a robbery, give me 1 dollar" and sat down to await the cops. He thought he'd go to a federal prison and would be in jail until he was eligible to collect his social security. Turns out, if you only rob 1 dollar, that's larceny, no federal charges. Here's the story....

  • Oct 1 '11

    How about looking at the taxable income of seniors and deduct their medical care, prescriptions, housing, food, etc. and come up with a higher fee/mo.? My moms secondary medicare is $100/mo. If she (wish) had for example, $100,000 taxable income she ought to pay more than $100/mo. Just thinking. Everyone here gets medicare and maybe the ones who are very wealthy ought to pay out a bit more. Also, the very wealthy still get their social security which is peanuts to them. How about having a cap on taxable income with no social security payments going out to the very wealthy? Put it in the pot for the ones who are not. Of course they would not like it. My moms social security is like a few dinners out for the wealthy.