Latest Comments by jodispamodi

jodispamodi, BSN, RN, EMT-B, EMT-P 2,535 Views

Joined: Mar 7, '08; Posts: 232 (61% Liked) ; Likes: 457

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  • 0

    Quote from Kooky Korky
    She's a current patient, soon to be former. It's hard to not hear when she talks to Burnout or when Burnout cries on my shoulder (not literally). Being involved in all this mess, however unwillingly, is one reason I HATE private duty nursing.

    And don't forget - Medicaid has a lookback period- 5 years is it? i don't quite know how that works. But if Medicaid thinks you transferred assets to someone else's name within 5 years, they can and do deny you coverage because they think you're hiding assets.
    Thats not exactly true, I've done alot of training r/t and your patient should talk to an experienced elder law/estate planning lawyer. Also many people who go past the 100 days either self pay for additional services, or get services through the state.
    I'm not sure what your role in this is: nurse, aide, family member... BUT if your role is through a facility or agency then your facility/agency HAS to ensure a SAFE discharge plan happens whether she be in the facility or her own home-can't just walk away and say good luck. So if she's a facility patient you need to speak out and raise your concerns, and if she's in her own home you need to let your agency know she's not safe and needs to be evaluated for home safety, which may involve reporting her as an elder at risk to EPS. Once reported they can often bring in additional resources. There are many options, including AFC/SL. But the most important point of this is she cannot be dc'd without a SAFE discharge plan.

  • 2
    brownbook and Kitiger like this.

    Quote from Ambersmom
    I don't know how many will remember my previous post (months ago now) about a temp manager who took a vendetta against me for reporting patient safety issues, said horrible things, and made me question my skills and lose my confidence and self-esteem. Well my 2 new managers have complimented me several times on my critical thinking skills, my assessment skills, and my "fresh perspective"
    Turns out, that old manager didn't know her tea from her pee,lol. Just feels good after all the mental anguish to be seen in a positive light again.
    Good for you! Sometimes good things come from bad.

  • 0

    when I worked on geri-psych we took patients with dementia all the time, it seemed if someone with a medical dx had a comorbidity of dementia they ended up on our unit. But each geropysch unit has their own criteria about who is appropriate for that unit.

  • 0

    Quote from hherrn
    Maybe I have this wrong, because apparently she took the videos of her site. But, I thought she actually publicly and knowingly posted these so that perspective patients could see them. And then choose her, partly because of these videos.

    Nothing "unwitting" about it. Maybe there was the occasional patient who does not view social media, or go to the links on her page, but no way that is the majority.

    People chose her as a surgeon after seeing her act. Do I have this wrong?:
    It would be interesting to know how many patients were referred to her by other doctors, and how many patients self-referred, I'm sure some who saw the videos probably considered her as a "down to earth" doctor who was "fun", but ignorance is bliss. Those with even a modicum of knowledge will see her videos and cringe with every fiber of their being.

  • 0

    Find another doctor... Has he had any exposure to ticks? may be worth testing for tick borne diseases

  • 8
    cleback, Buckeye.nurse, poppycat, and 5 others like this.

    I trained and worked as a Surgical Tech, and very interesting that if the people who were gowned and gloved in the 10 seconds of video I saw were actually involved in the surgical procedure because they violated sterility up down and sideways. The only areas considered sterile when gowned and gloved are the hands up to the elbows, and the gown from the chest down to the (natural) waist, so hands on hips-not sterile, hands on butt-not sterile, hands above head-not sterile... I try to avoid watching this type of stuff as it inflames me.

  • 1
    TriciaJ likes this.

    Quote from ThePrincessBride
    I don't know why we can't all just follow California's lead. Staffing should absolutely be regulated. I refuse to work med-surg full-time for this reason. I've had seven patients on multiple occasions and was forced to sit for about 2.5 -3 hours of my shift. One nurse who I worked with had a full house. She was charge with one other nurses and one tech for 26 patients.

    Needless to say, she ripped management a new one.
    And it also has to be factored in that patients ard much more acute than they were years ago. These days, and in the span of my career, unless you'rd a self paying plastics patient, you have to be pretty sick to get admitted to a floor

  • 1
    TriciaJ likes this.

    Quote from ClaraRedheart
    I tried to quote someone, but this didn't work out. She was speaking of staffing rations being so strict in California that you might have to miss lunch because no one can take your patients.
    On most units, I really feel that this is pretty ridiculous. I would rather eat my lunch when my patients are calm and safe and keep my patient communication device on me at all times until waiting until someone is capable of "relieving" me. Our workplace has recently had a lawsuit over a nurse not having a completely relieved 30 minute break, and now we have to have our buddies watch our patients. I have NEVER been abused with this system and have rarely even had to answer a call. Maybe once every 3 weeks or so? We usually make sure that our patients meds are up to date, they've been rounded on and all is well before passing on to our buddies. I'm all for safe staffing ratios, but they need to make some exceptions when it comes to breaks if it's going to delay my lunch. Hangry is a real thing.
    In my time on my current unit I can count on one hand the number of lunch breaks I've gotten.

