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Poochiewoochie 5,521 Views

Joined: Aug 1, '11; Posts: 181 (45% Liked) ; Likes: 225

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  • Jul 20 '13

    Quote from bwhiddon74
    I understand what you're talking about. I've been an ER nurse for ten years and I can't stand to see my co-workers having bad attitudes. Whether we believe the pt is sick or not is not our job. If the pt is in the ER, then treat them. If you (nurse, docs, etc) don't believe they have a valid reason to be there then tell them respectfully. For instance, I've heard doctors tell the pt that " in the future, this is something you may consider going to your doctor about." Or I've even told pts, "We can treat you tonight, but your doctor will be able to give you what you need better because he will keep close eyes on you and your health." The point is that we (nurses, docs, etc) are not judges, but caregivers. And if we don't care then we should be in another line of work.
    Our dr TOLD us to go to ER! In fact TWO drs told us to go to ER! Pcp and gi doc. That is partly why I was upset, I wanted to have an office visit, and not necessarily right away. And I explained the problem in depth to the staff of both my doctors and it was midweek around 10 am. Frankly it is possible we WERE turfed but that is not my fault so no lecture is necessary ( to me, maybe the docs could use one)

    Let's face it, Doctors, like all people, come in different varieties. Some are very capable, some are jerks, and some are both.

  • Jul 11 '13

    Quote from Rn112389
    Hello, I work in a hospital and had a patient pass unexpectedly under my care for natural causes. The family went out of there way to send me a card and a small token to show their appreciation for my support during this most difficult time. Am I overstepping any boundaries by sending the family a sympathy card /thanks for this nice gesture? In doing this I would need to find their address from medical records or my manager. What do you think? Thankyou
    Lovely thought, however, unless you knew them outside of the facility, don't do it. If you have to get an address from the record, that is where it gets into violation territory. I am sure that when presented with a card and gesture that you said some nice words, thanked them well, expressed your sympathy on their loss. That is enough.

  • Jul 1 '13

    Hopefully private rooms. I think sharing a room, and worse, a bathroom, with a total stranger when sick is barbaric.

  • Jul 1 '13

    Quote from blondy2061h
    Hopefully private rooms. I think sharing a room, and worse, a bathroom, with a total stranger when sick is barbaric.
    All new hospitals are being built with only private rooms. I'm happy about that.

  • May 25 '13

    Wow.. I have certainly seen some scary posts. Patients have the right to make choices. We may not agree with them, but at the end of the day they can eat, smoke, drink, and stay in their rooms. My God how terrible it would be to have someone making all of your decisions for you just because they don't agree. No thanks.

  • May 25 '13

    Quote from ThePrincessBride
    Just because one is "old" doesn't mean that one is "dying." My grandmother has a POOR quality of life due to years of chain smoking and drinking and she later had to insert a pacemaker in herself. My OTHER grandmother, who is 10 YEARS older, kept herself healthy and has a way better quality of health (she can drive and live by herself).
    So what? They were each allowed to make decisions about their health when they were younger. Why should they be stripped of that decision making when they are old?

    And I know old does not equal dying. I never suggested it did. It is a fact that when one is old, that one does not have a lot of life left. It's ridiculous to assume that an 86 year old has many long years ahead of them, especially if they are unable to live independently.

    Allowing a person who has breathing problems to smoke at a nursing home and letting a diabetic to have all the sweets they want is not right.
    I see it all the time in the ER. We don't forbid diabetics from eating sweets at home or smokers from smoking at home. I won't give them cigarettes or sweets, but if the diabetic gets their family to bring them in a cake, I won't throw it in the trash and get security to throw the family out. The diabetic is allowed to make bad decisions even in the hospital. If a smoker with COPD is in the hospital and wants to go outside and smoke, they're allowed to make that decision. I may tell the doc that they are obviously feeling better and can probably go home, and I certainly don't assist in their habit, but I have no right to snatch their cigarettes and throw them away.

    It's pretty shocking that you think people should not be allowed to make decisions, engage in activities they find pleasurable and that you know so much better and should dictate how they spend their days.

    You aren't allowed to smoke a hospital, so why should you be allowed to smoke at a Nursing home? If an old person wants to smoke and "overdose" on sugar, they can go do it elsewhere.
    Where would they do it? At home? Oh wait, the nursing HOME is their HOME. People are allowed to smoke and eat what they want in their HOME.

    If my grandmother (the unhealthy one) was put in a nursing home that allowed her to drink and smoke all day, I would be ****** and ask for my money back.
    Wow. Do you stand over your grandmother and make sure she eats all of her peas? Do you throw away any sweets she buys and send her to her room? She's an adult; she can make decisions for herself even if they are bad.

    Do you eat only they healthiest of foods and never let a refined sugary, confectionary treat to touch your lips? Do you drive the speed limit ALWAYS? Do you exercise every day? Get the required amount of sleep every night? Drink 8 glasses of water a day?

