Horrible hospital experience!

Published

My father had a radical prostatectomy yesterday morning. The surgery went great! The doc said there didnt appear to be any mets and he was able to save the 2 nerves. wonderful news!

The surgical experience was a positive one for my dad and us as well. You couldn't have asked for any better.

then daddy was transferred to the floor...

As we walk into his room, we hear a lady talking down to him like he has dementia. When we got in the room, she immediately said in a horribly rude tone "you need to go outside until i am done!".

um okey dokey...so out in the hall we go, with my sister and i (both nurses) looking at each other like "wth?".

The surgery was a traumatic event for us all, as you can imagine. My mom kind of lost it in the hall and cried to me "i just want to see your daddy and know that he's ok. why wont she let me even see him? whats wrong?". (we hadnt seen him since he went in to surgery)

I told her that she was his wife and she could go in the room if she wanted but that my sis and i would stay out in the hall to give the staff space and time to get him admitted. So I walk my mom to the door of the room and the nurse is coming out of the room at the exact same time. She again tells us we "cant" go in there. I tell her that my mom is very upset and needs to see him to know he's ok and that she will sit out of the way but that she needs to be in there with him. At this point, the nurse puts her arm on the door and physically blocks my mother from going in the room!

I'm not saying she just told her not to go in there...she literally blocked the door with her body and arm and told my mother that she would NOT be going in that room. my mom tried to open the door and the nurse grabbed the door telling her "i told you to stay in the hall, you are not going in that room!".

at that point i told her "look, my mother is his wife AND his POA. if she wants to go in the room, she can. she will NOT get in your way but she is going to sit in there".

the nurse literally rolled her eyes, huffed a big sigh and stomped off.

o m g

As she is coming back down the hall, I am standing there looking at her and she stops and says (and i quote) "do you have a problem??". (in a total confrontational way!)

if i didnt before, i darn sure did now!

I told her "yes, i do. I dont appreciate how you spoke to my mother". and she tells me "well thats the way we do things here, get used to it". OMG!

By this time, he'd been on the floor for over half an hour. When the RN brought him up from surgery, she told us that daddy was in a lot of pain and that she'd just told the RN that he would need pain medicine.

So I ask her why he hasn't had pain medicine yet. She tells me "he will have to wait until i get his paperwork finished".

At this point, i'd had it! I asked to see the supervisor. Again, this nurse rolled her eyes, huffed a big sigh and stomped off!

so now she's physically kept my mother from going in the room, told me thats how they do it there and to get used to it and now says daddy cant have pain medicine until she does his admission charting even though the nurse from surgery told her he needed pain meds right away and even though my daddy was laying there crying from the pain.

I waited for 45 minutes before the supervisor came to the floor to speak with me. Another nurse was the one trying to get the supervisor for me because daddy's nurse refused. The supervisor was doing "rounds" where you ask the patient how their food and service is. ok..your nurse is getting physical and you don't think it's important. gotcha! so after 30 minutes of waiting and 3 pages to the supervisor I had had it and asked her to call the House supervisor. The house supervisor refused to come up and told me to wait for the supervisor!

at this point i feel like i'm either in the Twilight Zone or I'm being punked.

She eventually comes and assigns another nurse to daddy. ok great. problem solved. thank you.

Well, the pain meds they were giving daddy were NOT working. Finally, around midnight the 11-7 nurse comes on. by this time my sister was crying (she stayed with him) because daddy was in so much pain. So he tells my sister that he is going to give dad the "whole" dose of morphine. Within one hour, daddy was out of pain, relaxed and his UOP increased to 150cc. (he had only put out 50cc since surgery)

He tells my sis that the order is 4-10mg, titrate as needed.

The other nurses had been giving daddy 4mg but then never came back in to assess pain control!! If they had, they would have known that dose was not working. So my dad suffered for 9 hours until this guy came on shift on nightshift.

Then they had a fire drill at 3:30am. Ok...training is important. but in the middle of the night? but even that I could see. except the fire alarm malfunctioned and went off for 30 minutes.

This afternoon the doc decided to let daddy go home. 4 hours later, not one soul had been in his room except the lady that brought his lunch. My sister finally asked the nurse at the desk if he would be discharged soon.

they didnt even know he'd been discharged! his chart hadnt been touched since the doc put it in the rack!

I absolutely could NOT believe how bad his care was! If it had only been that first, rude nurse then I could have just chalked that up to her being a rude person. Instead, most of his care was horrible!

It's unbelievable that the care was exemplary in the surgical dept and then horrible on the floor.

I am totally disgusted tonight.

Specializes in Emergency.

Hope your dad recovers quickly.

As for the treatment he received... Go ballistic. Call AND write to the CEO and nursing VP. You'll be getting a survey. Fill it out in detail. Attach extra paper as needed. Give them the entire story with names if you have them. As an aside, be sure to give props to the RN that controlled your dad's pain as he sounds like he did his job properly.

