Patients grades to affect hospital medicare reimbursements - page 7

If this becomes the real deal, I believe all of our gooses are cooked. I am going to be REALLY glad to be OUT of hospital based care in a year or two. I believe this is an impossible goal, given... Read More

  1. Visit  Kooky Korky profile page
    1
    Quote from Lovely_RN
    I was "scolded" last night by a patient because the chicken was dry and "I can't eat rice because it's constipating. Don't you people know that?" The patient had C-diff so I think she would be lucky if the rice "binds her up" but of course I can't say that to her.
    There should have been no discussion. You should have instantly phoned Dietary using the patient's phone and put them on the phone with her. It's their job, not yours, but the pt couldn't keep you tied up or say you didn't help if you did it that way. And never disagree with the pt. If it's dry chicken, it's dry chicken. Try to get her a different piece, try in front of her, try effectively by kicking it to the right department. don't waste your time. And there's no reason you couldn't have said that the rice would help her C diff. It might have.

    Learn a few things to say like, "Oh, I'm so sorry", "Oh, dear, that's terrible", stuff that shows empathy while you're dialing Dietary.

    I hope you can understand that someone stuck in the hospital finds food awfully important. She's got little choice in the matter and wants a good meal. She's scared, etc., and needs your help, busy as you are with lifesaving matters.
    Lovely_RN likes this.
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  3. Visit  Kooky Korky profile page
    1
    Quote from mindlor
    Every doctor that I have encountered in one year of clinicals has been kind, and resppectful in the extreme. They in fact have been far nicer than most of the nurses. Do you know why doctors are nice to me? Because I respect them and they know it.
    Ah, students, don't we love them!
    southernbeegirl likes this.
  4. Visit  casper1 profile page
    1
    Hospitals are not Disneylands, where your every wish is granted. I will not overmedicate your pain, risking your life no matter how much you ask. If your BG is 400 you won't be getting ice cream for snack even if you beg. If your blood pressure is 220/180 no you can't have salt at dinner. If you were admitted because you were having chest pain, no you cannot have caffeinated coffee.

    I'm your Nurse and it is my job to safeguard your health hopefully prolonging your life and keeping you safe.
    jrwest likes this.
  5. Visit  casper1 profile page
    0
    Quote from Kooky Korky
    Ah, students, don't we love them!
    Wait until you call them in the middle of the night because your patient is having chest pain, you might see a different side.
  6. Visit  Kooky Korky profile page
    0
    Quote from casper1
    Hospitals are not Disneylands, where your every wish is granted. I will not overmedicate your pain, risking your life no matter how much you ask. If your BG is 400 you won't be getting ice cream for snack even if you beg. If your blood pressure is 220/180 no you can't have salt at dinner. If you were admitted because you were having chest pain, no you cannot have caffeinated coffee.

    I'm your Nurse and it is my job to safeguard your health hopefully prolonging your life and keeping you safe.
    Unfortunately, it sounds like you might be safeguarding them to your own detriment! I do admire your commitment to those who might stab you in the back and hope your courage is not hurtful to you.
  7. Visit  DoGoodThenGo profile page
    0
    I predict a return to starched whites and caps, PM back rubs, pillow plumping, and a whole lot of "would you like", and "what can I get you?"...
  8. Visit  Sehille4774 profile page
    0
    Uh. Yeah I agree with most of the above posters. This is ridiculous. I am all for being polite, treating patients with respect--(even rude ones), I am not opposed to some quality control measures for us either, if they are fair.

    But IMHO things like this will only distract us from an already mentally taxing job...I would want my Nurse free to focus their mental energy on the important things going on...not trying to kiss my butt to get a good review from me or my family! If I am sick, I probably want you to leave me alone and let me rest anyway.

    I'm sure I am not the only nurse here to observe that patient's perception of the service is largely OUTCOME BASED...IE: If everything went well and you healed up and were out in 3 days it is 'the best hospital ever'...but if some incidental complication occurred, (no matter the cause) then 'we'd never go back to that place!"

    Not to mention if you were un-lucky enough to be a patient on a night when 3 nurses were out sick with the flu..leading to a short staffed night, for instance, and consequently the service was lousy that night...does that mean we should get paid less or not paid at all for something that is not our fault? This is definitely the kind of night the nurse will not have any extra time for Butt Kissing!
  9. Visit  pchs052010 profile page
    0
    This is so frustrating!
  10. Visit  roofrn profile page
    1
    This "customer satisfaction" issue is already a heavy burden - get one disgruntled patient who demands something and is denied if there is a safety issue involved. Hospitals and administrators already tend to side with the patient when census is down.

    Why shouldn't Obamacare add to the burden? We've already allowed lobbyists for healthcare corporations, members of congress, pharmaceutical companies and medical suppliers, and overpaid corporate CEOs who don't give a hoot for real people who don't have the congressional healthcare package or private insurance hijack the system....

    Healthcare should not be about competition, it should be about getting the best care for the most people possible. It should not be a 3 or 4-tiered system that gives the best care to the highest bidder or the one who brings in the most dollars for the least expenditure.

    We need to keep speaking out about the burden nurses carry. We need to speak out about what we know about what works and what doesn't. We need to use critical thinking and pass on our criticism to congress, to the state boards, to hospital boards.

    We know there are too many patients for too few full-time nurses, that resources are limited and the distribution of those resources is inefficient. We know this is not going to get better if all that is done is to put a band-aid on a gaping wound in our society.
    Sehille4774 likes this.
  11. Visit  Sehille4774 profile page
    0
    Not to mention that it is a well accepted phenomenon that when people are in a time of crisis (aka Hospitalization)....the heightened emotions and anxiety leads our perception and judgement of a situation to be different then if we were not in that state. *See that list of 400-600 some different coping mechanisms that occur just as part of the human condition IE avoidance, denial, blame, distraction, ect*

    This is a prime example of why patient reviews, except for specific incidents, should NOT be used to determine our reimbursement and why we know not to take exaggerated negative feedback from patients too personally!


    This is basic psychology...I learned it in nursing school, LOL :P
  12. Visit  Fribblet profile page
    0
    I'm going to find a new career. **** this.
  13. Visit  MSJRN813 profile page
    1
    This whole thing makes my blood BOIL!
    Makes me want to get OUT of the hospital setting ASAP.
    Patients are spoiled. They think they are at the Hilton!
    I'm sick of waiting on walkie-talkie patients hand and foot for things like gingerale, etc. ESPECIALLY sick of waiting on their family members!
    I did not go to nursing school for 4 years to be a waitress and to kiss your ass!
    YOU'RE IN A HOSPITAL. Yes, I have to put that IV in you...you're not here to sleep!

    But no, let's encourage this behavior.

    Sorry, I'm really not this crass or mean. Just frustrated
    Lovely_RN likes this.


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