Up $#!+ Creek
played by overworked unknowns
Get this, folks: we just had a job where we had to take a hip surgery Alz female pt out of a SNF to "rehab" at home to qualify for placement in AFC, right after bringing home from hospital her hubby with broken ribs, blood transfusions, 22 stitches from fall, worsening multiple myeloma, etc.
Dtr goes in, for 2 weeks her mother is repeatedly found by dtr to be laying on back covered in diarrhea, no Attends even, just an undy pad. Despite dtr's concerns, nothing done. New and bad bedsores on heels and hip and buttocks, incision becomes infected. We go in to find pt laying on back swimming in yellowish brown mess. Takes 1 1/2 hours to clean her up because as soon as clean and in fresh Attends, whoooosh fill 'em up. Staff hadn't done much PT on her, very stiff, in pain. Constant diarrhea, that certain yellowish outline stain and odor, etc, plus staff on floor casually mentions 5 other pts of 19 have C-Diff. Oh great. Wife supposed to come home to neutropenic Multiple Myeloma pt who has been hospitalized so many times the State says one more time and Protective Services is going to take over.
So we request a lab test for C-Diff before bringing lady home to immunodifficient cancer husband.
Go back 3 days later to get lady pt, ask what lab result is, staff says: "Oh, we cancelled the lab test because we were trying to cover up some medication errors." They claimed they gave her 2 Senokot a day for 2 weeks without noticing massive amounts of diarrhea even after dtr complaints.
Meanwhile AFC refusing to take pts without lab results ...
No Wound Care RN ordered for home visits, no proper or adequate supplies, no equipment, even after 2 weeks of requests, calls, f/u, lists, explaining, etc.
Tons of visitors, bringing dogs in, multiple myeloma pt has kidney failure and what looks like rash, itching, medication reaction? open sores all over body which he scratches until soaked with blood -- none of this addressed or understood.
Aaaaarrrrrggghhhhh -- we bailed. Too risky. Home care can be really scary when there's no nursing focus or basic attention to cleanliness, due procedures, etc. We left them with plenty of advance notice, several family members in the house and the AFC operator in there too checking them out.
Did you say Wal-Mart is hiring?