Specializes in Rehab, Infection, LTC.

sorry to post and run last night. i fell asleep with my puter on my lap.

I have allready started the letter to the CEO. I had to walk away from it yesterday because i am still too angry. but bet your bottom dollar he will get a letter from our family!

i know it probably won't change a darn thing but im sending it anyway!

I'm also going to have a talk with the doc. he hasnt been in this area long. he is from this area originally but went off to college at Harvard. his dad died from prostate cancer and he moved his practice here. he needs to know about the care because thats the only hospital in town.

i also dont understand why his pain couldnt have been controlled in recovery. the nurse told me that they'd given him all they could. she also told me he was having panic attacks and they had to give him some versed to help him calm down. i had kinda thought he should have been put on a PCA.

i think he was having a panic attack because noone had told him anything about the surgery other than "it went great!". he wanted to know if the doc got all the cancer and if there was any mets. once i told him, he seemed to immediately calm a little. they wouldnt have known he'd been in a state of constant anxiety for 2 weeks about it.

as for them calling the supervisor...i was standing right there when they called her 3 times and when they called the house supervisor 1 time. the nurse that was calling for me was the sweetest woman ever. she was angry at both of them. she told me "if there was a cracker on the floor she'd be down here yelling but now she wont stop rounds for THIS?". then when she did come she told me she'd been dealing with a "problem". she had no idea her nurses had allready told me what she was doing.

believe it or not, we kept most of this from daddy. he was in so much pain that until the male nurse came on shift at midnight, he doesnt remember much before that. and while we were waiting those 4 hrs to d/c, i kept telling him "this is normal". things like that. he doesnt know about the pain meds or anything.

Specializes in Rehab, Infection, LTC.
Hope your dad recovers quickly.

As for the treatment he received... Go ballistic. Call AND write to the CEO and nursing VP. You'll be getting a survey. Fill it out in detail. Attach extra paper as needed. Give them the entire story with names if you have them. As an aside, be sure to give props to the RN that controlled your dad's pain as he sounds like he did his job properly.

i kept up with the names of everyone. i plan on giving huge kudos about the good care he received. one reason i made this thread, besides to vent my butt off, was to get ideas and advice from you guys about the letter.

Specializes in Rehab, Infection, LTC.

to update about how he is doing...

he's actually doing great! it is amazing what being at home, getting a good shower, some potato soup and a nap in his favorite chair did for him! he is taking a lot of percocet for the pain but i know that is normal.

i really had absolutely no idea this surgery was this painful.

everyone please! have your male loved ones get a PSA!!

Specializes in M/S, MICU, CVICU, SICU, ER, Trauma, NICU.
1. The recovery room should have made sure his pain was relieved before bringing him to the floor (which is no excuse for the floor nurse btw).

2. The original floor nurse that admitted him has no business in patient care IMO.

3. Makes me almost wonder if the sup's were even called at first, if so they are contributing to the lack of care on the floor.

4. It sounds like the rest of the care wasn't as bad as that first night yet ALL nurses should check orders on their patients even if the floor is too busy to put them in the computer yet.

I would definitely complain higher up or there will be other patients in similar circumstances!

That's why I am confused. Was the floor nurse also the RR nurse? That's the way it sounds like in the post. Your dad should've come up with minimized pain. Radical pros hurt a LOT. He shouldn't have come up until he was relatively--and I mean relatively because it is a big surgery--pain free.

Specializes in Rehab, Infection, LTC.
That's why I am confused. Was the floor nurse also the RR nurse? That's the way it sounds like in the post. Your dad should've come up with minimized pain. Radical pros hurt a LOT. He shouldn't have come up until he was relatively--and I mean relatively because it is a big surgery--pain free.

the nurse that brought him up from recovery told me they'd given him all they could. i think he probably was "relatively" relieved. that was the feeling i got from talking to her when she told me almost apologetically that they'd given him all they could. that was the impression i got from her. you could tell that she really cared. she told me not to worry, that she'd told the nurse he needed pain meds right away. i assumed so that they could get him started on meds on the floor and hopefully between what they'd given him and what the floor could give him he would get better pain relief? i wish i remembered her name too. she was wonderful! you know how you can look at someone and know they truly care? that was her. she even hugged us.

the nurse that brought him up from recovery told me they'd given him all they could. i think he probably was "relatively" relieved. that was the feeling i got from talking to her when she told me almost apologetically that they'd given him all they could. that was the impression i got from her. you could tell that she really cared. she told me not to worry, that she'd told the nurse he needed pain meds right away. i assumed so that they could get him started on meds on the floor and hopefully between what they'd given him and what the floor could give him he would get better pain relief? i wish i remembered her name too. she was wonderful! you know how you can look at someone and know they truly care? that was her. she even hugged us.

but she should have called the surgeon and gotten further orders, yes?

having a patient show up from pacu in that much pain does cause a problem for the floor nurse....if they have a pixis they will have to over ride etc

I'm not even surprised that this happen,such incidents happen more often than we think but some families/people are not vocal about it or report it....I remeber my best friend told she was admitted to the hospital for a C-section and her husband was asking nurse about the treatment and she shout out "you are little noise arent you? Asking all those questions!????:eek:

Specializes in Med-Surg/Tele, ER.

