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spectral_ev

spectral_ev

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spectral_ev's Latest Activity

  1. spectral_ev

    I hate nursing

    Don't underestimate the value of your experience. When you have handled the skill and responsibility of nursing you are very competent to do something else, either for a change or for a new direction. It took me about 30 years to end up in an office cubicle doing nurse case management, but this is a good fit for me and I'm grateful to have found work that lets me help people in a different way. There are many ways to apply your abilities, good luck.
  2. spectral_ev

    What are MS patients like?

    I've had patients with MS who had extremely difficult personalities. These patients were not demented, but I thought that the disease was affecting them, beyond the stress of having such a condition in the first place. I think your patient's doctor should consider a psych consult, or some meds for depression, agitation, pain, or get him counseling. He must be miserable, and his behavior will interfere with the care of the other patients.
  3. spectral_ev

    No Nurse Supervisor

    thanks for all the responses. one thing I'm trying to figure out is-- how weird is this situation? I don't have any support right now in trying to make sure all the nursing bases are covered, or support in covering my own base. but it seems like there are a lot of agencies that are not well-organized. I'm shocked, shocked to find out that money trumps patient care.
  4. spectral_ev

    No Nurse Supervisor

    right now there is no one at the office to follow-up. one of the doctors is not willing to answer questions on the phone and won't answer faxes. I like the patients, and I like the job, but I feel out on a limb.
  5. spectral_ev

    No Nurse Supervisor

    Right now the path is a fax to the doctor which is not answered and no one to back me up. I'm wondering how to protect myself, and whether this job is going to be possible.
  6. spectral_ev

    No Nurse Supervisor

    LuLu, I never had to work in the field with no one to help when doctor's orders are needed and the doctor does not get back. It sounds like that's what you're dealing with. Can anyone tell me how common this is? Without case management or a supervisor present to go to bat, I'm running around doing visits and case coordination as well, with no date of return for the supervisor. It's extra work, and kind of lonely when I am the only one who knows what is up with the patient. I have a difficult doctor who sees most of my patients and doesn't answer calls or faxes. But I formerly worked at a large agency, and they were more organized, so maybe I have to adjust my expectations of how things work in a smaller one.
  7. spectral_ev

    Nervous about Home Health

    I always thought that the assumption is that patients are homebound-- that's the justification for sending a nurse to the home. I try to accommodate my patients but if it messes up my schedule I tell them it's not possible. I don't think the nurse should have to backtrack, keeping the driving down is a priority too.
  8. spectral_ev

    No Nurse Supervisor

    yes, it's the lack of help with case management. it's tough to do all of it when you are on the road, any office time I put in is unpaid extra. I wonder how much case management is assumed when you are a per diem making home visits. Am I expecting too much?
  9. spectral_ev

    Nervous about Home Health

    A lot of home care nursing is not that acute. You have great skills and you are way ahead of a lot of nurses in that. In my agency we don't even do the IV's, another agency handles that. You sound very well qualified, most patients and families are really nice, it should average out to be good. As far as parking, I work in 'the neighborhoods' and no one ever gives me a hard time. I find 'the burbs' to be scary.
  10. spectral_ev

    No Nurse Supervisor

    In my previous job when the doctor didn't call back I would just note it in my report and the supervisor would take it from there. I worked weekends so the supervisor would call the doctor's office during the week. I'm starting to think I took that for granted, because now it's very hard to keep things safe and get the orders.
  11. spectral_ev

    No Nurse Supervisor

    Working as a per-diem nurse in the field in a home health agency where the nurse supervisor is on sick leave. It's a strain if one of my patients is sick and their doctor is not accessible--if he does not answer requests for orders or clarifications. There is no back-up right now, all I can do is document and inform the patient and family. I haven't been in this situation before. Is this common? Other agencies I worked in had more than one supervisor and they covered for each other. How long is it reasonable to wait?
  12. spectral_ev

    Study: Computers Don't Save Hospitals Money

    I think the key is that the program is designed to meet the needs of the insurer, not the patient. computers could be a great tool if the programs were designed by nurses. http://kmareka.com/2009/12/02/computer-dream-deferred/
  13. spectral_ev

    Katrina: Memorial Hospital Patient Deaths

    Slate.com has coverage here http://www.alternet.org/rss/breaking_news/88072/slate_follows-up_on_our_katrina_hospital_investigation_%E2%80%94and_we_follow-up_too/ the first page has a schematic diagram of the hospital, which shows where the patients were--looks like it will be informative.
  14. spectral_ev

    Katrina: Memorial Hospital Patient Deaths

    I remember the young men from Duke, I think they also transported some sick people from the Superdome to a hospital that would take them.
  15. spectral_ev

    Katrina: Memorial Hospital Patient Deaths

    the website Correntewire has a link to a New England Journal of Medicine article about Charity Hospital, where things went much better and the staff took care of one another and were able to save almost all their patients. Link here-- http://content.nejm.org/cgi/content/full/353/15/1550 very comforting, especially after reading the NYT article.
  16. spectral_ev

    Katrina: Memorial Hospital Patient Deaths

    I donated to the defense fund for Lori Budo and Sherri Landry, the nurses accused along with Dr. Pou. Whatever happened, I will never believe that they stayed on with any intention except saving as many patients as possible. The article is troubling and a lot is left out. Since Dr.Pou is constrained by lawsuits from speaking the effect is prosecution without defense. Why were the helicopters that arrived to evacuate patients not bringing in relief staff? There were volunteers from all over the country ready, willing and able to help. Many of them were kept far from where they were needed, by a FEMA run by an unqualified political crony. Still, Dr.Fink makes a convincing case that the Memorial doctors, under extreme stress, crossed the line from easing death to hastening it. The case of Emmett Everett is very troubling. Four days and no help. There needs to be an investigation of that. Dr. Bryant King may have been correct in saying his colleagues were discussing euthanasia--but he left his patients to their care, only to make accusations after the fact. Perhaps he had reached his limit, but his actions were not heroic.