    No. No one is perfect. Would you want someone dictating what you can and can't eat or do because they think it's "poison?" No. You're an independent adult who can engage in dangerous or unhealthy behavior as you see fit. You will pay for it later, but that's your choice to make. Everyone makes bad choices in life.

    P.S. If you cannot discuss in a mature fashion without throwing the insults ("idiot", "know it all"), please do not respond to me.
    Please try to read critically. I said "some idiot" not "you idiot." And, anyone who would try and dictate what I can eat and if I can smoke in my HOME, is an idiot in my mind. If that person doesn't agree with it, they certainly do not have to contribute or enable the behavior, but they have no authority to stop it.

    I cannot imagine what kind of controlling, egocentric personality would honestly snatch the birthday cake from my arthritic, diabetic hands that my family brought me on my 90th birthday at the old folks home and throw it in the trash because it was "poison" and god-forbid I enjoy a sweet.

    You also do not get to dictate who does and does not respond to your posts.

    ETA: Not all of those in nursing homes are "old". Sure, some of them are, but I know some in their mid 40s who are in nursing homes.
    Right, and if those who are younger want to eat cake and smoke, they can. You're not the boss of everyone.

    In a nursing home, you're there to help them manage their health, but more importantly enhance the quality of their life. And sometimes, sometimes, the activities that enhance the quality of life are not the same activities that prolong it.

    This is the same reason we "allow" people with terminal diseases to stop the treatment that is keeping them alive and let them ENJOY what time they have left, even though stopping treatment WILL ensure an earlier demise.

  • Apr 19 '13

    I hope that I am not only speaking for myself that it is shameful to "reprimand" me for noting that a critical potassium level was addressed so casually and then the blame was placed on the doctor for being so "awful". I know that when I am a nurse I will make mistakes but I will learn from them not make excuses for them. It is sad to see the prioritization that so many nurses on this sight have. Also I show respect to everyone around me but my point was that if you don't think you did something wrong as a nurse go back to those fundamental skills and knowledge that you learned as a student and ask yourself should you have done something differently.

  • Apr 18 '13

    Quote from CapeCodMermaid
    I report just about everything,but I would NOT report one resident calling another resident a *****. If a staff member had said it for sure, but one resident to another? Nope.
    Absolutely agree. On our Alzheimers unit, curse words go flying and unless it gets phtsical, we simply intervene, separate the 2, and di behavioral charting.

  • Apr 17 '13

    Quote from psu_213
    I had in pt in the ER who was having on and off headaches (fairly mild ones at that) for the past few months before her visit. She said to me "Dr. Oz says that a headache is never normal, so I had to come to emergency to get it checked out." After the doc saw her, she was being discharged with and Rx. for Tylenol and instructions to f/u with her PCP for further evaluation....i.e., it was not an emergency condition. Well, on discharge she pulled the "but Dr. Oz says...." card again. Dr. Oz needs to tell people that it is better for their long term health to establish a relationship with a PCP and to see them regularly rather than insinuating that people need to have benign conditions checked right away at the ER.

    If I followed that advice I would be in the ER daily.

  • Apr 17 '13

    It's sad to see a physician of some "stature" (social, at least) contribute to the mindset that people with mental illnesses aren't really ill--they're just weak-willed.

    Most of the folks I know who take these meds desperately wish they didn't depend on them so, but they know that in order to live a productive life, they need them--whether long-term due to a chemical imbalance or short-term to stabilize themselves so they can pull themselves together mentally and deal with the issue at hand.

    Shame on Dr. Oz for perpetuating a stereotype--and on a national platform, no less!

  • Apr 17 '13
  • Apr 17 '13

    I wouldn't let a psychiatrist operate on my heart, so it makes sense not to take mental health advice from a heart surgeon.

  • Mar 30 '13

    A bit over the top-- In my honest opinion, and enough passive-agression to go around--I get that you are venting, but really ."if you give me attitude you will gain a life long enemy"????
    Perhaps time to think about something other than direct patient care nursing.
    If patient requests are "putting you in a bad mood" then it is time to take a step back. Patients should not ever have to be a party to the bad mood you are in.
    Hope that you find what makes you tolerate your work.

  • Mar 23 '13

    Quote from BlueDevil,DNP
    That's a shame, our MAs our outstanding. Your administrative leadership needs to set the standard for professionalism. I agree, the behavior you describe is indeed appalling. However, I really must object to your use of the term "ghetto" in that context. I am sure you did not intend racist connotations, but just so you are aware, it is really pejorative and unacceptable language among polite company.

    @ BlueDevil,DNP,

    The use of the word "ghetto" is not racist at all. Ghetto is a culture not a color.

    It is clear from your post that you are the one who is unaware of how telling your comments are regarding race and what your pejorative thoughts are about African-Americans. A Caucasian or Hispanic or Asian could never be described in those terms, right????

  • Feb 26 '13

    Having seen so many NH residents die as the OP described, I'm a firm believer that what we see physically in these cases in no way represents what the actual process is like for the dying loved one. I'm not a religious person, but I believe that when the dying process reaches that stage, the dying person already is more...... wherever they're going than they are here on earth.