dancingdoula 2,263 Views
Joined Jul 3, '07.
Posts: 36 (47% Liked)
I also wonder what effect cost of living has on the prices? California is such an expensive state to live in, from what I know. If a drug costs $10 to any hospital in the US, but the hospital has to wrap the cost of staff salaries, such as nursing, housekeeping, etc, into the cost of the drug also, then it seems to make sense that hospital bills would be higher in more expensive areas. If a nurse has to pay $1500 rent for a small apartment, versus $600 in a less expensive area, then don't they have to get paid more? And if the cost of their salary is wrapped up in how much they have to charge for this medication, then it would have to cost more where COL is more expensive?
Really, I'm just kind of thinking 'out loud' here, about why such a mark-up would be justified (not that I'm necessarily saying that it is....just trying to think it out). I don't know very much about the variance of health care cost across the country though, so I don't know if a 2,999% markup is justifiable or not, no matter how expensive the cost of living is.
I was sent home halfway through a shift and put on strict bed rest by my midwife at 28 weeks due to strong contractions that would not subside unless I was laying down. Three weeks later my midwife wrote a VERY SPECIFIC note about what activities I was allowed to do (including being on my feet for no more than 15 minutes per hour) and I tried to get a temporary position in the administration office doing filing, reconciling PIXIS meds etc... but there were already too many other RNs on "lite duty" so they had nothing for me and I was forced to go out on LOA. If you have complications and have to go out early, you still qualify for state disability. It's a pay cut and takes a good 6 weeks to get your first check, but I will be paid by the state until my child is 12 weeks old. The biggest bummer is I will lose health insurance after being out the first 12 weeks and have to pay COBRA for the end of my leave but the health of myself and my child is far more important than any temporary financial difficulties. Now at 36 weeks I'm going a bit batty sitting around all the time but the end and that perfect prize are near. As a NICU nurse I can tell you first hand it's way better to go out early and take it easy instead of pushing through and winding up with your precious little one as a patient! Good luck to you!
I have yet to care for a celeb as a nurse but in my former career as a massage therapist I had many famous people as regular clients. They're all just like us (especially when naked and lying vulnerable on a table in front of you;-) and in my experience they generally like to be treated like anyone else.
I agree with above posters, especially about NEVER allowing ANYONE see my children without me or my husband being present... many pediatric dentists see kids without parents routinely. VERY disturbing. I generally don't support the death penalty or any other kind of corporal punishment... except for monsters like this!!!!
I'm about to be a very bad patient. I'm due to give birth to my second child in the next 6 weeks. Had planned a midwife assisted home birth (yes, even as an NICU nurse I still think it's the best way!) but due to complications I'm being forced to deliver with an OB in the hospital. Trouble is, I don't believe their reasons for calling me high risk are legit... anyway, I just hope they don't call security and call me "combative" just because I'm educated and opinionated!!! The doc at least is a bit forewarned, I just feel sorry for the nurses who have to put up with my demands!
I work in NICU so not a lot of heavy lifting there As far as contact... it depends on the bug. No H1N1 or CMV patients but MRSA or VRE are fine if you use your precautions correctly. I'd just be careful and sit as much as you possibly can (LOL) I just had to go out at only 28 weeks because my uterus would go into spasm just from being on my feet too much (3 12 hour shifts in a row did it ) Now I'm on strict bed rest... it's not worth it to put your baby at risk! Take the easy way whenever possible!!!
"So we could be one-third lower, but we'd still be almost twice as high as Sweden... How does that work?"
Sweden also uses far fewer interventions (c-sections, vacuum extractions, etc...) which snowball into complications and most births are attended by Midwives. Docs in this country have a tendency to use techniques that aren't really necessary just to cover their butts. :angryfire
I got the flu shot once and was sick for 5 months afterward. Of course it is an inactive virus but it can still deplete your immune system... I got EVERYTHING else. I had a new virus every 2 weeks! I got the flu last year and was sick for 2 weeks period. I think I'd rather take my chances!
My facility recently opened a whole unit dedicated for this purpose. We have 14 rooms that are currently being utilized and another 6 or so that will be available soon. Unfortunately, not enough parents use this resource
Just another reason why newborns should always room in with mom. It floors me to hear how common it still is for babies to be taken away to the nursery and only be brought to mom for feeding. Only under extreme circumstances is there a reason to separate mom and baby. My baby never left my side despite complications that left us inpatient for 5 days! Sure I was tired, and groggy but I slept when baby slept. It's like training for taking the baby home but with the RNs as back up!
This is such a tragic, sad scenario. I hope those babies find a way to cope!
I used to be a Doula in Santa Barbara and attended many births at this hospital. It was a long time ago so I don't remember if there were ankle monitors (lo-jacks) or not but I know the policy was to always transport baby in a crib. According to the article, she stuffed the poor babe in a plastic grocery bag to skirt that rule. Sadly, sick people are always going to find a way around the securities in place. When I had my daughter, at a different birth center, we were sent home with the lo-jack on after the midwife assured me she would remove it before we left. No alarms went off, we actually had to call and tell them we had the device!!!
"Infants who received donor human milk were three times less likely to develop NEC (RR 0.34; 95% confidence interval (CI) 0.12 to 0.99), and four times less likely to have confirmed NEC (RR 0.25; 95% CI 0.06 to 0.98) than infants who received formula milk."
I'm still looking for the 79% stat I read, I may have to ask the lactation consultant at work.
Why on earth is donor milk illegal in NYC??? At the facility where I'm from in the Bay Area we had a milk bank on site and the docs would just write an order for it as if it were a med. There was unfortunately a short supply so only the littlest peanuts without their own Mommy's milk would get it. Parents just sign a consent form like they would for blood products. Sadly, the facility I'm at now is pretty backwards on the BF thing, I'm trying to help change that. The benefits of donor milk so far out weigh the risks! I'd much rather give donor milk than say, amphoterrible!!!
I have read studies that state that formula fed babies are 79% more likely to develop NEC than EBM fed babies. With those kind of statistics, why can't we mandate that EBM be used for our at risk population??? I know, you can't force a woman to pump but using donor milk and persuading more mommies seems like a no brainer.
Obviously, from my user name, I was (am?) a doula before I became an RN. Every nurse I worked with as a doula was happy to have me there because I approached them in a non threatening way,( brought them doughnuts even, and took a lot of the burden from them in managing the laboring mother's pain. I always viewed my role as supporter and advocate, only educating my clients, not making decisions for them. I tried to stay out of the way of the medical team and never had any conflicts. There was one doc who didn't like me much because I advocated for my client but the nurses where always supportive. I suppose if you get someone in there who has her own agenda there could be problems but I would assume that is a rare instance. As a NICU nurse I don't get to work with doulas but I'm sure someday I'll return to my first love of L&D!!!
I'm at a hospital in Central CA. Base rate $27.52 + $4.50 night diff + $2 weekend diff... oh, and this is the new grad rate, hoping to get a bump in a couple of months!! Oh, and this is NICU.
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