  • 5
    cayenne06, TriciaJ, thoughtful21, and 2 others like this.

    I agree with Libby, checking her back and neck would have taken at most a couple of minutes, just lifting the shirt and hair, but that also would not have been a thorough check... The original tick was on her leg, why check just the back and neck those are two places ticks would be unlikely to be, as ticks tend to go into hair, behind ears, armpits, under breasts, skin folds, even near genitals, between toes, etc. Also weird the patient didn't remove the tick from her leg herself...but I digress. Perhaps in future a solution could be patients coming in with report of a tick bite have a thorough skin check from office nurse before provider sees them. jmpo

  • 2

    At my facility we wear gloves when giving meds, but one pair as the package is opened into the med cup. OP your hospitals policy is excessive and makes me think that either they have a pending lawsuit from an employee who was exposed to some med (oral chemotherapy???) and/or they were reported to OSHA- this goes beyond a CYA type of thing.
    (On a side note, it has always amazed me that oral chemotherapies are giving in a sort of cavalier way on med/surg units. When I have to give them I always call pharmacy and ask what precautions if any I should take). And I'm not saying an oral chemotherapy was the issue in your hospitals case, but it is one of the meds that has the potential to cause harm with unintended exposure.

  • 0

    Quote from val421
    I knew which ad OP was speaking of before I even finished reading the description - and I think that this is what enraged me. It's a blatant, heinous, dangerous lie. Nurses, as far as I know, have N E V E R been able to decide staffing on their units, and up until a few years ago (when, surprise surprise, legislation had to be introduced) it was commonplace for ICU nurses to be 1:3. Who would willingly make that choice?! There is zero logic in that argument.

    In short, I agree, haha.
    Exactly... and my facilty has required staffing levels BUT I wouldn't call them SAFE staffing levels...

    BTW, the poster who wrote about nurses making gads of money. I've never broken over the mid-forties/yr as a nurse. I know some make who do make big bucks 80 or 90K/yr... But for what I make AND the amount of work I do, I could probably make just as much working a job that allows me time for lunch and breaks, and doesn't havd the "forced" liability nursing does- but I love being a nurse, and slowly, as I get farther, and farther into my career I realize certain things will never change because money is more important than quality care.

  • 0

    Quote from Jules A
    How about a rebuttal commercial.
    If I had the millions of dollars required to produce, make, and air a commercial? Sure.

  • 1
    ICUman likes this.

    I think the terminology I saw was "chronically understaffed hospital" and relates to the CoPs through medicare and medicaid. Just google medicare and chronic understaffing, it should bring links that mention it.

  • 1
    ICUman likes this.

    Quote from ICUman
    I'd like to read more. Any source or link available?
    I'm not sure about links, I'll hunt around. What I have seen clearyly with my own two eyes were notices put up at several hospitals in the "legal info" area (where they put required labor notices from the state, etc) saying that if a hospital was "consistently understaffed, that medicare would be reducing payments", and I know as a direct result of this in the past 2.5 years I have gotten cold calls or emails from the HR of hospitals I had applied to years earlier asking me if I was still interested, my current job I got this way, because their medicare payments took a big hit. I seen it in writing and will see if I can find something to send you (I have no idea what the numbers look like as far as deciding short staffed)

  • 7

    This is one from my rescue days. We went mutual aid to another town and an older lady had ruptured varicose veins in her leg and had lost a huge amount of blood, because of our department then having multiple rescues we had to mutual aid a second paramedic from another town. The woman was shocky and frightened, and fighting care and having IV's placed for fluids. I thought to myself how can I be the most useful? So I sat at her head and told her she had to stop fighting, we knew she was scared, I told her we were going to fight for her so she didn't have too, I explained about the siren, and the pressure wraps on her legs, blah, blah. I honestly didn't think she really heard much of what I said. We got her to the hospital and she was rushed to surgery. We left and returned to our respective departments. I forgot about her as other calls and rescues happened. Several months later the captain got a letter from her, in it she thanked everyone for helping her, and she talked about the person who sat at her head and told her we'rd fighting for you, and explained things. She said she knew the other people were important in helping her but the one who sat at her head and talked to her was the one she felt, who saved her.
    I'll never forget that call, all that blood (her bathroom was covered in it) or that letter. I thought I was doing little.


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