Ok, as a med-surg nurse let me tell you the process for getting a patient back from recovery. I can agree with some of the things and totally disagree with others (namely the attitude they all gave you:cry: I'm sorry)

1) When I recieve report from the recovery room nurse, pain is always something I ask about because I KNOW it's going to take me awhile to be able to get them something. (I have to assess the pt, review the orders, write out the med sheets or if the ward clerk writes it out then I have to check it and so on). All this has to be done before I can give anything. So if the pt is in pain according to the report I recieve, I ask the RR nurse to give them something. They in turn ask the Dr. for a one time order-easy process, so even though the RR nurse was nice, she should have asked for something for him before bringing him to the floor.

After the pt comes to the floor, I have to assess the patient, which usually involves exposing them in some form, so I always ask the people in there to step outside (NICELY might I add) and explain it's because I have to expose them. We are taught never to assume the person in the room is their spouse because the minute you do, it will be their sister, so to be on the safe side, I ask everyone to leave. If the person says they are the spouse and would like to stay, I let them. No problems.

Yes, the nurses definetly should have reassessed pain level after administrating narcotics that are titrated, but the sad truth is that they may have been too busy. I know it's not kosher to say that, but it is the truth and those that work med-surg know that I'm saying the truth. Some days you have 8 pts all needing something from you all at the same time and in the real world, it's easy to forget (I tell people if their pain is unrelieved to press the call light to remind me because I know this. I even tell the family members to do this.) Even if the nurses did not do this, did you guys tell them his pain was unrelieved? And we also have no way of knowing if the RR nurse told them that 4mg held him and they were going off what she told them. I know I know, none of this is an excuse for their behavior, so don't flame me, just trying to maybe let you see what actually goes on. The real problem is too many pt. being placed on med-surg nurses at one time in order for the hospital to make money. You get sooo many demands at once and it gets frustrating both to the nurses and the pts that need things. You know in your mind that you are drowning and not providing the care you were taught and in your heart that you want to provide, but you are doing the best you can. So besides the attitude problem (which should be addressed) keep all this in mind when you write your letter-

I must admit that I have had patient's family members come at me the way you did to the nurse, and it never helps. I have caught myself having the same attitude back, then had to remind myself that that is their family member in there and they are stressed and worried about them and if it was me I'd probably be the same way, which helps me loose the attitude and be extra nice in the future to try to relieve some of the anxiety. This nurse must not have learned this yet.

Kudos to the nightshift nurse for giving the correct dose of meds! Make sure you put that in your letter, even if you don't know his name, they can find out!

As for discharge, yes this can sometimes be a long process as when you are prioritizing your care (and you must with this many patients) discharging someone falls at the bottom of the list. It's also not as easy as people think. The Dr. doesn't come in and say "he can go" and you take out the IV and they are gone. THere are forms to fill out, appointments to be made, teching to plan and do, meds to reconcile, perscriptions to call in, home health to arrange if they need it etc. All before the patient can go. So, 4 hours doesn't seem like a really long time to me. I know it seemed like it to you becuse you wanted to get him home and give him TLC:redbeathe but it does take awhile.

I know I will probably recieve some flack for this post, but I just wanted to show the other side of the coin and the real world of med-surg nursing.

Specializes in psych,maternity, ltc, clinic.

My dad was in the hospital for a bowel obstruction 3 weeks after a quadruple bypass. He got great care in ICU, but went to the floor and it was another story. He lives in Ill. and me in MN. I called him early evening and he said he wasnt feeling well and no one was coming in or answering the call light. I could HEAR over the phone he was having an exacerbation of his CHF. I called the nurses station and spoke to his nurse. She got an xray and sure enough, pulmonary edema. He got some IV lasix and was ok, but sheesh, I was glad I called.

Specializes in Med Surg, Peds, OB, L/D, Ortho.

That was truely a horrible experience! OMG! I would push this to the wall! The care he recieved was less that substandard to say the least. I hope he is much improved at this point......I wonder..does his md know how his patients are treated? He needs to. God bless

Specializes in MR, peds.

OMG, I'm disgusted for you. Never have I encountered that. Write the CEO...best of luck to you and your familiy!

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