nicunana 1,910 Views
Joined: Jul 18, '05;
Posts: 93 (22% Liked)
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All of our patients that are discharged in a carbed have follow up appointments scheduled with pulmonology within 1 month. They are instructed to continue to use only the carbed until they are told otherwise by pulmonology. Sometimes pulmonology repeats the carseat challenge or does a sleep study with a carseat component.
Thanks so much for your replies, so far. I'd also be interested in knowing if your NICU has any certified carseat technicians on staff to assist the parents with their questions and help them with installation, or if you have access to one from a different department, like PT? What is your actual responsibility, if any, to ensure a safe ride home?
Thanks in advance for your answers.
Happy Neonatal Nurses Day to all!! The Neos provided lunch for everyone from a local restaurant that was really yummy. They've done this for at least 4 years, now. We also got small gifts (bookmarks,etc) from unit management. In the past, we've had large banners over the entrances proclaiming the day. It's really nice to feel "special."
Everybody keeps saying that the teachers were wrong to withhold food, but I just re-read the original post & that is NOT what happened. The student was given food, became angry, and threw it out. He CHOSE to refuse the food. It seems to me that all the teacher did was say "OK, you threw away your food, now you have nothing left to eat." Don't we all have to learn to make good choices? Didn't the OP just reinforce that no matter how bad your choice is, we will always make it better for you? Unfortunately, that is not how life works. More often than not, good choices have good results for us and bad choices have bad results for us. A VERY valuable lesson, indeed. No food was ever taken away from him, and 1 skipped meal will not affect growth & development. I think he was deprived of one of life's lessons.
Does she have a computer? How about a journal that everyone has signed and written a favorite memory in, along with their email addresses & facebook addresses. Now that the retiree has more time on her hands, she may welcome a way to keep in touch with her old friends & coworkers.
What is your hospital doing (if anything) about carseats for infants that weigh less than 5 lbs? Some of our nurses are very uncomfortable sending home babies that weigh less than 5 lbs in a carseat that is clearly labeled 5 to 20 lbs. I'm talking about babies that have passed their carseat challenges and do not have other problems that would contribute to airway obstruction. A large segment of our population is economically challenged and unable to replace the carseat that they already have with a more expensive model. Our carseat technician really feels that carbeds are not as protective in an actual crash as a carseat, so we are hesitant to recommend or provide those to infants without airway or other medical issues that would require a supine or prone position. Thanks for your input!
Now Im just like, well I dont know how to improve because I thought I was being totally polite. It's like they tell you to do one thing (not be a handmaid) but then they tell you another. IDK. I also think some of our behavior is generational too.
I think that you may have identified part of the difference of opinion between the OP & some of the respondents.
Although I don't speak up & say anything, I silently cringe when a waiter or waitress addresses me as "you guys" or when anyone replies "no problem" to my Thank You. I don't consider myself a guy, and even a casual glance should make that obvious to the speaker. And as far as I'm concerned, the only gracious reply to Thank You is You're Welcome. Of course it wasn't a problem! If it was, I would have been apologizing instead of thanking you! I know that these things are petty and well accepted by the current generation. I also know that no harm is intended, but many of the patients you will be caring for and their families, are even older than I am, and have vivid fond memories of more professional speech & behavior.
It never hurts to err on the side of courtesy. If you really give it a decent trial, after awhile it will come as naturally as breathing and you won't think it's phony at all.
I had no idea that daycare could cost that much. It's been a loooong time since I have priced them--my grandaughter is in college now, (and it's a darned sight cheaper than daycare!) I'm glad to hear that you are seeing that he gets a chance to be with little people his own age. Hope you feel better soon. I worked nights for 2 years & aged at least 5 to 7 years during that time. A few of the people I worked with thrived on those hours, but most of us were just biding our time until we could switch to days. Good luck to you.
Why are you so dead set against daycare? Most of the really messed up preschoolers that I know have never been to daycare & don't know how to share or get along with other children. Do your little one a favor & take a second look at good daycare situations.
We just found out this morning that Medicaid will no longer cover the cost of caffeine. Virtuallly all of the babies that we discharge home on an apnea monitor are also on caffeine. A month supply will range between $105 & $300, which is way too steep for most of our parents. We were able to get Childrens Medical Services to pick up 2 months for this particular baby, but they may not be able to cover all of them in the future. Have you encounterd this? Any suggestions? Thanks!
This behavior can not be condoned. If it is indeed related to his illness, then a true assessment would be that his plan of care is NOT working & needs adjustment. Regardless, unless steps are taken to modify this behavior, even your female patients who may inadvertantly walk into his room are at risk. More than once I've read in the newspapaper that a nursing home is being sued because 1 resident has raped or molested another resident. The other residents, who are unable to look after themselves, also deserve to be protected from this type of threat. To ignore his behavior is to accept legal resposibility for whatever consequences may occur. I hope risk management & corporate are also willing to accept this risk, or your DON may be out on her ear when your facility is the center of a nice juicy scandal/lawsuit. Perhaps someone should report this behavior to them?
Good luck! No one should have to work under those conditions without support.
How about the National Patient Safety Goals for Hospitals? I'll bet your manager would love to have something to show JCAHO,when they pop in for a visit. I recently went to a 1 hour presentation & believe it or not, it was VERY interesting. When I left, I was "pumped up" & really gung ho to be a true patient advocate.
If your patients were not in prison, their private insurance that they purchased or their medicaid would not pay for motrin for headaches. Why should the taxpayers? I don't see that as treating them differently. I see that as treating them exactly the same as John Q Public ( who BTW is paying the taxes that support your patients and also may not have extra money to buy motrin before payday.) Don't be so hard on your co-workers, who may have seen more abuse of the system than you have, yet.
It may be "selfish," but it's also age appropriate. Just because their bodies can reproduce, doesn't necessarily mean that they have maturity. Hopefully, that will come with role modeling, encouragement & support. It happens all too often & the best outcomes are usually the teens that have a good support system. Sometimes that includes people outside of the home as well.
Near misses need to be written up because they indicate a systems issue, not an individual error, and need to be corrected. By tracking the near misses, it's possible sometimes to see a specific trend & fix the problem. Most errors actually are as a result of a flawed system. The fact that you are able to catch the potential error before it happens shows that you are paying attention & doing a good job. Maybe the next person won't be able to catch the error in time & that's why it needs to be reported, tracked & hopefully fixed. Does that make sense? Otherwise, no one knows the potential pitfalls out there. It goes back to the "It's the squeaky wheel that gets oiled." I hope you see this as a positive thing now & don't feel so threatened by having to "write it up."
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